What Are Uterine Fibroids?

Uterine fibroids are noncancerous growths of the muscle tissue of the uterus. Fibroids can range in number and size from a single growth to multiple growths, and from very small to large. As many as 70% to 80% of all women will have fibroids by age 50. The medical term for fibroids is leiomyoma or myoma.

Symptoms of Fibroids: Pressure

Fibroids may cause very mild symptoms, none at all or symptoms can be severe. In women who do feel symptoms, these uterine growths can cause:

• Pressure on the bladder or rectum
• Frequent urination
• Constipation or rectal pain
• Lower back or abdominal pain

If fibroids become very large, they can distend the stomach, making a woman look pregnant.

Symptoms of Fibroids: Period Changes

Fibroids may also cause changes to a woman’s period, including:

• Mild to severe cramping and pain
• Heavier bleeding, sometimes with blood clots
• Longer or more frequent menstruation
• Spotting or bleeding between periods

Fibroids or Endometriosis?

Fibroids are one cause of severe menstrual pain, but the pain also can be caused by endometriosis. Endometriosis occurs when tissue from the inner lining of the uterus grows in other parts of the body — illustrated here by growths on the outside of the uterus and bladder. This tissue breaks down and bleeds during your period, causing painful scar tissue. The pain of fibroids or endometriosis also can occur between periods.

What Causes Fibroids?

The exact cause of fibroids is unknown. Their growth has been linked to the female hormones estrogen and progesterone. Studies have found that women who start their periods at a younger age are more likely to develop fibroids.

Types of Fibroids

• Intramural fibroids, the most common, grow in the wall of the uterus.
• Subserosal fibroids grow on the outside of the uterus. As they grow larger, they can cause pain due to their size or pressure put on nearby organs.
• Submucosal fibroids grow just underneath the uterine lining and can crowd into the uterus cavity and lead to heavy bleeding and other more serious complications.
• Pedunculated fibroids grow on small stalks inside or outside the uterus. 

It’s possible to have more than one type of fibroid.

Who Gets Fibroids?

While it’s unclear why women develop fibroids, some patterns have been observed.

• They usually occur between the ages of 30 and 40.
• They are more common in black women.
• They grow more quickly and appear at a younger age in black women.
• Having a family member with fibroids increases a woman’s risk.
• Being overweight or obese and having high blood pressure also may increase your risk.

Complications: Fibroids and Anemia

Some women with fibroids who experience unusually heavy bleeding during their periods may become anemic. Many cases of anemia due to iron deficiency from periods are mild and can be treated with a change in diet. Untreated anemia can lead to fatigue and lethargy and, in severe cases, heart problems.

Complications: Getting Pregnant

Some women with fibroids experience more pregnancy complications and delivery risks. Fibroids may cause the baby to be in an abnormal position and can cause preterm labor. They may also cause pelvic pain and heavy bleeding after delivery. In some instances, fibroids may block your fallopian tubes. Fibroids growing along the inner uterine wall may make it difficult for a fertilized egg to attach. 

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