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Doctor insights on: Pedunculated Fibroid Symptoms

On a stalk: Pedunculated fibroids look like broccoli on a stalk. They can either stick out from the outside serosa or stick inwards from the mucosa. ...Read more

It's only just begun: Yes, that is a title to a song, but it is also the answer to your question. Cystic degeneration of a uterine fibroid is the first of several types of continuing "dying" changes. In this process, at some point, infection or pain may appear. Talk with your GYN MD about resolution possibilites ...Read more

Laparoscopy: Just because you have a fibroid does not mean that you need surgery. If it causes symptoms like pain, heavy bleeding, or infertility you may consider removal. If your provider is skilled in laparoscopy this could be as easy as an outpatient surgery for removal. If you decide not to have surgery then you should be followed on a regular basis. ...Read more

Position: It describes the position of the fibroid (a non-cancerous tumor). It is on the outside of the uterus, hanging off the uterus by a "cord" or stalk. Depending on the thickness of the stalk, you could have fibroid embolization, and/or hysterectomy is still an option. ...Read more

Surgery. : Surgery is the only method. Uterine artery embolization is possible for some fibroids but usually not a good idea if they are pedunculated. ...Read more

See below: It could bleed and you could become anemic. It could grow and cause pelvic pain. ...Read more

Probably not : Fibroids may make your pregnancy more uncomfortable but are not likely to pose a risk to the baby. Your doctor will monitor the fibroid and the baby throughout the pregnancy ...Read more

Are you symptomatic?: Sounds like you had pelvic us and reported the location of certain fibroids in the uterus. 3 locations: submucosal (central, against the uterine lining), intramural (in the muscular middle), and subserosal (outer, on the edge). Anterior (front) posterior(back). Fundal is top of the uterus. Pedunculated means it's on a stalk (but this term is often used to describe any fibroid away from uterus). ...Read more

Varies: 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

Fibroids ?: "Fibroids" (leiomyomata) are almost always benign, and represent growths in smooth muscle, such as the uterus. These tumors may be stimulated by estrogen and can grow to very large size, so fullness, occasional heavy bleeding, discomfort, are the "symptoms". Fibroids of the uterus can also cause infertility, and non functional labor if pregnant. Consult a gyn for advice on treatment. ...Read more

Multiple symptoms: Fibroids can present with heavy painful cycles, irregular period, presence of a mass, urinary frequency amongst others. Sometime fibroids can be asymptomatic and diagnosed only during an exam or ultrasound. ...Read more

Nothing: Most people that have fibroids have no symptoms and may not even now they have them. Patients that are symptomatic usually have a change in there bleeding--usually heavier and longer or an increase in pain. ...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 more

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 more

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

Asymptomatic : 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

Pelvic bloating: Both fibroids and pregnancy can cause bloating and fullness in the pelvis. However, fibroids will not make a pregnancy test turn positive. I suggest taking a pregnancy test. If the fibroids are large, consider surgery to have them removed. ...Read more

Bleeding and pain: Most fibroids that cause symptoms do so via abnormal bleeding patterns (heavy, irregular) or bulk pressure symptoms due to their shear size (i.e. Pressure on bladder or bowel). ...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 more

30%: Fibroid return 30% of the patients after a myomectomy. ...Read more

Yes: Large growing fibroids will produce pressure on the bladder and rectum and push the intestines upward giving a sense of "fullness". There is also pain and bleeding between the cycles and/or very heavy bleeding that is bright red with the menstrual cycle. ...Read more

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 more

Rapid growth: If the fibroid is growing rapidly it should be removed as that can cause/mean there are other complications. ...Read more

See below: Fibroids are solid tissue and therefore cannot rupture. They can outgrow their blood supply and this can cause crampy pain. Cysts can rupture and the release of fluid can be painful. ...Read more

Time to grow & go: Fibroids, if left alone, will continue to grow and exacerbate your already "unbearable" symptoms. You need to talk to a GYN MD about surgical removal of the fibroids alone (myomectomy) or the uterus itself containing the fibroids.(hysterectomy). ...Read more

Fibroid: The size of a fibroid is one factor that determines if a fibroid needs treated and a 20cm fibroid is sizeable. However, what are your symptoms? That would determine what type of treatment if any is right for you. ...Read more

Depends on symptoms: 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 more

Abnormal bleeding: Both fibroids and ectopic pregnancy produce pain and abnormal bleeding with the menstrual cycle in the case of fibroids and after a period is missed in the case of ectopic pregnancy. ...Read more

Bleeding, cramping: Uterine fibroids are benign growths in the uterus that can cause heavier, longer menstrual periods. Increased cramping with periods is also a symptom of fibroids. They can also cause pressure and heaviness in the pelvis, as well as pain with sex. ...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 more