Uterine Fibroids

Fibroids are incredibly common but often surrounded by myths and misconceptions. So, let's break it down together, no medical jargon, just clear, friendly advice.

Think of this blog post as your trusted guide to understanding fibroids. Whether you're dealing with these pesky growths or simply want to learn more, We've got you covered. From what fibroids are to the various treatment options available, We'll take you on a journey through the basics, making it easy to grasp. So, get comfy, and let's dive into the world of fibroids!

Understanding Fibroids: A Patient-Friendly Guide

Fibroids, or uterine leiomyomas, are common growths originating from the muscle of the uterus. These non-cancerous growths can either bulge from inside or outside the uterus. It's essential to know that fibroids are typically benign, but they can sometimes be mistaken for cancerous tumors.

How Common Are Fibroids?

Fibroids are more common than you might think, affecting approximately 80% of women during their lifetime. It's important to note that not everyone with fibroids experiences troublesome symptoms. However, for some, these growths can lead to issues like heavy menstrual bleeding, pelvic pain or pressure, or difficulties related to pregnancy and fertility.

Factors Affecting Fibroid Risk

While the exact cause of fibroids remains unknown, they are believed to be influenced by female hormones like estrogen and progesterone.

Several factors, including age at first menstruation, genetic predisposition, lifestyle, and number of pregnancies, may contribute to an individual's risk. However, it's possible for someone with no known risk factors to develop fibroids.

Symptoms of Fibroids

Fibroids come in various sizes, ranging from tiny to as large as a grapefruit. Most fibroids are small and asymptomatic, but some can cause significant problems:

1. Increased Menstrual Bleeding: Fibroids can lead to heavier or longer periods, and if you find yourself soaking through a pad or tampon in less than an hour, this is abnormal and requires medical attention. Excessive menstrual bleeding may also result in iron deficiency anemia.
2. Pelvic Pressure and Pain: Larger fibroids can cause a feeling of pelvic fullness, similar to pregnancy. In some cases, fibroids might even give the appearance of a pregnancy when there is none.
3. Other Symptoms: Depending on their size and location within the uterus, fibroids can cause symptoms such as frequent urination or constipation.
4. Fertility and Pregnancy Issues: While most people with fibroids can conceive without problems, certain fibroids' size and location can affect fertility. It's essential to discuss this with your healthcare provider if you're struggling to conceive. In most cases, fibroids do not increase the risk of miscarriage.

Diagnosing Fibroids

If your healthcare provider suspects you have fibroids due to an enlarged uterus or irregular shape, they may perform a pelvic examination and order a pelvic ultrasound. This ultrasound, often done vaginally, can confirm the presence of fibroids.

Treatment Options for Fibroids

The choice of treatment for fibroids depends on your symptoms and future pregnancy plans. Here are some options:

Medications:

• Hormonal Birth Control: Methods like the pill, patch, vaginal ring, shot, hormonal IUD, or implant can help reduce bleeding, cramps, and pain.
• Iron and Vitamins: If you have anemia, your doctor might recommend iron supplements and a multivitamin.
• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): NSAIDs like ibuprofen and naproxen can reduce menstrual cramps and flow.

Non-Hormonal Treatments:

• Antifibrinolytic Medications: These drugs help slow menstrual bleeding without hormonal effects. Ex: Tranexamic Acid (Lysteda).
• Gonadotropin-Releasing Hormone Analogues: These medications temporarily reduce estrogen and progesterone production and can be used to manage symptoms before surgery. (Brand Name Examples: Leupron, Orihann, Myfimbree)

Surgical or Interventional Treatments:

• Myomectomy: This surgery removes fibroids and can improve bleeding and related symptoms.
• Uterine Artery Embolization (UAE): UAE blocks blood supply to fibroids, causing them to shrink and relieving symptoms.
• Magnetic Resonance-Guided Focused Ultrasound (MRgFUS): Noninvasive treatment that shrinks fibroids and reduces heavy bleeding.
• Ultrasound-Guided Radiofrequency Ablation: This procedure destroys fibroid tissue and can be laparoscopic or transcervical.
• Endometrial Ablation: Destroys the uterine lining, reducing heavy bleeding caused by fibroids.
• Hysterectomy: Removal of the uterus, often recommended for severe cases or those not planning future pregnancies.

We hope this blog post has shed some light on the world of fibroids and provided you with valuable insights into what they are, their symptoms, and the available treatments. Remember, you're not alone in this journey. Millions of people deal with fibroids, and there are effective ways to manage them.

If you have any concerns about fibroids or are experiencing symptoms that worry you, please reach out to your healthcare provider. They can offer guidance, provide personalized recommendations, and ensure you receive the best care for your unique situation. Selecting the right treatment depends on your specific symptoms and fertility considerations.

Knowledge is a powerful tool, and by understanding fibroids, you're taking a proactive step towards your health and well-being. We wish you all the best on your path to a healthier, happier life. Stay informed, stay empowered, and never hesitate to seek the support and care you deserve.