(Fibroids; Leiomyoma; Myoma; Fibromyoma)
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- Fibroids grow larger during pregnancy then shrink after childbirth.
- Fibroids become less of a problem after menopause . However, symptoms may return with hormone replacement therapy (HRT)
- Risk increase with age until menopause
- African American women have increased risk of fibroids
- Family history
- Pelvic pain
- Feeling of pelvic pressure
- Heavy menstrual bleeding
- Clots in menstrual flow
- Long periods
- Bleeding between periods
- Increased cramping during periods
- Pain during sex
- Frequent need to urinate
- Enlarged uterus (giving the appearance of pregnancy)
- Low back or leg pain
- Infertility by blocking the fallopian tubes
- Over-the-counter pain relievers to ease mild symptoms
- Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and relieve cramping
- Prescription pain medicine—If pain cannot be managed with medications above
- The uterus becomes extremely large
- The fibroids are interfering with fertility
- Symptoms are severe
- Myomectomy —An incision is made in the abdomen. The fibroids are removed from the uterus.
- Hysterectomy —The entire uterus is removed. You will be unable to have children if you have this surgery.
- Uterine fibroid ablation—This is a minimally invasive procedure. It blocks blood flow to the fibroids. This will make the fibroids shrink.
- Focused ultrasound therapy—Energy is centered on the fibroid to destroy it. This procedure may not be ideal for patients who are very overweight, have very large fibroids, or have extensive scars from prior abdominal surgeries.
The American Congress of Obstetricians and Gynecologists http://www.acog.org/
The International Council on Infertility Information Dissemination http://www.inciid.org/
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org/
Women's Health Matters http://www.womenshealthmatters.ca/
Fibroids. Healthy Women website. Available at: http://www.healthywomen.org/condition/fibroids . Updated September 8, 2008. Accessed December 7, 2012.
Uterine fibroid embolization (UFE). RadiologyInfo.org website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=ufe . Updated April 24, 2012. Accessed August 23, 2012.
Uterine fibroids. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/ . Updated May 22, 2012. Accessed August 23, 2012.
Uterine fibroids. Focused Ultrasound Foundation website. Available at: http://www.fusfoundation.org/Uterine-Fibroids/uterine-fibroids . Updated May 8, 2012. Accessed August 23, 2012.
- Reviewer: Andrea Chisholm
- Review Date: 09/2012 -
- Update Date: 09/10/2012 -