Uterine Fibroids

Uterine fibroids are the most common tumors found in or on the uterus during childbearing years. They most often are noncancerous.

 

Causes

  • Hormones
  • Genetic changes

 
Symptoms

  • Heavy menstrual bleeding
  • Menstrual periods lasting more than a week
  • Pelvic pressure or pain
  • Frequent urination
  • Difficult bladder emptying
  • Constipation
  • Back or leg pain
  • Bleeding between periods
  • Pain during intercourse
  • Distended abdomen
  • Difficulty becoming pregnant

 

Fibroid Types

  • Intramural fibroids – the most common; develop within the uterine wall and expand. They make the uterus feel larger than normal
  • Pedunculated fibroids – grow on a small stalk, which connects them to the inner or outer uterus wall
  • Submucosal fibroids – develop under the uterine cavity lining. They often cause abnormal or extensive menstrual bleeding, leading to infertility and miscarriage
  • Subserosal fibroids – develop in the outer portion of the uterus and grow outward

 

Diagnosis

  • Examination of the uterus
  • Imaging
    • Ultrasound
    • Magnetic resonance imaging (MRI)

 

Treatments

  • Myomectomy – fibroid removal
  • Uterine artery embolization – blood supply blockage, causing the fibroid to die
  • Hormone therapy
  • Hysterectomy – uterus removal

TREATMENT LOCATIONS

Our doctors at Houston Methodist specialize in gynecology care at the following convenient locations: