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What Are Uterine Fibroids?

Uterine fibroids are non-cancerous growths that develop in the uterus. These tumours can vary in size, ranging from the size of a seed to as large as a grapefruit. Although the chances of a fibroid becoming cancerous are extremely rare, they can still cause discomfort and other health issues depending on their size and location.

Interestingly, most women with fibroids don’t experience any symptoms. Fibroids are often discovered by accident during a routine gynaecological exam or while checking for other conditions, such as during a pelvic exam or pregnancy ultrasound.

What Are the Types of Uterine Fibroids?

Fibroids are classified into three types, based on their location in the uterus:

  • Intramural Fibroids: These grow within the muscular wall of the uterus.
  • Subserosal Fibroids: Found on the outer wall of the uterus.
  • Submucosal Fibroids: These develop just under the lining of the uterus and may protrude into the uterine cavity.
How Large Can Uterine Fibroids Get?

Fibroids come in different sizes, and their impact often depends on their size:

  • Small Fibroid: Less than 1-5 cm
  • Medium Fibroid: 5-10 cm
  • Large Fibroid: 10 cm or more

What Are the Symptoms of Uterine Fibroids?

Most women with fibroids don’t exhibit symptoms, but for those who do, they can be painful and disruptive. Some common symptoms include:

  • Heavy and painful periods
  • Menstrual periods lasting more than a week
  • Frequent urination or trouble emptying the bladder
  • Painful sexual intercourse
  • Lower back and leg pain
  • Pelvic discomfort or pressure

Fibroids can also lead to anaemia due to heavy blood loss, leaving you feeling light-headed or dizzy. In more severe cases, untreated fibroids may contribute to infertility or increase the chances of miscarriage.

What Causes Uterine Fibroids?

Although the exact cause of fibroids is still unknown, several factors may increase your chances of developing them:

  • Genetics: A family history of fibroids can increase your risk.
  • Hormonal Imbalance: Estrogen and progesterone are known to stimulate the growth of fibroids.
  • Lifestyle Factors: Obesity and a sedentary lifestyle are linked to the development of fibroids.
  • Age: Women in their reproductive years, especially those over 40, are more likely to have fibroids.

How Are Uterine Fibroids Diagnosed?

Because fibroids don’t always come with symptoms, they are often detected during routine exams. Some of the common diagnostic methods include:

  • Pelvic Exam: A doctor manually checks the uterus for abnormalities in size or shape.
  • Ultrasound: High-frequency sound waves create images of the uterus to pinpoint fibroids.
  • MRI: Magnetic resonance imaging (MRI) may be used for a clearer image, especially for larger fibroids.

In cases where these methods aren’t sufficient, doctors may use more invasive techniques like laparoscopy or hysteroscopy for further evaluation.

Can Uterine Fibroids Cause Infertility?

Not all fibroids lead to fertility problems, but large fibroids that distort the uterus or block the fallopian tubes can interfere with conception. Depending on their location, fibroids may prevent sperm from reaching the egg, or disrupt implantation of the embryo.

How Do Uterine Fibroids Affect Pregnancy?

Fibroids can lead to complications during pregnancy, such as:

  • Preterm Delivery: Uterine contractions caused by fibroids can trigger early labor.
  • Restricted Baby Growth: Large fibroids can limit the space for the baby to grow properly.
  • Cesarean Section: Fibroids can change the baby’s position, making natural delivery difficult.
  • Miscarriage: In some cases, fibroids can cause the placenta to separate from the uterine wall.

What Are the Treatment Options for Uterine Fibroids?

Treatment for fibroids depends on several factors, such as your age, the size of the fibroids, symptoms, and your future pregnancy plans.

  • Watchful Waiting: If the fibroids aren’t causing symptoms, your doctor may suggest monitoring them before recommending treatment.
  • Medication: Hormonal treatments can shrink fibroids or relieve symptoms. Estrogen-inhibiting hormones can also slow their growth.
  • Surgery: In severe cases, surgical procedures like myomectomy (removal of fibroids) or hysterectomy (removal of the uterus) may be necessary.

What Can You Do to Manage Uterine Fibroids?

For mild symptoms, certain lifestyle changes can help manage fibroids:

  • Balanced Diet: Eating a nutritious diet can help maintain hormonal balance.
  • Hot Water Bag: Applying heat to your lower abdomen can ease bloating and pain.
  • Regular Exercise: Moderate exercise can improve overall health and alleviate some symptoms.

Conclusion: Is Fibroids Treatment the Right Step for You?

If you’re experiencing any symptoms or trouble with conception, it’s important to consult a healthcare provider to evaluate your condition. Remember, each woman’s experience with fibroids is different, and treatment should be tailored to your specific needs.

 

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