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Doctor insights on: Uterine Fibroids

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Dr. John Lipman
649 doctors shared insights

Uterine Fibroids (Overview)

Abnormal growths that develop in or on a woman’s uterus. It is unclear why fibroids develop, but hormones and family history may influence their formation. Approximately 70% to 80% of women aged 50 or older have them.


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What are the common symptoms of uterine fibroids?

What are the common symptoms of uterine fibroids?

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

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Dr. John Lipman
649 doctors shared insights

Uterine Fibroids (Overview)

Abnormal growths that develop in or on a woman’s uterus. It is unclear why fibroids develop, but hormones and family history may influence their formation. Approximately 70% to 80% of women aged 50 or older have them.


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What are the tests for uterine fibroids?

Tests: Initially your gynecologist may do an ultrasound. Also an MRI maybe done to better characterize your fibroids prior to treatment. ...Read more

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What's the best treatment for uterine fibroids?

What's the best treatment for uterine fibroids?

Depends: The "best" treatment depends on many things..Do they bother you? Are you done having kids? Are they growing rapidly? You definitely need to discuss options with your doc, but they include doing nothing, minimally invasive surgery removing just fibroid, minimally invasive types of hysterectomy, open hysterectomy, uterine artery embolization. Find the option that best fits your needs/desires. ...Read more

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Does a family history of uterine fibroids increase my chance of getting them?

Does a family history of uterine fibroids increase my chance of getting them?

Yes: Fibroids are extremely common and there is a genetic predisposition or tendency to develop them. Fibroids are the #1 cause of hysterectomy. In one study, up to 70% white women and up to 80% of africanamerican women were found to have fibroids at some point in their lives. Many women with fibroids never know that they have them. They do not always cause symptoms. ...Read more

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How big does a uterine fibroid have to be to cause severe back pain? Severe back pain with weakness in left leg

Not usual: A fibroid should not be causing weakness along with back pain. This sounds more like a disk and with weakness you need to talk with a physician sooner than later. Fibroids can cause pain in the back but NOT weakness. ...Read more

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What are the common symptoms of uterine fibroids?

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

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How do I tell if I have uterine fibroids?

Assess your symptoms: More common symptoms of uterine fibroids are: bleeding between periods; heavy menstrual bleeding (menorrhagia); menstrual periods that may last longer than normal; need to urinate more often; pelvic cramping or pain with periods; sensation of fullness or pressure in lower abdomen; pain during intercourse. Pelvic exam may be revealing. Pelvic imaging may be done. ...Read more

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I have been diagnosed with uterine fibroids. Being that estrogen makes them grow, is it safe to take vitamins specific for women which has estrogen?

I have been diagnosed with uterine  fibroids.  Being that estrogen makes them grow, is it safe to take vitamins specific for women which has  estrogen?

Yes: Because if you are not yet menopausal, then you are still making estrogen in your ovaries. The amount you will get in an over the counter vitamin is likely small. ...Read more

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48y always regular periods unless pregnant- large uterine fibroids. Missed my periods for 3 weeks with cramps all the time, negative urine pregnant test, ?

tough to say: Without an exam, it is tough to say exactly what the cause of your missed cycle was. It could be a simple "anovulatory" cycle where you just did not release an egg, it could be perimenopausal symptoms, thyroid, stress, weight gain, weight loss, nutritional issues, etc. The pain could be fibroid in nature with your history. Best to get evaluated by gyn. Best wishes. ...Read more

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What are the tests for uterine fibroids?

Tests: Initially your gynecologist may do an ultrasound. Also an MRI maybe done to better characterize your fibroids prior to treatment. ...Read more

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Is there any way of knowing you have uterine fibroids?

Yes: Pelvic exam and ultrasound are the best ways to determine if you have fibroids. Some fibroids are asymptomatic and are usually found when an ultrasound is performed for other reasons (ie, pregnancy). Unless you are experiencing any symptoms from fibroids, such as heavy bleeding or pelvic pain, there is no benefit to screen for fibroids alone. ...Read more

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What causes uterine fibroids, how common are they, and what happens if they are left untreated?

Multifactorial: Fibroids are non-cancerous muscle tumors of the uterus. They develop because of a mutation in a uterine muscle cell that causes that cell to lose control of its growth. They are very common in some ethnic groups, and present in women of all backgrounds. They can cause heavy bleeding, pain, infertility, and pregnancy complications, or may cause no problems at all, depending on where they are. ...Read more

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How can I treat uterine fibroids without surgery?

Fibroids: The answer depends on the specifics of your situation and findings. The easiest scenario is the person who has a solitary fibroid that is not significant in size or location in the uterus. ...Read more

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What are the options to treat pain for large uterine fibroids?

What are the options to treat pain for large uterine fibroids?

Uterine embolization: Another good option is uterine artery embolization, a method of cutting off the blood supply to the fibroids causing them to shrink and die. While it does not remove the fibroids it is 95% successful for bleeding and 85% for bulk symptoms. It is performed as an outpatient procedure without the need for stitches and is well tolerated. Performed by interventional radiologists (image guided surgeons). ...Read more

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I want to know if fibroid can be too big to be treated using Uterine Fibroid Embolisation?

Possibly: The likelihood of embolization being successful decreases the bigger a fibroid is. There is also more pain associated with embolization of larger fibroids. ...Read more

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What's the best treatment for uterine fibroids?

Depends: The "best" treatment depends on many things..Do they bother you? Are you done having kids? Are they growing rapidly? You definitely need to discuss options with your doc, but they include doing nothing, minimally invasive surgery removing just fibroid, minimally invasive types of hysterectomy, open hysterectomy, uterine artery embolization. Find the option that best fits your needs/desires. ...Read more

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Are new treatments avaialble for uterine fibroids?

Are new treatments avaialble for uterine fibroids?

Yes: Certainly hormone therapy, and surgery can be used, but many fibroids can be managed conservatively. The robot assisted removal has improved outcomes on fibroid removal substantially. ...Read more

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Are natural cures for uterine fibroids effective?

Are natural cures for uterine fibroids effective?

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

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Dr. Al Hegab
9 doctors shared insights

Fibroids (Definition)

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


Dr. Andrew Seibert
3 doctors shared insights

Fibroid (Definition)

A leiomyomata(fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain( aka "fireball tumor") as ...Read more