What Are Uterine Fibroids?
Uterine fibroids, also known as leiomyomas or myomas, are non-cancerous growths that develop in or around the muscular wall of the uterus.
They can vary in size and number. Some women have no symptoms, while others experience heavy menstrual bleeding, pelvic pressure or discomfort. Fibroids are common during the reproductive years.
What Causes Uterine Fibroids?
The exact cause is not fully understood. Hormones, genetics and individual health factors may contribute.
Hormonal Factors
Oestrogen and progesterone play a role in fibroid growth.
Family History
Close relatives with fibroids may increase your likelihood of developing them.
Reproductive Age
Fibroids commonly develop during the reproductive years and may shrink after menopause.
Metabolic Health
Body weight and certain metabolic factors may be associated with fibroid risk.
No single food or lifestyle habit is known to be the sole cause of fibroids. Healthy habits support general well-being but cannot guarantee prevention.
Common Symptoms of Uterine Fibroids
Heavy Periods
Menstrual bleeding may become unusually heavy or prolonged.
Pelvic Pressure
Larger fibroids may cause lower abdominal heaviness or discomfort.
Frequent Urination
Pressure on the bladder may increase the urge to urinate.
Fertility Concerns
Some fibroids may affect conception, depending on their location.
Heavy bleeding may lead to iron-deficiency anaemia, fatigue or weakness. Consult a healthcare professional if symptoms persist.
How Are Uterine Fibroids Diagnosed?
01. Pelvic Examination
May help identify changes in the size or shape of the uterus.
02. Ultrasound Scan
Commonly used to identify fibroids and assess their size, number and location.
03. MRI Scan
May provide more detail when required for diagnosis or treatment planning.
04. Blood Tests
May help identify anaemia associated with heavy menstrual bleeding.
05. Hysteroscopy
Allows examination of the inside of the uterus when clinically indicated.
What Are the Treatment Options?
Treatment depends on symptoms, fibroid size and location, medical history and future pregnancy plans.
1. Regular Monitoring
Small fibroids without symptoms may only require periodic follow-up.
2. Medication
Selected medicines may control bleeding or temporarily shrink fibroids under medical supervision.
3. Myomectomy
Surgery to remove fibroids while preserving the uterus when appropriate.
4. Uterine Artery Embolisation
A minimally invasive procedure that reduces blood flow to fibroids. Individual assessment is essential.
5. Focused Ultrasound
An image-guided treatment option for selected patients where available.
6. Hysterectomy
Removal of the uterus may be considered in selected cases. Pregnancy is no longer possible afterward.
Can Uterine Fibroids Affect Fertility?
Many women with fibroids conceive naturally and have healthy pregnancies. However, some fibroids, especially those that distort the uterine cavity, may interfere with embryo implantation.
If you are planning a pregnancy or experiencing difficulty conceiving, your doctor can evaluate fibroids alongside other potential causes of infertility.
A personalised assessment can help determine whether treatment is appropriate before trying to conceive.
When Should You Consult a Gynaecologist?
- Unusually heavy or prolonged menstrual periods.
- Persistent pelvic pain or pressure.
- Frequent urination without an obvious explanation.
- Fatigue or weakness associated with possible anaemia.
- Difficulty conceiving or concerns about pregnancy planning.
- Persistent changes in your menstrual cycle.
Frequently Asked Questions
Are uterine fibroids cancerous?
Most fibroids are benign, meaning they are not cancerous. Unusual symptoms should be medically evaluated.
Can fibroids disappear without treatment?
Some fibroids remain stable or shrink, particularly after menopause. Monitoring may still be recommended.
Can fibroids cause infertility?
Some fibroids may affect fertility, particularly those that distort the uterine cavity. Many women with fibroids can conceive naturally.
Is surgery always necessary?
No. Some women need only monitoring, while others may benefit from medication or a procedure.
Can I get pregnant with fibroids?
Yes, many women with fibroids have healthy pregnancies. Your doctor can assess your individual circumstances.
Which doctor should I consult for fibroids in Indore?
A qualified gynaecologist can evaluate fibroids and recommend appropriate care. A fertility specialist can also help if you have difficulty conceiving.
Dr. Gouri Rai Women Clinic in Indore
Uterine fibroids can affect menstrual health, pelvic comfort and, in some cases, fertility. Understanding your symptoms, diagnostic findings and pregnancy plans can help guide appropriate care.
If you are searching for the Best Gynecologist in Indore or the Best Infertility Specialist in Indore, consider consulting a qualified professional who can discuss your individual needs and treatment options.
Take the Next Step for Your Women's Health
Have questions about uterine fibroids, menstrual health or fertility? Visit the clinic website to explore consultation options.
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Medical Disclaimer: This article is for educational purposes only and does not replace professional medical advice, diagnosis or treatment.