Uterine fibroids, or fibromyomas, frequently occur to women during their child-bearing years. These growths are not associated with any known cases of uterine cancer. Uterine fibroids are common and generally do not produce many symptoms. They are most often discovered during routine pelvic examinations or in prenatal ultrasound exams. Treatment is usually not required as uterine fibroids do not generally cause any significant pain.
Facts
According to the American College of Obstetricians and Gynecologists, fibromyomas can be found in the uterus as well as on the outside of the uterus. These fibroids can range in size from pea-sized growths to as large as 5 to 6 inches in diameter. A woman can have anywhere from one to several and they may grow slowly or they may develop quickly. Some do not change in size at all. The statistical information about the development of uterine fibroids suggests that African-American women tend to have this problem more than others.
Symptoms
The National Institute of Health states that some of the more noticeable symptoms of uterine fibroids may include a feeling of being full in the lower abdomen, frequent urination, lower back pain, pain during sexual intercourse and heavy bleeding and pain during menstruation. Bleeding between menstrual cycles has also been reported as a symptom of uterine fibroids. In some cases, reproductive problems may develop as a result of this condition including miscarriage, early labor or even infertility.
Uterine Fibroids and Menopause
Fibroids are thought to be associated with the estrogen hormone. This is why they are not considered to be a common problem for prepubescent females or for those who are post-menopausal. However, the drastic changes in hormone levels that occur as a woman approaches menopause or is in perimenopause may cause fibroids that are already present to become painful. In some cases, heavier bleeding and lower back pain may be experienced as well.
Diagnoses
A pelvic examination may reveal the presence of uterine fibroids. An enlarged uterus or a uterus that appears lumpy or misshapen may be signs of fibroids. An ultrasound of the vagina or the pelvis will also reveal signs of fibroids, or may be conducted to confirm their presence. In some cases where the cause of any irregularity in the pelvic area is in question, a biopsy or a laparoscopy may be conducted to determine if the condition is benign or malignant.
Treatment
Hormone therapy is often used to treat symptoms of uterine fibroids. This may be in the form of oral dosing or by injection. Surgery may be prescribed in some cases. This may include hysteroscopic outpatient surgery, surgically curtailing the flow of blood to the uterus (artery embolization), or a complete hysterectomy. The prescribing of hormones and oral contraceptives may be part of the treatment and non-steroidal anti-inflammatory pain medications may be prescribed as well.
Tags: uterine fibroids, some cases, associated with, back pain, lower back