Leiomyomas or myomas, commonly referred to as uterine fibroids, are benign growths that can be found in the uterus. These growths tend to manifest during the childbearing years. It is important to note that the likelihood of uterine fibroids developing into cancer is minimal, and having them does not raise the risk of uterine cancer. Typically, uterine fibroids are discovered during a routine pelvic exam, where your doctor may detect irregular changes in the uterus shape, indicating the presence of fibroids
The number and size of fibroids can vary significantly. They can exist as solitary growths or multiple growths. Some of these growths are too minuscule to be visible to the naked eye, while others can expand to the size of a grapefruit or even larger. When a fibroid reaches a substantial size, it can cause distortion both internally and externally in the uterus. In extreme cases, certain fibroids can grow to the point of occupying the entire pelvis or abdominal region, resulting in a pregnant-like appearance. These fibroids can be located within the uterus, on its surface, or within the uterine wall. They may also be connected to the uterus through a stalk or stem-like structure.
Various forms of Uterine Fibroids
Various types of uterine fibroids exist, distinguished by their location and method of attachment. Intramural fibroids are found within the muscular wall of the uterus and are the most prevalent. Submucosal fibroids develop beneath the inner lining of the uterus. Subserosal fibroids, on the other hand, grow beneath the outer surface lining of the uterus and have the potential to grow significantly large, extending into the pelvis. Pedunculated fibroids are fibroids that may hang from a stalk within or outside the uterus, with submucosal or subserosal characteristics.
How symptoms present themselves
The presence of fibroids can result in either very mild symptoms, no symptoms at all, or more severe symptoms. In most cases, small fibroids do not manifest any symptoms and can be effectively managed through regular observation by your healthcare provider, without the necessity for treatment. On the other hand, larger fibroids can lead to a range of symptoms, which may include:
- Prolonged, intense, or distressing menstrual periods
- Pain felt in the lower abdominal area or the posterior region
- Dyspareunia (painful sex)
- Frequent urination
- Abnormal vaginal bleeding occurring outside of your regular menstrual cycle.
- Enlarging midsection
- Constipation
Treatment
Various methods are available for treating fibroids, including watchful waiting, medications, and surgery. The most suitable treatment for you will be determined by factors such as the presence of symptoms, desire for pregnancy, age, and location of the fibroids. The precise cause of the condition remains unknown; however, it is believed that hormones, genetics, and various other factors may contribute to its development. If you encounter any form of discomfort or pain, it is advisable to consult your healthcare provider. Fortunately, fibroids can be effectively treated.
Find gynecologist for fibroids
If you need additional information about fibroids or surgical management, please contact us at 346-585-4077
