Fibroids

Definition

Fibroids are tissue growths that develop from the muscular wall of the uterus/womb. They can be found in the wall itself, under the external lining of the wall, or they can bulge into the cavity of the uterus/womb.
They can grow and shrink under the influence of female hormones, usually becoming smaller after the menopause.
Fibroids can present in many ways depending on the number and site of the fibroids. Many women are unaware that they have fibroids because they do not have any symptoms. The most common symptoms of fibroids are heavy periods, painful periods or irregular periods. They may also cause discomfort through pressure on the bowel or the bladder since both these organs lie close to the uterus.

Investigations

You will be initially seen by the Consultant who will take a full history and perform an internal examination. You may then be referred for an ultrasound in order to determine the number, site and size of the fibroids. Please see the information section for further details on ultrasound scans.

Treatment options

If you have no symptoms from the fibroids then nothing further is required. However, if the fibroids are large and causing symptoms a hysterectomy may be the best option to alleviate your symptoms.
If you wish to preserve your fertility then the fibroids can sometimes be removed without performing a hysterectomy. This is called a myomectomy. For small fibroids lying near the lining of the womb it is possible for these to be removed using a ‘camera’ passed through the cervix (hysteroscopic removal).