Symptoms of Fibroids
The symptoms of fibroids vary widely depending on the size, number, and location of the growths. Fibroids may be silent and go unnoticed for years, or they can cause chronic discomfort and disrupt daily life. In many cases, symptoms prompt women to seek medical help, leading to a diagnosis.
Common Symptoms
Heavy or prolonged periods (menorrhagia)
May lead to iron-deficiency anaemia
Pelvic pain or pressure
Often described as a constant dull ache or heaviness
Frequent urination, if fibroids press on the bladder
Constipation, when fibroids press on the bowel
Lower back pain, especially with large or posterior fibroids
These symptoms can worsen over time and may fluctuate with hormonal changes throughout the menstrual cycle.
Reproductive and Sexual Symptoms
Pain during intercourse (dyspareunia)
Difficulty getting pregnant, especially with submucosal fibroids (inside the uterine lining)
Pregnancy complications, including miscarriage, premature labour, or breech positioning
Not all fibroids affect fertility, but their presence may interfere with implantation or distort the uterine cavity.
Types of Fibroids and Symptom Patterns
The type of fibroid often influences the symptom:
Submucosal fibroids (just under the uterine lining) tend to cause heavy bleeding
Intramural fibroids (within the uterine wall) may lead to pressure and pain
Subserosal fibroids (on the outer wall of the uterus) are more likely to press on nearby organs
Large fibroids or multiple growths can cause noticeable abdominal swelling or bloating, often mistaken for weight gain or pregnancy.
When to See a Doctor
Seek medical advice if you experience:
Periods that last more than 7 days
Heavy bleeding with clots or flooding
Severe pelvic pain or cramping
Urinary urgency or trouble emptying the bladder
Difficulty conceiving after 6–12 months of trying
Symptoms of Fibroids
Recognising the symptoms of fibroids early leads to quicker diagnosis and better outcomes. There are many effective treatments that can reduce discomfort, preserve fertility, and improve quality of life.
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