All About Fibroid

What Are Uterine Fibroid?

Uterine fibroids are benign (non-cancer) growths that develop from the muscle tissue of the Uterus. They also are called leiomyomas or myomas.

Types Of Fibroid

There are 4 major types of Fibroids (on the basis of location in Uterus). Fibroids can range in size from small pea-sized growths to large round ones that may be more than 5 to 6 inches wide.

Subserosal

Subserosal

Develops on the
outer uterine wall

Submucosal

Submucosal

Develops under the
lining of the uterus

Intramural

Intramural

Develops within
the uterine wall

Pedunculated

Pedunculated

Grows on stalk into
the uterine cavity

Symptoms of Fibroids

Fibroids may have the following symptoms:

Heavy Menstrual Periods

Heavy
Menstrual Periods

Menstrual Periods Lasting More Than A Week

Menstrual Periods Lasting
More Than A Week

Pelvic and Abdominal Pain

Pelvic &
Abdominal Pain

Frequent Urination

Frequent Urination

Difficulty Emptying The Bladder

Difficulty Emptying
The Bladder

Constipation

Constipation

Backache or Leg Pains

Backache
Or Leg Pains

Medication & Tips

How Are Fibroids Diagnosed?

Fibroids are most often found during a routine pelvic exam. During this exam, your health care provider will press on your abdomen and may feel a firm, irregular mass that might indicate a fibroid.

To diagnose uterine fibroids, your doctor may order one of the following tests:

Routine Pelvic Exam

Routine Pelvic Exam

Fibroids are frequently found incidentally during a routine pelvic exam. The Doctor may feel irregularities in the shape of your uterus, suggesting the presence of Fibroids

Ultrasound

Ultrasound

A procedure during which a small instrument, called a transducer, is either inserted into the vagina or pressed over the abdomen to produce pictures of the internal organs using sound waves. The doctor can see the size, shape and texture of the uterus and evaluate any growths.

Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI)

This is a form of advanced imaging technology that provides highly detailed images of internal organs. These images help your provider determine the exact location and characteristics of fibroids and, if needed, plan minimally invasive treatments.

Fibroids are frequently found incidentally during a routine pelvic exam. The Doctor may feel irregularities in the shape of your uterus, suggesting the presence of Fibroids

A procedure during which a small instrument, called a transducer, is either inserted into the vagina or pressed over the abdomen to produce pictures of the internal organs using sound waves. The doctor can see the size, shape and texture of the uterus and evaluate any growths.

This is a form of advanced imaging technology that provides highly detailed images of internal organs. These images help your provider determine the exact location and characteristics of fibroids and, if needed, plan minimally invasive treatments.

This is a type of X-ray exam of the uterus and fallopian tubes. Your doctor will use a special dye to more easily visualize these organs and determine if the fibroids have blocked your fallopian tubes.

This is a visual exam of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.

Deciding on a Treatment Plan

Things to consider when deciding your treatment plan

Medical Management Options To Treat Uterine Fibroids

The Medical line of management is best for patients in reproductive age group with small size fibroid and who desire for future fertility. In medical line of  management,  Mifepristone have better outcomes. Medical treatments are considered the first-line treatment to preserve fertility and avoid or delay surgery.

The medical management options are divided into Hormonal and Non-Hormonal class.

Hormone therapy for uterine fibroids targets hormones that regulate your menstrual cycle. Doing so treats symptoms, such as heavy menstrual bleeding and pelvic pressure and reduces fibroid size. Hormonal treatment includes SPRM, GnRH

The Non Hormonal therapies like NSAIDS & Tranexamic acid can help reduce symptoms. These medications do not shrink fibroids and should not be used at high doses for prolonged periods of time.

Types Of Surgery To Treat Fibroids

surgical-procedure-made-by-doctor

It is the surgical removal of fibroids while leaving the uterus in place. Patient will be able to have children after a myomectomy.

close-up-doctor-holding-anatomic-model

It decreases blood flow to fibroids, causing them to shrink and relieving symptoms.

doctor-explaining-anatomic-model-patient

Hysterectomy is an open surgery in which entire uterus is removed. Patient are no longer able to have children after having a hysterectomy.

Questions to Ask Your Health Care Provide

  • How do I know if what I am experiencing is fibroids? 
  • Do I need to have an ultrasound, MRI, or another procedure to diagnose what is going on with my body? 
  • What other conditions cause similar symptoms? 
  • What medical treatment options are available? 
  • What kind of surgical options are available? 
  • What are the risks and benefits of each treatment you have proposed? 
  • Which treatment option(s) or plan do you recommend that I try first? Why? 
  • Are there any helpful strategies or practices I can do at home to assist with managing my symptoms? 
  • Can you provide me with additional resources to learn more about fibroids?
  • How many fibroids do I have, how big are they, and where are they located? (If you’ve already undergone procedures to determine this.) 
  • What are the chances of fibroids returning after treatment? 
  • What alternative or complementary treatments (e.g., acupuncture, yoga) might be worth trying? What dietary suggestions can you offer to help with my symptoms? 
  • How might fibroids and the treatments affect my fertility? 
  • How often do I need follow-up visits?

Diet & Yoga

Wellness Tips for Uterine Fibroids

Here are some strategies to help you maintain an active and healthy lifestyle along your journey with fibroids

Healthy Diet

Healthy Diet

Healthy Diet

Consuming a diet rich in green and cruciferous vegetables, fruits, and low-fat dairy may help lessen fibroid symptoms, whereas a sugar-rich diet can have the opposite effect. Iron-rich meals can assist in avoiding anemia if your periods are extremely heavy and long.

Regular Exercise

Regular Exercise

Regular Exercise

Exercise has a wide range of health benefits. Some fibroid symptoms can be lessened by incorporating exercise into your daily routine, such as stretching, cardiovascular activities, and strength training, which release endorphins that help to alleviate pain and cramps. Managing weight and obesity also reduces risk of fibroids.

Stress Management

Stress Management

Stress Management

Fibroid symptoms can create physical discomfort as well as cause emotional strain for women and their relationships. Practicing stress-reducing activities like yoga or meditation may help decrease inflammation and relieve stress-aggravated pain. Alternative therapies such as acupuncture have also been found to help reduce period pain in some women.

Sexual Health

Sexual Health

Sexual Health

Heavy and irregular menstrual bleeding and pelvic pain can interfere with your sexual life. It may feel uncomfortable discussing your condition or concerns about your relationship, but it helps if you can be open and honest. Discuss your symptoms and how they may interrupt your plans from time to time with your partner. Find ways to cope with your symptoms together.

Support System

Support System

Support System

Supportive family and friends are just as crucial as medical care when dealing with the persistent symptoms and potential reproductive issues associated with fibroids. Joining a support group to connect with other women who have fibroids helps many women. Women often struggle to reveal the sensitive details of their fibroid issues, but open communication with friends or family can lead to better support.

Travel Preparedness

Travel Preparedness

Travel Preparedness

Scheduling travel during the less problematic times of your monthly cycle and packing portable heat wraps or thermal pads to manage pain can be helpful when you’re on-the-go. Try to journal what you eat and drink that might be different from your normal regimen at home, and carve out enough time to rest and allow your body to recuperate after strenuous or high-intensity activities.

FAQs

Frequently Asked Questions

No, fibroids do not turn into cancer

Small- or medium-sized fibroids that don’t cause symptoms are unlikely to pose a significant risk to pregnancy. However, fibroids may grow larger during pregnancy because of higher hormone levels and increased blood flow to the uterus. Fibroid growth may cause discomfort, feelings of pressure or pain.

  • Submucosal fibroids inside the open space in the uterus (uterine cavity)
  • Very large Intramural fibroids

It is not clear what causes fibroids. Some research suggests that the female hormones estrogen and progesterone appear to be involved in their growth.

Fibroids that do not cause symptoms, are small, or occur in a woman who is nearing menopause often do not require treatment. Symptomatic Fibroids needs treatment.

Yes, there are medications available to treat the symptoms of Fibroids and to reduce the size of Fibroids.

If your fibroid symptoms are not controlled from medications or other forms of treatment, surgery to remove growths may be helpful.

Yes, Fibroids sometimes come back after treatment.