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Fibroids: Understanding, Managing and Seeking Relief


Fibroids, also known as uterine fibroids or leiomyomas, are non-cancerous growths that develop within the muscular walls of the uterus. These growths are common among women of reproductive age and can vary in size, location and symptoms. In this comprehensive clinical blog, we will explore the intricacies of fibroids, including their causes, types, symptoms, diagnosis and available treatment options.

Book an online appointment with Dr. Aastha Aggarwal for Pregnancy & Gynecology related issues

Causes and Types of Fibroids

The exact cause of fibroids remains unclear, but various factors contribute to their development:

1. Hormones: Estrogen and progesterone are believed to play a role in the growth of fibroids. These hormones promote the uterine lining's regeneration during each menstrual cycle and they may also stimulate fibroid growth.

2. Genetics: A family history of fibroids increases the likelihood of developing them.

3. Other Factors: Obesity, race (African American women are more prone to fibroids), vitamin D deficiency, no history of pregnancy and early onset of menstruation can also influence fibroid development.

There are different types of fibroids based on their location within the uterus:

1. Intramural Fibroids: These are the most common type and grow within the uterine wall, often causing the uterus to enlarge.

2. Submucosal Fibroids: These grow just beneath the uterine lining and can lead to heavy or prolonged menstrual bleeding.

3. Subserosa Fibroids: These develop on the outer surface of the uterus and may cause pressure or pain in surrounding areas.

Symptoms and Impact

Fibroids can vary greatly in size and many women with fibroids remain asymptomatic. However, when symptoms do arise, there may be:

  • Heavy Menstrual Bleeding: Excessive or prolonged periods can lead to anemia and fatigue.
  • Pelvic Pain and Pressure: Larger fibroids can cause discomfort or pain in the pelvic region.
  • Frequent Urination: Fibroids pressing on the bladder can result in frequent trips to the bathroom.
  • Painful Intercourse: Fibroids can lead to discomfort during sexual activity.
  • Abdominal Bloating: Enlarged fibroids might lead to a feeling of fullness or bloating.
  • Infertility or Pregnancy Complications: Depending on their size and location, fibroids can interfere with conception or cause complications during pregnancy.

Diagnosis and Treatment

1. Diagnosis: A pelvic exam, ultrasound, MRI or hysteroscopy may be used to diagnose fibroids and determine their size and location.

2. Watchful Waiting: If fibroids are small and asymptomatic, a "wait and see" approach might be recommended.

3. Medications: Hormonal medications, such as birth control or GnRH agonists, can help manage symptoms by regulating hormones and reducing fibroid size.

4. Minimally Invasive Procedures: Procedures like uterine artery embolization, myomectomy or focused ultrasound surgery can remove or shrink fibroids while preserving the uterus.

5. Hysterectomy: In severe cases or when fertility is not a concern, a hysterectomy (removal of the uterus) may be recommended.

Also Read : Fibroid growth and HCG levels!

Lifestyle Management and Self-Care

  • Healthy Diet: Consuming a diet rich in fruits, vegetables and whole grains can help manage symptoms. Vitamin D supplementation. manage symptoms. Vitamin D supplementation.
  • Exercise: Regular physical activity can alleviate pain and improve overall well-being.
  • Stress Management: Stress reduction techniques, such as yoga and meditation, can help manage symptoms.
  • Pain Management: Over-the-counter pain relievers may provide temporary relief from discomfort.

When to Seek Medical Attention

Consult a healthcare provider if you experience severe pelvic pain, heavy or prolonged bleeding, difficulty urinating or any symptoms that significantly impact your quality of life.


Fibroids are a prevalent condition among women and while they often pose no major threat, their impact on quality of life can be significant. Understanding the causes, types, symptoms and available treatment options empowers women to make informed decisions about their health. Whether opting for conservative management, medications or minimally invasive procedures, seeking timely medical advice is essential in effectively managing fibroids and maintaining overall well-being.

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