Fibroids

Fibroids are non-cancerous tumours that grow in or around the womb (uterus). The growths are made up of muscle and fibrous tissue and vary in size.

They are sometimes known as uterine myomas or leiomyomas.

Many women are unaware they have fibroids as they do not have any symptoms. Women who do have symptoms may experience:

In rare cases, fibroids can cause significant complications, such as infertility and problems during pregnancy.

Seeing your GP

As they commonly cause no symptoms, fibroids are sometimes diagnosed by chance during a routine gynaecological examination, test or scan.

However, you should see your GP if you have persistent symptoms of fibroids so they can investigate possible causes.

If your GP thinks you may have fibroids, they will usually refer you for an ultrasound scan to confirm the diagnosis.

Why fibroids develop

The exact cause of fibroids is unknown. However, they are linked to the hormone oestrogen. Oestrogen is the female reproductive hormone produced by the ovaries (the female reproductive organs).

Fibroids usually develop during a woman's reproductive years (from approximately 16 to 50 years of age) when oestrogen levels are at their highest, and they tend to shrink when oestrogen levels are low, such as after the menopause (when a woman's monthly periods stop at around 50 years of age).

Who is affected?

Fibroids are common, with more than 40% of women developing them at some point in their life. They most often occur in women aged 30 to 50 years.

Fibroids are thought to develop more frequently in women of African Caribbean origin. It is also thought they occur more often in overweight or obese women because being overweight increases the level of oestrogen in the body.

Women who have had children have a lower risk of developing fibroids, and the risk decreases further the more children you have.

Types of fibroids

Fibroids can grow anywhere in the womb and vary in size considerably. Some can be the size of a pea, whereas others can be the size of a melon.

The main types of fibroids are:

• intramural fibroids – the most common type of fibroid, they develop in the muscle wall of the womb
• subserosal fibroids – fibroids that develop outside the wall of the womb into the pelvis and can become very large
• submucosal fibroids – fibroids that develop in the muscle layer beneath the inner lining of the womb and grow into the middle of the womb

In some cases, subserosal or submucosal fibroids are attached to the womb with a narrow stalk of tissue. These are known as pedunculated fibroids.

Treating fibroids

If fibroids do not cause symptoms, treatment is not needed. They will often shrink and disappear without any treatment over time, particularly after the menopause.

If you do have symptoms caused by fibroids, medication to help relieve the symptoms will usually be recommended first.

If these medications are ineffective, surgery or other less invasive procedures may be recommended.

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