Symptoms
What Are Some Common Fibroid Symptoms?
Pelvic Pain
The differential diagnosis of pelvic pain could be from various etiologies or reasons such as menstruation, ovulation, uterine fibroids, adenomyosis, endometriosis, gastrointestinal issues. Infections, tumors, etc. Depending on the size and location of the fibroid, women could experience wide range of symptoms include pelvic pain, back pain, leg pain, pressure on the bladder or rectum and frequent urination. In particular, Women with large fibroids may experience heaviness, bloating or pressure in the lower abdomen or pelvis. If the fibroid is located low in the uterus near the cervix, painful and discomfort intercourse would be another manifestation.
Heavy Bleeding
The most common symptom due to fibroids is heavy menstrual bleeding/ clots (Menorrhagia) and/or irregular, prolonged menstruation (Metrorrhagia). These symptoms happen predominately with sub-serosal fibroids that are located near the inner lining of the uterus. Women would experience long and heavy menses, along with exaggerated pelvic pain and cramps that negatively impacts a woman’s hygienic, social, emotional, and sexual quality of life.
Painful Intercourse
The medical term for painful intercourse is Dyspareunia. There are many etiologies for painful intercourse to name few such as pelvic infections, endometriosis, fibroids, adenomyosis, urinary and lower gastrointestinal causes. Regarding Fibroids, location and size of the fibroid might be the cause of painful intercourse. Fibroids located in the lower uterus near the cervix could be the cause of painful sex.
Infertility
There are many reasons for infertility. Submucosal or pedunculated intracavitary fibroids might interfere with egg/ ovum implantation on the inner lining of the uterus.
Increased Pelvic Girth
Fibroids vary in size and could be as small as a peanut to as large as a yellow melon (20cm). Large fibroids can simulate symptoms like those in early pregnancy (such as pelvic pain, back pain, pressure on the bladder or rectum and frequent urination).
Easily Fatigued, Out of Breath & Appearing Pale
With heavy and prolonged menses, the body is unable or lags to replace and generate new blood (red blood cells), women end up having low hematocrit and experience symptoms such as getting easily fatigue, out of breath, and looking pale.
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