Fibroids and Your Health: What Every Woman Should Know

Up to 60% of women develop uterine fibroids — or noncancerous growths that spring up in or around the uterus — by age 50. Many never realize they have them until symptoms disrupt daily life. While they’re benign, they can significantly impact your comfort, energy level, fertility, and overall quality of life.

At the Coral Springs, Florida, practice of Alan B. Patterson, MD, women receive individualized evaluation and fibroid treatment in a setting that prioritizes personal attention. Dr. Patterson takes time to listen carefully to your symptoms, discuss your options, and tailor a care plan to your specific needs.

What are fibroids?

Uterine fibroids are noncancerous growths made of muscle and fibrous tissue. They can vary widely in size, from as small as a seed to as large as a grapefruit. Some women have a single fibroid, while others have multiple. Rarely a fibroid can become cancerous.

Uterine fibroids are typically classified by their location. The most common types are:

• Intramural fibroids, which grow within the uterine wall
• Submucosal fibroids, which protrude into the uterine cavity
• Subserosal fibroids, which extend outward from the uterus
• Intracavity fibroids which grow and develop in the endometrial cavity

The location of your fibroids can influence the kinds of symptoms you experience. 

Common fibroid signs you shouldn’t ignore

Some fibroids cause no symptoms at all and are found incidentally during a routine exam or ultrasound. Others spark symptoms that gradually worsen over time. You may notice:

• Heavy or prolonged menstrual bleeding
• Passing large clots during your period
• Pelvic pressure or fullness
• Frequent urination
• Pain during intercourse
• Lower back discomfort
• Difficulty becoming pregnant

Iron-deficiency anemia related to heavy periods can cause fatigue, shortness of breath, and lightheadedness. If your periods are interfering with work, sleep, or daily routines, you don’t have to simply “tolerate it.”

Why fibroids develop

The exact cause of fibroids isn’t fully understood, but hormones play a role. Estrogen stimulates fibroid growth, which is why fibroids are most common during reproductive years. 

Fibroids can also develop during the menopause transition (perimenopause) or even after menopause. In fact, for some women, fibroids worsen during perimenopause and menopause. Risk factors include:

• Family history of fibroids
• Early onset of menstruation
• Obesity
• Black racial background
• High blood pressure

Understanding your risk profile helps guide monitoring and early intervention.

How fibroids are diagnosed

Uterine fibroid diagnosis begins with a detailed discussion of your symptoms. Dr. Patterson performs a pelvic exam and may recommend ultrasound imaging to confirm fibroid size, number, and location. In some cases, additional imaging or evaluation may be necessary, especially if fertility is a concern.

Because Dr. Patterson focuses fully on you during your visit, you’ll have the opportunity to ask questions and understand exactly what your results mean.

Fibroid treatment isn’t one-size-fits-all

Not every fibroid requires treatment. If your fibroids are small and symptom-free, routine monitoring may be appropriate. When treatment is needed, options depend on your age, symptom severity, and future pregnancy plans. These may include:

• Hormonal medications to reduce bleeding
• Non-hormonal medications to control heavy periods
• Minimally invasive procedures, MYOSURE that are done in the office
• Surgical removal of fibroids (myomectomy)
• Hysterectomy in select cases

Dr. Patterson discusses the benefits and risks of each approach so you can make an informed decision that aligns with your health and wellness goals.

Get lasting relief from fibroid symptoms

Fibroids may be common, but you don’t have to suffer through painful or heavy periods. If you’re experiencing symptoms or have concerns about fibroids, timely evaluation and expert care can prevent complications and improve your quality of life.

To schedule an appointment with us in Coral Springs, Florida, call Alan B. Patterson, MD, or book online today. Personalized, attentive care is available when you need it.