1. What are fibroids?

Fibroids are abnormal growths that develop in or on a woman’s uterus. Sometimes these tumors become quite large and cause severe abdominal pain and heavy periods. In other cases, they cause no signs or symptoms at all. The growths are typically benign, or noncancerous. The cause of fibroids is unknown.

2. There’s only one kind of uterine fibroid.

You may hear them referred to as:

  • Leiomyomas
  • Myomas
  • Uterine myomas
  • Fibromas

These terms are all just different names for a uterine fibroid, which is a rubbery mass of tissue that arises out of the muscular portion of your uterus.

3.  Fibroids come in different shapes and sizes.

Fibroids may be tiny and described as “seedlings” or grow large enough to alter the shape and size of your uterus. Those that grow on the outer wall of your uterus, which is called the serosa, can develop on a narrow stem that supports the larger growth. We call these pedunculated fibroids.  

We also classify uterine fibroids according to their location in your uterus. Those that grow within the uterine wall are called intramural fibroids. Submucosal fibroids protrude into the uterine cavity, and subserosal fibroids project outward from the uterus.

4. Your fibroids may or may not cause symptoms.

Some women have no symptoms with their fibroids and are surprised when they’re discovered during a routine gynecological exam. Depending on the location of the growth, we can sometimes feel a fibroid during a pelvic exam.

Many women, however, seek our care for relief of symptoms that they may not connect to fibroids. These symptoms can include:

  • Heavy bleeding during your menstrual period
  • Periods that last more than a week
  • Pain or pressure in the pelvic region
  • Frequent urination and difficulty emptying your bladder
  • Constipation
  • Back or leg pain

Fibroids can cause such heavy bleeding that you may be at risk for developing anemia. A large fibroid that pushes your uterus out of shape can also make it difficult to maintain a pregnancy. You may have trouble becoming pregnant when a fibroid blocks a fallopian tube or otherwise interferes with your reproductive cycle.

5. Experts still don’t know what causes fibroids.

It’s not clear yet what causes fibroids, but we can point to a few factors that can increase your risk of developing these growths, which may include:

  • Family history of fibroids
  • Early menarche (onset of menstruation)
  • Obesity
  • A diet which includes a high amount of red meat and few green vegetables
  • Alcohol use

While they develop from the muscular tissue of your uterus, fibroids have a very different genetic profile than normal uterine muscle tissue, and they contain more estrogen and progesterone receptors. These two hormones stimulate your uterine lining to prepare for pregnancy during your menstrual cycle each month and seem to promote uterine fibroid growth.

6. Fibroid growth patterns can vary greatly, or not.

Uterine fibroids can grow very slowly or enlarge quite rapidly. They may remain the same size for years. They can also shrink on their own, and those that are present during pregnancy often disappear afterward. Your risk of developing new fibroids typically decreases with menopause and tumors already present may shrink.     

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