Finding out about Fibroids - information for patients

Finding out about Fibroids: Information for Patients in the United Kingdom

What Are Fibroids?

Fibroids, also known as uterine fibroids or leiomyomas, are non-cancerous growths that develop in or on the uterus. They vary in size, shape, and location, ranging from small, undetectable masses to large formations that can distort the shape of the uterus. While the exact cause of fibroids isn't known, hormonal and genetic factors are believed to play a significant role.

Symptoms

Many women with fibroids do not experience any symptoms. However, when symptoms do occur, they can include heavy menstrual bleeding, prolonged periods, pelvic pain, frequent urination, constipation, and pain during intercourse. The severity of symptoms depends on the size, number, and location of the fibroids.

Diagnosis

Fibroids are often discovered during a pelvic examination or prenatal ultrasound. In addition to a physical exam, your GP may recommend imaging tests such as an ultrasound or MRI to get a clearer picture of the fibroids' size and location. In some cases, a hysteroscopy or laparoscopy may be performed to provide more information.

Treatment Options

Treatment for fibroids depends on the severity of your symptoms, the size and location of the fibroids, and your plans for future pregnancies. Common treatments include: - **Medication:** Drugs like Gonadotropin-releasing hormone (GnRH) agonists can shrink fibroids temporarily and reduce symptoms like heavy bleeding. - **Non-invasive Procedures:** MRI-guided focused ultrasound surgery (FUS) uses high-frequency sound waves to destroy fibroid tissue. - **Minimally Invasive Procedures:** These include uterine artery embolization (UAE) and myomectomy, which remove fibroids while preserving the uterus. - **Surgery:** A hysterectomy, or the removal of the uterus, is a permanent solution but is usually considered a last resort.

Living with Fibroids

While fibroids can be a source of discomfort, many women manage their symptoms successfully with the help of their healthcare providers. Lifestyle modifications, including maintaining a healthy weight, eating a balanced diet, and regular exercise, can also help manage symptoms. Regular check-ups with your GP are crucial for monitoring your condition and adjusting treatment as needed.

Support Resources

There are numerous resources available in the UK for women dealing with fibroids. The NHS website offers comprehensive information and guidance, and organisations like The British Fibroid Trust provide support and advocacy. Speaking with a healthcare provider can also help address any concerns and provide personalised care.