Uterine Growths (cont.)
If uterine fibroids are benign, why are they the reason for so many hysterectomies (surgeries performed to remove the uterus)?
The main answer is that uterine fibroids can cause bleeding. This bleeding
can sometimes be significant and lead to anemia.
Fibroids can also lead to complications as discussed in the next section.
Fortunately, there are also many non-surgical means available to treat fibroids.
What are complications of uterine fibroids?
Fibroids themselves do not require treatment, but women with fibroids can
develop complications as a result of fibroids, including bleeding and pelvic
pain (as discussed above). It is because of symptoms that doctors may suggest
treatment for a fibroid. Only 20 to 50% of women with fibroids have symptoms due
to the condition, meaning bleeding or pelvic pressure.
In addition to bleeding and pelvic pressure, fibroids can cause recurrent
miscarriage, infertility, premature
labor, and labor complications. However,
contrary to common myth, the current feeling is that the substantial majority of
women with fibroids are able to have
successful pregnancies unless the uterine
cavity is unusually distorted.
How are uterine fibroids diagnosed?
Fibroids are diagnosed by performing a manual pelvic examination (bimanual
examination) and confirmed by ultrasound. Ultrasound is harmless and does not
involve any needles or injections. This test is similar to the one performed in
pregnant women to view the developing fetus inside the uterus. Rarely, more
complex imaging is used, but only in cases wherein the doctor cannot determine
the exact nature of the mass found on the physical exam or ultrasound.
Next: What is the treatment for uterine fibroids? »
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