Fibroids are common, non-cancerous tumors made of muscle and fibers in the uterus. Sometimes they may be in extra uterine sites like broad ligment or cervix. They range in size from less than 1mm to >20cm like from pea size to size of watermelon. They may be in wall of the uterus or on surface of uterus or inside the uterine cavity as in the intramural, sub-serous, sub-mucous.
Fibroids are seen in 40-60% of woman, between 20-50 yrs of age, but may be seen earlier or later age groups, though less common, which maybe caused due to genetics or hormonal.
Dr Andal Reddy, Senior Consultant Obstetrician, Gynaecologist and laparoscopic Surgeon, Apollo Cradle & Children’s Hospital, Jubilee Hills Hyderabad shares, “Most of the Fibroids do not cause any symptom- No treatment is required except for regular follow up. Symptoms depend on size and location and include: Excess bleeding during periods and Frequent periods, Bleeding in between periods, Pain during periods, Lower abdomen fullness or bloating, Urinary symptoms and constipation, pain during intercourse, vaginal discharge and difficulty in conception etc.”
The consequences of fibroids is due to Anemia caused due to loss of blood or pressure on the urinary tract, risk of malignancy is very minimal and should be suspected if growth of fibroids is rapid especially in menopausal ladies.
They can interfere with conception due to their location in the uterus and hormonal changes. During pregnancy they may grow in size and become painful due to red degeneration. They may interfere with labour and may need Caesarean delivery and may also cause pre-term labour and bleeding after delivery.
Most of the cases do not need treatment. If small and asymptomatic can be followed.
Symptomatic fibroids need treatment:
l MEDICAL: Birth control pills, GnRh analogues (gonadotropin releasing hormone), Mifepristone, progesterone and IUD (intra uterine device).
l SURGICAL: surgical treatment depends on age/ symptoms/location/need for child bearing, includes, uterine artery embolism, myomectomy (removal of only fibroid) & hysterectomy.
It is highly advised that one need to consult your gynecologist further clarification.