Doctor insights on:
What Happens If Fibroids Go Untreated
Maybe nothing: Depending on where the fibroids are located and how big they are, they can cause problems like abnormal bleeding, pain, infertility, and "mass effect" that affect the function of other organs like pressing on your bladder. They may grow but they may not. There is no reason you have to do anything about fibroids if they are not causing a problem. ...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
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 moreSee 1 more doctor answer
After menopause: Fibroids can fluctuate size during different hormonal times (ie: pregnancy). In general, fibroids can be present and potentially grow during the reproductive years. After menopause, when estrogen levels have decreased, fibroids will gradually shrink and can eventually become undetectable. Fibroids should not grow during menopause. Hope this helps. ...Read moreSee 1 more doctor answer
The tissue: 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
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 : 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 moreSee 1 more doctor answer
i'm a 49 year old going through menopause with fibroids. What should I expect to happen to the fibroids without blood being supplied?
Uterine fibroids are the most common pelvic tumor in women. They occur in 1 of every 3 women regardless of race and up to 80 % of african-american women of child bearing age. They are often asymptomatic but they can cause significant symptoms (exe. Heavy menstrual bleeding, pelvic pain, increased urinary frequency). They ...Read more
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