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Uterine Fibroids

Uterine Fibroids: Treatment, Symptoms and Causes

| 01 May 2020 | 2143 Views |

Uterine fibroids are without cancerous enlargement of the uterus that sometimes emerges at the time of pregnancy years. It is also known as myomas and leiomyomas. However, the positive thing is that uterine fibroids are not linked with an augmented hazard of uterine cancer and it won’t increase cancer.

Uterine Fibroids

Fibroids come in different sizes like saplings, untraceable by the individual’s eye. To huge sufficient that can amplify and disfigure the uterus.

Patients can come across one fibroid or multiple. In intense care fibroids spread out the uterus to the extent that they can stretch to the rib cage and gain body mass.

Several women suffer from fibroids often in their lifetime. But you don’t detect the exact time of uterine fibroids because they often result in no indications. Your surgeon might diagnose the fibroids accidentally while a pelvic inspection or ultrasound test.

Uterine Symptoms

Several who suffer from fibroid, don’t receive any indications. However, in some cases, symptoms can be the result of size, the quantity of fibroids, and location.

There are several symptoms of uterine fibroids are as follows-

  • Leg pains and backache
  • Acidity and constipation
  • Trouble in making bladder empty
  • Recurrent urination
  • Pelvic pain
  • Excessive menstrual bleeding
  • Menstrual periods continuing more than a week

A fibroid can result in severe pain in the rare case, eventually, it extends the blood circulation and will result in death.

Fibroids are normally categorized by their location. Intramural fibroids develop inside the muscular uterine wall. Submucosal fibroids swell inside uterine hollow space.

What is the Right Time to Consult a doctor

You should consult your doctor when

  • Inexplicable low blood cell count (anemia)
  • The problem with vacating your bladder
  • Pimple and bleeding during the menstrual cycle
  • Excessive and several painful menstrual cycle
  • Pelvic pain that is intolerable

Types of Uterine Fibroids

Well, as we have already stated Fibroids are a non-cancerous ailment that comes in the tissue surrounding the uterus.

Four types of Uterine Fibroids are:

Well, as we have already stated Fibroids are a non-cancerous ailment that comes in the tissue surrounding the uterus.

Four types of Uterine Fibroids are:

  • Cervical fibroids: As the name refers Cervical fibroids are related to the neck of the uterus which is called cervix
  • Submucosal fibroids: This fibroid cause cavity in the uterus. It is generally detected in the muscle under the internal surface of the wall.
  • Intramural: The most general category of fibroid is an intramural fibroid. This is found in the muscles of the wall of the uterus.
  • Subserosal fibroids: This type of fibroid spread out ahead of the wall of the uterus and develops within the exterior tissue lining of the uterus. They can grow into pedunculated fibroids in which fibroid has shadow and it can grow enormously.

Surgeons are not aware of the reasons for uterine fibroids, but study and clinical expertise have come to the conclusion with these factors-

Extracellular matrix (ECM)- ECM is the substance that compels cells to attach together. When ECM grows in fibroids then it can make them fibrous. ECM also has growth features and reasons biological transformation in the cells themselves.

Fibroids obtain excessive progesterone receptors and estrogen than usual uterine muscle cells perform. Fibroids generally get reduced in size after menopause because of reducing in hormone formation.

Progesterone and Estrogen are two hormones that influence the growth of the uterine inside layer during the time period in preparation for conceiving a child. It eventually enhances the growth possibility of fibroids.

Materials that support the body to preserve tissue like insulin can be a growth factor for fibroids.

Heredity changes: Several fibroids obtain changes in genes that dissimilar from usual uterine muscle cells

Risk Factors

There are some identified risk factors including for uterine fibroids which are as follows


If your sister or mother has a history of uterine fibroids, then the risk of having uterine fibroids to you is possibly high.


Though any female can face uterine fibroids if she is in the reproductive phase, study shows that black women have more probability of uterine fibroids as compared to other ethnicities of women, moreover black women have fibroids at younger ages and they also are probably the patient of huge fibroids adjacent to serious symptoms and complications.

Other factors are obesity, consuming alcohol, the low diet of dairy products, green vegetables and fruits, a high diet of red meat, early age menstruation, and deficiency of Vitamin D have come likelihood factors that enhance the risk of growing uterine fibroids

Some quick facts about uterine fibroids:

Several people don’t feel symptoms but they can comprise painful uterine bleeding, constipation, lower back pain and anemia as risk factors for uterine fibroids.

When estrogen levels are higher the possibility of fibroids growth is likely to increase
Complications are in few numbers but they can be tragic

Read Also: Understanding the Causes of Female Infertility, Treatment & Symptoms

What are the effects of fibroids on fertility?

Many females who are facing uterine fibroids can conceive a child normally. The treatment might not even be compulsory starting.

However, in rare cases, fibroids can influence your fertility. For instance, submucosal fibroids, that develop and swell inside the uterine cavity, enhance the risk for infertility or miscarriage.

Though fibroids might be the reason for infertility in some women, there can be other factors responsible for infertility. If you are getting problems in concaving a baby, your surgeon might identify other probable reasons before pointing the problem to fibroids.

It is complicated problem and research shows that nearly 5 to 10 percent of women are facing infertility issues because of fibroids. The abnormal size of their uterus due to fibroids creates complications in pregnancy. Fibroids that are large in sizes such as 6 CM in diameter and those who are found in the inside layer of the uterine cavity can cause problems in getting pregnant, In most cases

It’s a complex issue. Estimates suggest that about 5-10% of women facing infertility have and it is their size and location which may create problems. Fibroids that are very large – greater than 6 centimeters in diameter – and those located inside the uterine cavity are examples of situations Submucosal fibroids are responsible for pregnancy blockage and infertility in women. However, there are also exceptions that include big size fibroids that obstruct the entryway of fallopian tubes inside the womb.

However several women who are having fibroids won’t get pregnancy complications and infertility. If there are issues then a female and her spouse should detect other factors indulged before consulting a treatment for fibroids. The fibroids expert can examine whether fibroids might be a problem or other any other treatment is required.

How Do Fibroids Cause Infertility?

can affect your fertility in several different ways based on how their size and location change your uterus, cervix, or fallopian tubes.

Uterine fibroids might create issues in pregnancy and lead to infertility for a variety of reasons. That will depend upon the size and area changes in your fallopian tubes cervix and uterus.

Examples are

The thickness of uterine lining can caused by Uterine fibroids
Cervix changes its shape it can affect the sperm count enter the womb?
The shape changing of uterus disturbs the motion of sperm and embryo.
Fluoride can obstruct Fallopian tubes that make it complicated to fertilized egg to transplant
When excessive bleeding occurs due to Uterine fibroids, then it can reduce the capacity of embryo to inserted into the uterine wall or to grow.

Uterine Fibroids Treatment:

Should I Get Treatment for my Fibroids to Improve my Fertility?

If you are thinking of conducting treatment of Uterine fibroids to improve fertility then you should check all the possibilities and consult your surgeon. The treatment should rely on individual case history and situation. The intensity of symptoms and other factors of infertility can decide the treatment scenario. Women should openly discuss her problem with doctor. You must perform deep fertility checkup along with your partner. There are several treatment which includes surgery and that can remove Uterine fibroids. Other testing and treatment includes medications, ultrasound, electrical energy, embolization and more can reduce the chances of fibroids, but they are temporary options.

Moreover the possibility of growing new fibroids after treatment is often take place. So there is a dispute that whether treatment will eliminate your infertility or not.

If you are heading towards to enhance the fertility possibility, make sure to discuss with your doctor. In most of cases submucosal fibroids are the type of fluorides that can affect badly in fertility

However the research is not strong and it cannot come to the perfect conclusion that other types of fibroids treatment are not required for increasing pregnancy and live birth rates comparing to those women who are not getting treatment

Next steps if you’re trying to conceive with fibroids

Consult with your doctor about the position and size of fibroids you acquire. Consult them and confirm if fibroids can create issues in pregnancy or not. You can also ask your doctor whether the fibroids treatment will help you in improving fertility and getting a healthy baby,

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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