(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 increases with age until menopause
- 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
- Abdominal swelling
- 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 medication—If pain cannot be managed with medications above
- Tranexamic acid to control bleeding symptoms
- 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 embolization—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 August 9, 2011. Accessed January 7, 2014.
Uterine fibroid embolization (UFE). RadiologyInfo.org website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=ufe. Updated August 5, 2013. Accessed January 7, 2014.
Uterine fibroids. Focused Ultrasound Foundation website. Available at: http://www.fusfoundation.org/Uterine-Fibroids/uterine-fibroids. Accessed January 7, 2014.
Uterine leiomyoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated November 7, 2013. Accessed January 7, 2014.
- Reviewer: Andrea Chisholm, MD
- Review Date: 12/2013 -
- Update Date: 01/07/2014 -