Vascular-Clinic

Uterine Fibroids

Uterine fibroids are non-cancerous growths that develop in the muscular wall of the uterus. They are common among women of reproductive age and can vary in size, number, and location. While some women experience no symptoms, others may suffer from heavy menstrual bleeding, pelvic pain, bloating, and fertility challenges.

Fibroid treatment depends on symptom severity, fibroid size, and patient preferences. Options range from medications and lifestyle adjustments to minimally invasive procedures like Uterine Fibroid Embolization (UFE) and surgical interventions.

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Causes & Risk Factors

The exact cause of fibroids remains unknown, but they are linked to hormonal and genetic factors:

What Causes Uterine Fibroids?

Hormones (Estrogen & Progesterone) – These hormones promote fibroid growth.
Genetic Predisposition – Family history increases risk.
Growth Factors – Certain proteins in the body contribute to fibroid development.

Risk Factors for Uterine Fibroids:

Age – Most common in women aged 30-50.
Family History – Higher risk if a mother or sister has fibroids.
Ethnicity – More prevalent and severe in African American women.
Obesity – Higher body weight is linked to increased estrogen levels.
Diet & Lifestyle – High red meat intake and low fruit/vegetable consumption may contribute.
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Symptoms of Uterine Fibroids

Symptoms often worsen over time if fibroids grow or multiply. Many fibroids cause no symptoms, but for those who do experience issues, common symptoms include:

Heavy or prolonged menstrual bleeding (Menorrhagia)
Pelvic pain or pressure
Frequent urination or difficulty emptying the bladder
Bloating or a noticeable abdominal mass
Pain during intercourse
Lower back pain
Constipation or bowel discomfort
Fertility issues or pregnancy complications)

Uterine Fibroids

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Diagnosis of Uterine Fibroids

Fibroids are typically diagnosed through a combination of physical exams and imaging tests:

Pelvic Exam – Detects an enlarged or irregular uterus.
Ultrasound (Transabdominal or Transvaginal) – Confirms fibroid presence, size, and location.
MRI (Magnetic Resonance Imaging) – Provides detailed images for precise treatment planning.
Hysteroscopy – A small camera inserted into the uterus to view fibroids.
Sonohysterography (Saline Infusion Sonography) – Uses fluid to enhance ultrasound imaging.

Living With Uterine Fibroids

While some fibroids remain asymptomatic, managing symptoms is crucial for improving quality of life.

Self-Care & Daily Management:

For women seeking relief, UFE and other treatments offer effective, lasting solutions.

Daily Management Tips:

  • Maintain a Healthy Diet – Focus on anti-inflammatory foods like fruits, vegetables, and whole grains.
  • Regular Exercise – Helps manage symptoms and hormone levels.
  • Stay Hydrated – Supports digestion and reduces bloating.
  • Monitor Symptoms – Keep track of pain, bleeding, and discomfort.
  • Schedule Regular Checkups – Routine imaging can monitor fibroid growth.

Treatment Options for Uterine Fibroids

The best treatment depends on symptom severity, fibroid size, and reproductive goals.

Lifestyle changes:
Hormonal Therapy – Birth control pills, IUDs, or GnRH agonists to reduce symptoms.
Pain Relievers (NSAIDs) – Ibuprofen or naproxen for pain relief.
Dietary Adjustments – Reducing red meat, increasing leafy greens, and maintaining a healthy weight may help.
Minimally Invasive & Surgical Treatments:
Uterine Fibroid Embolization (UFE) – A non-surgical procedure that blocks blood supply to fibroids, causing them to shrink.
Myomectomy – Surgical removal of fibroids while preserving the uterus.
Endometrial Ablation – A procedure to destroy the uterine lining, reducing heavy bleeding.
Hysterectomy – Complete removal of the uterus, a permanent solution but not ideal for those wanting future pregnancies.

Interventional Radiology for Uterine Fibroids

Uterine Fibroid Embolization (UFE) is an advanced non-surgical treatment performed by interventional radiologists.

What is UFE?

UFE works by blocking blood flow to fibroids, causing them to shrink and relieving symptoms.

Minimally invasive – No incisions, performed through a tiny catheter.
High success rate – Over 90% of women experience symptom relief.
Preserves the uterus – Unlike hysterectomy, UFE maintains fertility potential. Short recovery time – Most patients return to normal activities within a week or two.
Outpatient procedure – Performed under local anesthesia with light sedation.

Who is a Candidate for UFE?

Women with symptomatic fibroids who want to avoid surgery and preserve their uterus may be ideal candidates.

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FAQ: Common Uterine Fibroids Questions

Uterine Fibroids Articles

Why Choose Prospero?

Exceptional patient-centered care, innovative treatments, and a focus on quick recovery without surgery.

Experienced Interventional Specialists: Our skilled team offers advanced, image-guided procedures for vascular and non-vascular conditions.
Minimally Invasive Treatments: We focus on outpatient solutions that reduce recovery time, often allowing for same or next-day recovery.
Comprehensive & Compassionate Care: We take a patient-centered approach, ensuring comfort, safety, and optimal outcomes.
Flexible & Same-Day Appointments: Prioritize your health without long wait times.
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If you are experiencing any symptoms of Uterine Fibroids, it is important to see a doctor for diagnosis and treatment.

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