Uterine fibroids: what you should know

What fibroids are

Fibroids (myomas) are benign growths of the muscle of the womb. They are very common, especially between the ages of 30 and 50, and are almost never cancer.

Symptoms

• Heavy or long periods
• Pelvic pain or pressure
• Needing to pass urine often, or constipation
• A swelling in the lower abdomen
• Difficulty becoming pregnant, in some women

Do all fibroids need treatment?

No. Small fibroids that cause no symptoms can simply be watched with check-ups. Treatment is considered when fibroids cause bleeding, pain, pressure or fertility problems.

Treatment options

Medicines can reduce bleeding. Myomectomy removes the fibroids and keeps the womb — often possible by keyhole (laparoscopic) surgery. Hysterectomy removes the womb and is an option for women who have completed their family.

Ask about keeping your uterus

If you hope to have children, tell your doctor. Uterus-preserving surgery is often possible even when there are several fibroids.