Understanding Fibroids: Causes, Symptoms, and Management


Welcome to the world of women’s health, where we’ll shed light on a common concern – uterine fibroids! These non-cancerous uterine growths can cause discomfort, especially during childbearing years. Let’s explore what causes these fibroids, their symptoms, and how to manage them.

We’ll also introduce you to an innovative treatment called uterine fibroid embolization (UFE), a less invasive alternative to traditional surgery. Let’s dive in and solve the mystery of fibroids together!

What are Fibroids?

Definition and Types
Fibroids, also known as uterine leiomyomas, are benign tumors that develop within or on the muscular walls of the uterus. These growths are composed of smooth muscle cells and fibrous connective tissue. Fibroids can vary in size, ranging from tiny seedlings to large masses that can distort the shape of the uterus.

There are different types of fibroids based on their location within the uterus:

Subserosal Fibroids:
These fibroids develop on the outer surface of the uterus and can grow outward, potentially pressing on surrounding organs like the bladder and causing discomfort.

Intramural Fibroids:
These fibroids are situated within the muscular wall of the uterus and can expand, causing the uterus to enlarge.

Submucosal Fibroids:
These fibroids grow just beneath the inner lining of the uterus and can lead to abnormal bleeding and other menstrual irregularities.

Pedunculated Fibroids:
Sometimes, fibroids can develop a stalk-like structure, leading to what is known as pedunculated fibroids.

Causes of Fibroids

The exact cause of fibroid development is not fully understood, but several factors may contribute to their formation:

Hormonal Influence:
Estrogen and progesterone, two hormones that regulate the menstrual cycle, appear to promote fibroid growth. Fibroids tend to grow during the reproductive years when hormone levels are higher.

Genetic Predisposition:
Family history plays a role in fibroid development. If your mother, sister, or grandmother had fibroids, you may have an increased risk of developing them too.

Race and Ethnicity:
Studies have shown that women of African descent are more likely to develop fibroids compared to women of other racial backgrounds.

Other Factors:
Obesity, early onset of menstruation, and vitamin D deficiency have also been linked to an increased risk of fibroids.

Symptoms of Fibroids

Fibroids may not always cause noticeable symptoms, and their presence is sometimes discovered during routine pelvic examinations. However, when symptoms do occur, they can be quite uncomfortable and disruptive to daily life. Common symptoms of fibroids include:

Heavy or Prolonged Menstrual Bleeding:
Fibroids can cause heavy and prolonged menstrual periods, leading to anemia in some cases.

Pelvic Pain and Pressure:
As fibroids grow larger, they can press on nearby organs, resulting in pelvic pain and pressure.

Bladder and Bowel Issues:
Large fibroids can put pressure on the bladder and rectum, causing frequent urination, constipation, or difficulty emptying the bladder.

Painful Intercourse:
Fibroids can lead to discomfort or pain during sexual intercourse.

Abdominal Swelling:
Some women may notice an increase in abdominal size due to the presence of large fibroids.

Reproductive Issues:
Fibroids may interfere with fertility and can cause complications during pregnancy, such as miscarriage or preterm labor.

Diagnosis of Fibroids

If you experience any of the symptoms mentioned above or if your healthcare provider suspects fibroids during a routine examination, further diagnostic tests may be conducted:

Transvaginal or abdominal ultrasound can provide detailed images of the uterus, helping to identify the presence, size, and location of fibroids.

MRI (Magnetic Resonance Imaging):
MRI scans can offer more precise images, aiding in the evaluation of fibroids and their impact on surrounding structures.

In this procedure, a thin, lighted tube with a camera is inserted into the uterus through the vagina, allowing doctors to view the uterine cavity and detect submucosal fibroids.

Management of Fibroids

The approach to managing fibroids depends on various factors, including the severity of symptoms, the size and location of the fibroids, and a woman’s desire for future fertility. Some of the management options include:

Watchful Waiting:
If fibroids are small, asymptomatic, and not affecting a woman’s quality of life, the doctor may recommend regular monitoring without intervention.

Hormonal medications, such as birth control pills or hormonal IUDs, can help regulate heavy bleeding and manage pain associated with fibroids.

Minimally Invasive Procedures:
Several minimally invasive procedures can be performed to remove or shrink fibroids while preserving the uterus:

Uterine Fibroid Embolization (UFE):
Uterine fibroid embolization, also known as uterine artery embolization, is a non-surgical procedure that involves blocking the blood supply to fibroids. A tiny catheter is inserted into the blood vessels supplying the fibroids, and small particles are injected to block the blood flow. Without a blood supply, the fibroids shrink, relieving symptoms.

A myomectomy involves surgically removing fibroids while preserving the uterus. This procedure is usually recommended for women who wish to conceive in the future.

In cases where fibroids cause severe symptoms and other treatments are ineffective, a hysterectomy may be recommended. This surgical procedure involves the removal of the uterus, eliminating the possibility of fibroid recurrence.

Uterine Fibroid Embolization (UFE)

Uterine Fibroid Embolization (UFE), also known as Uterine Artery Embolization (UAE), is a revolutionary and minimally invasive treatment option for fibroids. It offers significant advantages over traditional surgical approaches and allows women to avoid a hysterectomy while finding relief from fibroid symptoms.

Advantages of UFE

UFE offers several benefits over traditional fibroid treatments:

Non-Surgical Approach:
UFE is a minimally invasive procedure, avoiding the need for open surgery and reducing the associated risks, scarring, and recovery time.

Preservation of the Uterus:
Unlike hysterectomy, UFE preserves the uterus, allowing women to retain their fertility and reproductive options.

Shorter Recovery Time:
Most women can return to normal activities within one to two weeks after UFE, compared to several weeks of recovery after surgery.

High Success Rate:
UFE has a high success rate in providing relief from fibroid symptoms, with many women experiencing significant improvement in their quality of life.

Tips for Managing Fibroids

While medical treatments and procedures like UFE can help manage fibroids effectively, certain lifestyle changes can also contribute to symptom relief and overall well-being. Here are some tips to consider:

1. Maintain a Healthy Diet

A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help manage fibroid symptoms. Avoiding processed foods and excessive consumption of red meat may also be beneficial. Additionally, incorporating foods high in iron can help counter the effects of heavy menstrual bleeding caused by fibroids.

2. Stay Active

Regular physical activity can improve blood circulation and may alleviate pelvic pain and discomfort associated with fibroids. Engaging in activities such as walking, swimming, or yoga can be helpful.

3. Manage Stress

Stress can exacerbate fibroid symptoms, so finding effective stress-reduction techniques like meditation, deep breathing exercises, or spending time in nature can be advantageous.

4. Hormonal Birth Control

For women experiencing heavy or painful periods due to fibroids, hormonal birth control methods, such as birth control pills or hormonal intrauterine devices (IUDs), can help regulate menstruation and reduce symptoms.

5. Regular Check-ups

If you have been diagnosed with fibroids, it’s essential to attend regular check-ups with your healthcare provider to monitor their growth and ensure there are no significant changes or complications.


Understanding fibroids is crucial for women’s health and well-being. These non-cancerous uterine growths can cause various symptoms, impacting daily life and fertility. While the exact cause of fibroids remains uncertain, factors such as hormones, genetics, and race can play a role in their development.

Fortunately, several management options are available, ranging from watchful waiting to minimally invasive procedures like Uterine Fibroid Embolization (UFE), which offers a practical and less invasive alternative to surgical interventions.

Remember, each woman’s experience with fibroids is unique, and it’s essential to consult with a healthcare professional to determine the most suitable management approach based on individual circumstances.

If you or someone you know is experiencing fibroids or seeking effective management options, don’t hesitate to take the next step toward better health and well-being. Visit our website at https://mipscenter.com/ to learn about fibroid treatments, and Uterine Fibroid Embolization (UFE). Our team at MIPS is dedicated to providing compassionate care and innovative solutions to help you live your best life. Take charge of your health today and schedule a consultation with us!

Feel free to visit our clinic at: MIPS Center, 8671 S Quebec St #200, Highlands Ranch, CO 80130