Fibroids are non-cancerous growths that begin in or around the womb (uterus).
The growths are made up of muscle and fibrous tissue and vary in size. They’re often times known as uterine myomas or leiomyomas.
Many women are not aware they have fibroids because they don’t have any symptoms. Women who do have symptoms (around one in three) may experience:
- heavy periods or painful periods
- tummy (abdominal) pain
- lower back pain
- a frequent desire to urinate
- pain or discomfort during sex
In rare situations, further complications caused by fibroids can affect pregnancy or cause infertility.
Seeing your Caregiver
As fibroids don’t often create symptoms, they’re sometimes diagnosed by chance during a routine gynaecological examination, test or scan.
However, see your Caregiver if you have persistent symptoms of fibroids so they can investigate possible causes.
If your caregiver thinks you may have fibroids, they’ll usually refer you for an ultrasound scan to confirm the diagnosis.
Why fibroids develop
The exact cause of fibroids is unknown. However, they’re associated with the hormone oestrogen. Oestrogen is the female reproductive hormone produced by the ovaries (the female reproductive organs).
Fibroids usually start during a woman’s reproductive years (from around 16 to 50 years of age) when oestrogen levels are at their highest. They tend to shrink when oestrogen levels are low, such as after the menopause (when a woman’s monthly periods stop).
Who gets fibroids
Fibroids are common, with around 1 in 3 women begining them at some point in their life. They most often happening in women aged 30-50.
Fibroids are thought to start more frequently in women of African- Caribbean origin. It’s also thought they occur more often in overweight or obese women since being overweight increases the level of oestrogen in the body.
Women who’ve had children have a reduced 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 differ 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, which start in the muscle wall of the womb
- subserosal fibroids – fibroids that occur 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 womb’s inner lining and grow into the cavity of the womb
In some medical cases, subserosal or submucosal fibroids are attached to the womb with a narrow stalk of tissue. These are known as pedunculated fibroids.
Treatment for fibroids isn’t requirement if they aren’t causing symptoms. Over time, fibroids will often shrink and disappear without treatment, particularly after the menopause.
If you do have symptoms caused by fibroids, medication to assist relieve the symptoms will usually be recommended first.
There are also medications offered to help shrink fibroids. If these prove ineffective, surgery or other less invasive procedures may be recommended.