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[[Uterine fibroids|Uterine fibroids]], medically referred to as uterine leiomyomas or simply fibroids, are benign (non-cancerous) growths that develop in or on the [[uterus]]. Composed of smooth muscle cells and fibrous connective tissue, they emerge from the myometrium, the muscular wall of the uterus.[[File:Histopathology of uterine leiomyoma (original).jpg|thumb|Histopathology of uterine leiomyoma (original) | {{SI}} | ||
[[File:Intravascular Leiomyomatosis of the Uterus.jpg|thumb|Intravascular Leiomyomatosis of the Uterus]] [[File:Myoma.jpg|thumb|Myoma]] [[File:Myom.jpg|thumb|Myom]] | {{Infobox medical condition | ||
| name = Uterine fibroid | |||
| image = [[File:Uterine_Fibroids.png|250px]] | |||
| caption = Uterine fibroids shown in the uterus | |||
| field = [[Gynecology]] | |||
| synonyms = [[Leiomyoma]], [[myoma]], [[fibromyoma]] | |||
| symptoms = [[Heavy menstrual bleeding]], [[pelvic pain]], [[frequent urination]], [[constipation]], [[backache]] | |||
| complications = [[Anemia]], [[infertility]], [[pregnancy complications]] | |||
| onset = [[Reproductive age]] | |||
| duration = [[Variable]] | |||
| causes = [[Genetic factors]], [[hormonal factors]] | |||
| risks = [[Family history]], [[obesity]], [[early menarche]], [[diet high in red meat]] | |||
| diagnosis = [[Pelvic examination]], [[ultrasound]], [[MRI]] | |||
| differential = [[Adenomyosis]], [[endometrial polyp]], [[ovarian cyst]] | |||
| prevention = [[Healthy diet]], [[regular exercise]] | |||
| treatment = [[Medication]], [[surgery]], [[uterine artery embolization]] | |||
| medication = [[GnRH agonists]], [[oral contraceptives]], [[NSAIDs]] | |||
| frequency = Affects 20-80% of women by age 50 | |||
| deaths = Rare | |||
}} | |||
[[Uterine fibroids|Uterine fibroids]], medically referred to as uterine leiomyomas or simply fibroids, are benign (non-cancerous) growths that develop in or on the [[uterus]]. Composed of smooth muscle cells and fibrous connective tissue, they emerge from the myometrium, the muscular wall of the uterus.[[File:Histopathology of uterine leiomyoma (original).jpg|left|thumb|Histopathology of uterine leiomyoma (original)]] | |||
[[File:Intravascular Leiomyomatosis of the Uterus.jpg|left|thumb|Intravascular Leiomyomatosis of the Uterus]] [[File:Myoma.jpg|left|thumb|Myoma]] [[File:Myom.jpg|left|thumb|Myom]] | |||
=== Epidemiology === | === Epidemiology === | ||
The occurrence of uterine fibroids is quite common, particularly in women of reproductive age. Some estimates suggest that up to 70-80% of women will develop fibroids by the time they reach the age of 50. | The occurrence of uterine fibroids is quite common, particularly in women of reproductive age. Some estimates suggest that up to 70-80% of women will develop fibroids by the time they reach the age of 50. | ||
=== Symptoms and Complications === | === Symptoms and Complications === | ||
While most women with uterine fibroids experience no symptoms, others may encounter a range of discomforts. These include heavy or prolonged [[menstruation]], pelvic pain, frequent urination, discomfort during sexual intercourse, and lower back pain. When fibroids are substantial in size, they may apply pressure to the bladder, leading to increased urinary frequency. | While most women with uterine fibroids experience no symptoms, others may encounter a range of discomforts. These include heavy or prolonged [[menstruation]], pelvic pain, frequent urination, discomfort during sexual intercourse, and lower back pain. When fibroids are substantial in size, they may apply pressure to the bladder, leading to increased urinary frequency. | ||
Although rare, fibroids may occasionally complicate pregnancy or contribute to fertility problems. The location, size, and number of fibroids can impact pregnancy outcomes and fertility. | Although rare, fibroids may occasionally complicate pregnancy or contribute to fertility problems. The location, size, and number of fibroids can impact pregnancy outcomes and fertility. | ||
=== Diagnosis === | === Diagnosis === | ||
Diagnosis of uterine fibroids typically begins with a pelvic examination, which may be followed by imaging studies like ultrasound, magnetic resonance imaging (MRI), or hysteroscopy. These allow for the assessment of the size, location, and number of fibroids. | Diagnosis of uterine fibroids typically begins with a pelvic examination, which may be followed by imaging studies like ultrasound, magnetic resonance imaging (MRI), or hysteroscopy. These allow for the assessment of the size, location, and number of fibroids. | ||
=== Treatment === | === Treatment === | ||
The treatment strategy for uterine fibroids is individualized, contingent on the patient's symptoms, fibroid size and location, patient age, and individual fertility considerations. Options include watchful waiting for asymptomatic fibroids, medication to manage symptoms, or surgical intervention for symptomatic fibroids. | The treatment strategy for uterine fibroids is individualized, contingent on the patient's symptoms, fibroid size and location, patient age, and individual fertility considerations. Options include watchful waiting for asymptomatic fibroids, medication to manage symptoms, or surgical intervention for symptomatic fibroids. | ||
Surgical options include myomectomy (removal of fibroids while preserving the uterus), hysterectomy (removal of the entire uterus), and uterine artery embolization, a minimally invasive procedure that blocks the blood supply to fibroids, causing them to shrink. | Surgical options include myomectomy (removal of fibroids while preserving the uterus), hysterectomy (removal of the entire uterus), and uterine artery embolization, a minimally invasive procedure that blocks the blood supply to fibroids, causing them to shrink. | ||
== See Also == | == See Also == | ||
* [[Menstruation]] | * [[Menstruation]] | ||
Revision as of 18:02, 12 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
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| Uterine fibroid | |
|---|---|
| |
| Synonyms | Leiomyoma, myoma, fibromyoma |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Heavy menstrual bleeding, pelvic pain, frequent urination, constipation, backache |
| Complications | Anemia, infertility, pregnancy complications |
| Onset | Reproductive age |
| Duration | Variable |
| Types | N/A |
| Causes | Genetic factors, hormonal factors |
| Risks | Family history, obesity, early menarche, diet high in red meat |
| Diagnosis | Pelvic examination, ultrasound, MRI |
| Differential diagnosis | Adenomyosis, endometrial polyp, ovarian cyst |
| Prevention | Healthy diet, regular exercise |
| Treatment | Medication, surgery, uterine artery embolization |
| Medication | GnRH agonists, oral contraceptives, NSAIDs |
| Prognosis | N/A |
| Frequency | Affects 20-80% of women by age 50 |
| Deaths | Rare |
Uterine fibroids, medically referred to as uterine leiomyomas or simply fibroids, are benign (non-cancerous) growths that develop in or on the uterus. Composed of smooth muscle cells and fibrous connective tissue, they emerge from the myometrium, the muscular wall of the uterus.
Epidemiology
The occurrence of uterine fibroids is quite common, particularly in women of reproductive age. Some estimates suggest that up to 70-80% of women will develop fibroids by the time they reach the age of 50.
Symptoms and Complications
While most women with uterine fibroids experience no symptoms, others may encounter a range of discomforts. These include heavy or prolonged menstruation, pelvic pain, frequent urination, discomfort during sexual intercourse, and lower back pain. When fibroids are substantial in size, they may apply pressure to the bladder, leading to increased urinary frequency. Although rare, fibroids may occasionally complicate pregnancy or contribute to fertility problems. The location, size, and number of fibroids can impact pregnancy outcomes and fertility.
Diagnosis
Diagnosis of uterine fibroids typically begins with a pelvic examination, which may be followed by imaging studies like ultrasound, magnetic resonance imaging (MRI), or hysteroscopy. These allow for the assessment of the size, location, and number of fibroids.
Treatment
The treatment strategy for uterine fibroids is individualized, contingent on the patient's symptoms, fibroid size and location, patient age, and individual fertility considerations. Options include watchful waiting for asymptomatic fibroids, medication to manage symptoms, or surgical intervention for symptomatic fibroids. Surgical options include myomectomy (removal of fibroids while preserving the uterus), hysterectomy (removal of the entire uterus), and uterine artery embolization, a minimally invasive procedure that blocks the blood supply to fibroids, causing them to shrink.
See Also
References
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