Uterine fibroids are one of the most common gynecological conditions, affecting up to 70% of women by age 50. While these noncancerous growths in the uterus often cause no symptoms, they can lead to discomfort and complications for many women. At Lyndhurst Gynecologic Associates in North Carolina, we are dedicated to providing compassionate care and expert advice for women facing fibroid-related concerns.

What Are Uterine Fibroids?

Fibroids, also known as myomas or leiomyomas, are benign tumors that develop in the muscle tissue of the uterus. They can vary in size, from as small as a seed to as large as a grapefruit, and may occur as a single growth or multiple tumors.

While fibroids are not cancerous, they can still cause significant symptoms, especially when they grow larger or interfere with nearby organs.

Common Symptoms of Uterine Fibroids

Although some women with fibroids experience no symptoms, others may encounter:

• Heavy or prolonged menstrual periods: Heavy bleeding, sometimes with blood clots, is one of the most common signs of fibroids.
• Pelvic pain or pressure: Large fibroids can create a sensation of pressure or fullness in the pelvic region.
• Frequent urination: Fibroids pressing against the bladder can lead to an increased need to urinate.
• Painful intercourse: Depending on their location, fibroids may cause discomfort during sexual activity.
• Lower back or leg pain: Larger fibroids can sometimes cause pain that radiates to the lower back or down the legs.
• Reproductive challenges: In some cases, fibroids can affect fertility or lead to complications during pregnancy, such as preterm birth or an increased risk of cesarean section.

Causes and Risk Factors

The exact cause of fibroid development is unknown, but several factors can increase a woman’s risk:

• Hormonal factors: Estrogen and progesterone stimulate the growth of fibroids.
• Age: Fibroids are most common in women during their 30s and 40s, but they can develop at any age.
• Genetic predisposition: A family history of fibroids increases the likelihood of developing them.
• Ethnicity: African American women are more likely to develop fibroids, often at younger ages and with more severe symptoms.
• Lifestyle factors: Obesity, a diet high in red meat, and a lack of vegetables and fruits are linked to higher fibroid risk.

How Are Fibroids Diagnosed?

At Lyndhurst Gynecologic Associates, diagnosing fibroids usually begins with a physical pelvic exam. If fibroids are suspected, additional imaging tests like an ultrasound or MRI may be recommended to confirm their size and location. In some cases, a hysteroscopy or laparoscopy may be performed to get a closer look inside the uterus.

Treatment Options for Uterine Fibroids

Treatment for fibroids depends on the severity of symptoms, the size and location of the fibroids, and your individual health goals, including whether you plan to have children. At Lyndhurst Gynecologic Associates, we offer a variety of treatment options, ranging from conservative management to surgical intervention.

Conservative Management:

• Watchful waiting: For women with mild symptoms or small fibroids, regular monitoring may be the best approach. Many fibroids shrink on their own after menopause when hormone levels decrease.
• Medications: Hormonal therapies, such as birth control pills or progestin-releasing IUDs, can help manage heavy bleeding and other symptoms. Non-hormonal medications, such as NSAIDs, may relieve pain.

Minimally Invasive Treatments:

• Uterine Artery Embolization (UAE): This procedure involves cutting off the blood supply to fibroids, causing them to shrink over time.
• Myomectomy: This surgical procedure removes fibroids while preserving the uterus, making it an option for women who want to maintain fertility.
• Endometrial Ablation: For women with fibroids that cause heavy bleeding, this procedure removes the lining of the uterus to reduce bleeding.

Surgical Options:

• Hysterectomy: In cases where fibroids cause significant symptoms and fertility is not a concern, a hysterectomy (removal of the uterus) may be the most effective treatment.

Personalized Care at Lyndhurst Gynecologic Associates

At Lyndhurst Gynecologic Associates, we understand that every woman’s experience with fibroids is unique. Our team is committed to helping you understand your options and make informed decisions about your care. Whether you’re experiencing mild symptoms or considering surgery, we’re here to provide support and expertise every step of the way. https://www.lyndhurstgyn.com/locations/

Further Reading: Cleveland Clinic