What Are Uterine Fibroids?

Uterine fibroids, also known as leiomyomas, are benign (non-cancerous) growths that develop in the muscle tissue of the uterus. They are often influenced by hormonal changes, particularly estrogen, and are most common during the reproductive years.

Common Symptoms

  • Abnormal bleeding and heavy periods (e.g., prolonged or very heavy menstrual bleeding)
  • Frequent urination or difficulty emptying the bladder
  • Low back pain or pelvic discomfort
  • Constipation or difficulty with bowel movements
  • Abnormal vaginal discharge (which may be unusually heavy or have a different color/odor)

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Causes of Fibroid Disease

The exact cause of the condition remains unclear, but several factors are believed to contribute, such as:

  • Family history
  • Obesity
  • Early onset of menstruation (early menarche)
  • Not having children during the reproductive years
  • Late onset of menopause

Diagnosis

Based on your symptoms and the doctor’s physical examination, several imaging tests may be recommended to assess the severity of the condition, including:

  • Abdominal and pelvic ultrasound: This helps assess the size and location of the fibroid, aiding in the development of an appropriate treatment plan.
  • Hysterosalpingography (HSG): A contrast dye is injected into the uterus and observed under X-ray to evaluate the uterine cavity and check for blockages in the fallopian tubes caused by the fibroid.
  • MRI scan: This imaging technique provides detailed images of the abdominal organs and surrounding structures to determine if it is affecting them.
  • Laparoscopy: This minimally invasive procedure can be both diagnostic and therapeutic, allowing the doctor to visually examine the area and, if needed, remove it during the same session.

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Treatment Options

  • Medications to control bleeding, with blood transfusions provided if bleeding is severe and cannot be managed by medication alone.
  • Surgical options, such as laparoscopic excision of the fibroid, a minimally invasive procedure to remove the fibroid. In the most severe cases, hysterectomy (removal of the uterus) may be required, which can be performed laparoscopically, hysteroscopically, or through open surgery.
  • New techniques: radiofrequency ablation and laser embolization are also available at Reem Hospital.

Preventive Measures and Tips

  • Consider Pregnancy:
    Pregnancy can help reduce the risk of fibroids, as the hormonal changes during pregnancy, particularly increased progesterone levels, may offer protective benefits.
  • Maintain Healthy Weight:
    Avoiding obesity is key, as excess body fat can lead to higher estrogen levels, which may promote fibroid growth. Regular exercise, a balanced diet, and maintaining a healthy weight help regulate estrogen levels and reduce the risk of fibroids.
  • Exercise Regularly:
    Regular physical activity not only supports a healthy weight but also helps balance hormone levels, which can lower the chances of developing fibroids.
  • Schedule Annual Check-ups:
    If you are 35 or older, it’s important to undergo regular health check-ups at least once a year. This can help monitor your reproductive health and catch any potential issues early, improving overall well-being and enhancing preventive care.

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When should I see a Uterine Fibroids specialist?

Increased bleeding during your period, between periods, or even after menopause is an important warning sign that you should consult a doctor. These changes in bleeding patterns can be concerning and should not be ignored.

Why Choose Reem Hospital for Treatment?

At Reem Hospital, we understand that every woman is unique and deserves personalized care. We offer tailored treatment plans and ongoing follow-up support throughout your fibroid recovery journey. When necessary, we provide state-of-the-art laparoscopic or hysteroscopic removal, as well as radiofrequency and laser embolization of fibroids, ensuring a minimally invasive approach with optimal results.

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Written By
Dr. Rahaf Wagdy

Medical Content Writer

Dr. Rahaf Wagdy is an Egyptian nuclear radiologist and medical content creator who merges her clinical expertise with digital creativity. With over five years of experience in medical content writing in both Arabic and English, she is dedicated to simplifying...

Medically Reviewed By
Dr. Saleem Ramadan

Specialist obstetrics and gynecology

Dr. Saleem Ramadan, MD, is a pioneering obstetrics and gynecologist, specialist in Endoscopic Gynecology and Aesthetic Gynecology. He has a remarkable record of annual average of 1800 Normal deliveries and C-sections. His expertise in endoscopic gynecological surgeries has reduced recovery...

Meet Our Fibroids Specialist ​in Abu Dhabi

Dr. Shereen Ali Elnagar

Gynecology & Obstetrics
Specialist obstetric and gynecology
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Dr. Aisha Khalid AlMukhtar

Gynecology & Obstetrics
Specialist Obstetrics & Gynaecology
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FREQUENTLY ASKED QUESTIONS

  • Are there non-surgical treatments for fibroids?

  • Can medications cure uterine fibroids?

  • Will my fibroids grow back after treatment?

  • How does uterine fibroid treatment affect fertility?

  • How long does recovery take after uterine fibroid surgery?

  • Can I get pregnant if I have uterine fibroids?

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