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Uterine fibroids (also known as fibroids or leiomyomas) are smooth muscle and connective tissue tumors that develop in the uterus and are the most common type of tumor in the female reproductive organs. They occur most often in women between the ages of 30 and 50, but there are countless exceptions. Fibroids are usually classified according to where they develop in the uterus: middle, thickest layer; thin outer layer; or from the uterine wall toward the inner lining. Where they appear in the uterus can affect their severity, as well as the size and number of fibroids present. “Half of women with fibroids actually don’t have any symptoms,” adds Mireille Truong, MD, gynecologist and gynecological surgeon at LA’s Cedars-Sinai.
That is a difficult question because, usually, there is no typical fibroid activity. “Fibermas can grow very slowly or quickly, large fibroids can cause absolutely no symptoms, and small fibroids can cause no symptoms at all,” says Charles Ascher-Walsh, MD, senior vice president of gynecological systems. It can cause a woman to bleed profusely during each menstrual period. director of urology at New York’s Mount Sinai. The location of the fibroids (or fibroids) in the uterus can be problematic. “If it affects the endometrium (the cavity inside the uterus), it’s more likely to cause bleeding and fertility problems regardless of size,” Ascher-Walsh says. “If fibroids grow more toward the outside of the uterus, the larger they are, the more likely they are to cause major symptoms.” That’s when women feel like they have a mass, often a noticeable mass that causes bloating in their abdomen or pelvis. It can also create a feeling of having to urinate frequently: The uterus is located directly behind the bladder, and fibroids can put extra pressure on it. The most frequently checked fibroid symptoms are heavy menstrual bleeding, bleeding between periods, followed by the aforementioned abdominal distension and increased urination. “They can also become painful as they get older, and if they stay in the uterine cavity, they can also cause severe menstrual cramps,” Ascher-Walsh adds.
“ People who have had fibroid pain without being pregnant tend to have more pain during pregnancy as the uterus grows. Depending on the location of the fibroids, it can increase the risk of early miscarriage in women; if it’s in the compartment, it’s 50%. Mr. Truong said fibroids can also increase someone’s risk of premature birth (premature birth). And there can also be birth complications from uterine fibroids. “There is an increased risk of early placental detachment, and women with fibroids have a 75 percent chance of having a cesarean,” Ascher-Walsh said. As for fertility, he says intra-cavity fibroids can cut a woman’s fertility in half. Their size and location often determine how difficult they are for someone trying to conceive; those that are pushing against the lining of the uterus and are longer than four or five centimeters usually cause the biggest problems.
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