Doctor insights on:
Fibroid Degeneration Symptoms
Can occur suddenly: Fibroid degeneration occurs when fibroid dies. It happens to fibroids when the woman goes in to menopause. Can also be present in pre-menoausal women. Growth of fibroid can outstrip it's ability to deliver blood flow to all portions of fibroid. These areas will die off lead to degeneration and ultimately scarring/calcification. Can happen acutely, cause patient to go to er. Can mimic appendicitis. ...Read more
Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more
In the fibroid does not have sufficient blood supply and so it begins to die (degenerate). This can cause pain and fever and abdominal tenderness.
It is not usually dangerous, but can be very uncomfortable. It generally only happens with fairly large fibroids that are only connected to the uterus by stalks. ...Read more
Dying inside: Fibroid degeneration is when the fibroid starts to die in the middle. This can have no signs at all or it can cause severe pain. This most commonly happens in 2 situation. During pregnancy when the fibroid grows quickly it can run out of it's blood supply and start dying inside causing severe pain. I've also seen this happen near menopause when low hormone levels cause shrinkage. ...Read more
I have a 10 CM fibroid degeneration (necrobiosis). What is the difference with my fibroid and a fibroid that underwent embolization as for shrinkage?
Usually not: "cystic degeneration" usually means that a portion of the tumor has died as a result of its blood supply not always being adequate. If the tumor is troubling you, or if it is growing rapidly, or the radiologist has other concerns, you should consider having it removed or you may be given other options such as embolization. If there are other warnings of cancer, you must have it removed. Good luck. ...Read more
About half of women with fibroids have no symptoms.
The most common symptoms form fibroids is heavy menstrual bleeding - flow heavier and/or longer and often with clots.
If the fibroids enlarge the uterus it can push on other structures and cause urinary frequency, discomfort with sex, constipation, and/or back pain.
In some women fibroids can interfere with fertility. ...Read more
Pain and/or Bleeding: Depending on the size and location, fibroids can cause heavy or painful periods, pelvic pain or pressure/bloating, changes in urination or bowel movements, miscarriages or infertility. Fibroids are very common and many women have small fibroids that do not cause any symptoms at all. ...Read moreSee 1 more doctor answer
Yes they can: Fibroids are hard tumors and cause symptoms based on their location in the uterus. They are most common cause of heavy menstrual bleeding due to ones located along the lining of the uterus. They also can press on pelvic nerves to cause pain in the pelvis but also can feel it back hips buttocks or down the legs. They also often cause increase urinary frequency from pressing on bladder. ...Read moreSee 2 more doctor answers
R/O APPENDICITIS: Appendicitis pain usually starts around the umbilicus then in a 24-48hr window settles in the RLQ. You need an EXAM/LABS. Also ABDOMINAL/PELVIC US. THIS WILL ALSO VISUALIZE FIBROIDS. IF SX ACUTELY WORSEN SEEK ER EVALUATION. THE SHRINKING FIBROID PAIN USUALLY IS NOT AS SEVERE AND LESSENS WITH TIME. APPENDICITIS PAIN USUALLY WORSENS, NECESSITATING SURGERY. ...Read more
Should fibroid be removed? I have had a large fibroid for 10 + years which I didn't have removed because it didn't cause symptoms. It has stabilized since going through menopause 2 years ago. Does it have to be removed?
Asymptomatic fibroids do not need surgery with few exceptions.
1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma.
2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound.
3. Blockage of blood low from the legs, usually if not always a symptom, since one leg will swell.
4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule. ...Read more
Unlikely: Anyone can get a uterine fibroid, which is an overgrowth of muscle cells in the shape of a ball. Like moles on the skin, they come in different sizes/shapes; RARELY cancerous. You only need surgery if you have symptoms like pain/pressure/incontinence/bleeding/bloating. Size/location don't matter. Lupron (leuprolide) or embolization are ways to control w/out surgery. US follow up is very important. ...Read moreSee 1 more doctor answer
Complicated: This is a complicated question to answer, but I'll give you some ideas. Fibroids are muscle tumors (benign) and when they are small, so long as they are not invading the lining of the uterus, typically don't cause any symptoms. As they grow they cause pain and pressure. If they invade the lining (even a little) they can cause bleeding abnormalities. Endo causes pain, cramping, irregular bleeding. ...Read moreSee 1 more doctor answer