Uterine fibroids are another common condition found in women. However, because most cases do not show symptoms, many women tend to neglect and ignore it, not realizing that this condition can actually occur in women of all ages.
Uterine Fibroids… What Causes Them?
Uterine fibroids are a disease of the uterine muscle, which is not cancerous. Typically, the size of the fibroids gradually increases slowly, making it hard for many to notice. The exact cause of uterine fibroids is still unclear, but it has been found that hormones produced by the ovaries, both estrogen and progesterone, play a role in stimulating the growth of fibroids. Generally, when women reach menopause or enter the postmenopausal stage, most fibroids tend to shrink on their own.
Types of Uterine Fibroids… What Are They?
The types of fibroids are classified based on their location into 3 types:
- Located on the outer surface of the uterine wall – This type usually does not cause problems if the fibroid does not grow. Due to its location, it does not affect the contraction of the uterine muscles. However, if the fibroid grows large enough to press on other organs or causes torsion symptoms, it will start to cause problems that require urgent treatment.
- Located within the uterine muscle – Most of the fibroid mass is within the uterine wall, which can affect fertility, cause menstrual pain, and heavy menstrual bleeding. The severity depends on the size and location of the fibroid.
- Located inside the uterine cavity – The fibroid protrudes into or is entirely within the uterine cavity. This is a major factor causing infertility, frequent miscarriages, abnormal heavy menstrual bleeding, and menstrual pain. The fibroid may be a single mass or multiple masses.
Symptoms… That May Indicate “Uterine Fibroids”
As mentioned, most cases of this condition do not show symptoms. Only about 20-30% experience symptoms, which include changes in menstruation such as prolonged periods, frequent periods, and abnormally heavy bleeding. There may be a dull pain in the lower abdomen more than usual, symptoms from fibroids pressing on other organs, or a palpable mass in the pelvic or abdominal area. Other signs include palpable lumps, frequent miscarriages, and infertility.
Confirming Diagnosis… To Plan Treatment
Even if there are some abnormal symptoms, the definitive way to confirm the presence of uterine fibroids is to see a doctor for diagnosis. This includes a pelvic exam and high-frequency ultrasound examination of the abdomen, which is highly accurate, easy to perform, and affordable. If diagnosed, there are modern and not frightening treatment options, such as laparoscopic surgery, which causes less pain, has small incisions, and allows for quick recovery.