These drugs also are very expensive, and some insurance companies will cover only some or none of the cost. GnRHas offer temporary relief from the symptoms of fibroids; once you stop taking the drugs, the fibroids often grow back quickly. If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them.
Here are the options:. The following methods are not yet standard treatments, so your doctor may not offer them or health insurance may not cover them. For more information about uterine fibroids, call womenshealth. Department of Health and Human Services. ET closed on federal holidays. Breadcrumb Home A-Z health topics Uterine fibroids. Uterine fibroids. Uterine fibroids Fibroids are muscular tumors that grow in the wall of the uterus womb.
What are fibroids? Why should women know about fibroids? Who gets fibroids? There are factors that can increase a woman's risk of developing fibroids. Fibroids become more common as women age, especially during the 30s and 40s through menopause. After menopause, fibroids usually shrink. Family history. Having a family member with fibroids increases your risk.
If a woman's mother had fibroids, her risk of having them is about three times higher than average. Ethnic origin. African-American women are more likely to develop fibroids than white women. Women who are overweight are at higher risk for fibroids.
For very heavy women, the risk is two to three times greater than average. Eating habits. Eating a lot of red meat e. Eating plenty of green vegetables seems to protect women from developing fibroids. Where can fibroids grow? Doctors put them into three groups based on where they grow: Submucosal sub-myoo-KOH-zuhl fibroids grow into the uterine cavity. Subserosal sub-suh-ROH-zuhl fibroids grow on the outside of the uterus.
What are symptoms of fibroids? Most fibroids do not cause any symptoms, but some women with fibroids can have: Heavy bleeding which can be heavy enough to cause anemia or painful periods Feeling of fullness in the pelvic area lower stomach area Enlargement of the lower abdomen Frequent urination Pain during sex Lower back pain Complications during pregnancy and labor, including a six-time greater risk of cesarean section Reproductive problems, such as infertility , which is very rare.
What causes fibroids? These factors could be: Hormonal affected by estrogen and progesterone levels Genetic runs in families Because no one knows for sure what causes fibroids, we also don't know what causes them to grow or shrink. Can fibroids turn into cancer? What if I become pregnant and have fibroids?
The most common problems seen in women with fibroids are: Cesarean section. The risk of needing a c-section is six times greater for women with fibroids. Baby is breech.
The baby is not positioned well for vaginal delivery. Labor fails to progress. Placental abruption. The placenta breaks away from the wall of the uterus before delivery. When this happens, the fetus does not get enough oxygen. Preterm delivery.
How do I know for sure that I have fibroids? These tests might include: Ultrasound — Uses sound waves to produce the picture. The ultrasound probe can be placed on the abdomen or it can be placed inside the vagina to make the picture.
A sonohysterogram involves injecting water into the uterus and making ultrasound pictures. There are two types of surgery to do this: Laparoscopy lap-ar-OSS-koh-pee — The doctor inserts a long, thin scope into a tiny incision made in or near the navel. The scope has a bright light and a camera. This allows the doctor to view the uterus and other organs on a monitor during the procedure.
Pictures also can be made. Hysteroscopy hiss-tur-OSS-koh-pee — The doctor passes a long, thin scope with a light through the vagina and cervix into the uterus. No incision is needed. The doctor can look inside the uterus for fibroids and other problems, such as polyps.
A camera also can be used with the scope. What questions should I ask my doctor if I have fibroids? How many fibroids do I have? What size is my fibroid s? Where is my fibroid s located outer surface, inner surface, or in the wall of the uterus?
Can I expect the fibroid s to grow larger? How rapidly have they grown if they were known about already? Can they be removed? Should they be removed? First, take a deep breath. Fibroids are pretty common — between percent of women will develop fibroids during their reproductive years. Fibroids can cause complications like excessive bleeding and reproductive problems.
Johns Hopkins gynecologist Mindy Christianson, M. Uterine fibroids are benign, or noncancerous, fibrous growths that form in the uterus. They can grow on the outside of the uterus called subserosal fibroids , inside the muscle of the uterus called intramural fibroids , or into the uterine cavity called submucosal fibroids. Some women have no symptoms at all from fibroids and don't even know they have them. Other women have severe symptoms.
Symptoms can include very heavy menstrual cycles. Some women have so much bleeding that they become anemic —that's a hallmark symptom. Fibroids that cause severe bleeding are usually closer to the uterine cavity.
Some women can have very large fibroids that cause the uterus to be up to 10 times its normal size. She may have related symptoms due to its bulk size, like constipation or increased urination. If a woman sees her doctor because she is having increased bleeding or a heavy menstrual cycle, the doctor will likely check for uterine fibroids, but these symptoms can also be due to things such as uterine polyps, dysfunctional uterine bleeding or bleeding caused by hormonal imbalances.
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