Uterine Fibroids: What They Are and How They’re Treated | FKMD

Understanding Uterine Fibroids: What They Are, Who They Affect, and How They’re Treated

If you’ve been told you have uterine fibroids, you’re not alone. These common, non-cancerous growths affect millions of women, especially during their reproductive years. While not always dangerous, fibroids can cause uncomfortable symptoms and interfere with your quality of life.

At FKMD, we specialize in minimally invasive treatments that target fibroids without the need for major surgery. If you’re exploring your options or trying to better understand your diagnosis, this blog will help you take the next step with clarity and confidence.

What Are Uterine Fibroids?

Uterine fibroids, also called leiomyomas or myomas, are non-cancerous tumors that grow in or around the uterus. They are made of smooth muscle cells and connective tissue and are influenced by hormones like estrogen and progesterone. These tumors can vary in size—from as small as a seed to as large as a grapefruit—and may occur as a single growth or as multiple clusters.

Fibroids are classified based on where they grow:

  • Intramural: within the uterine wall
  • Subserosal: on the outer wall of the uterus
  • Submucosal: just beneath the uterine lining
  • Pedunculated: attached by a stalk inside or outside the uterus

Who Gets Fibroids?

Fibroids are incredibly common. It’s estimated that up to 70–80% of women will develop fibroids at some point in their lives. You’re more likely to develop fibroids if you are:

  • Between the ages of 30 and 50
  • African American
  • Overweight or obese
  • Started menstruating at an early age
  • Have a family history of fibroids

Common Symptoms of Fibroids

Symptoms can vary depending on the size, number, and location of your fibroids. Common signs include:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Bloating or an enlarged abdomen
  • Frequent urination or urinary urgency
  • Constipation
  • Pain during sex
  • Lower back or leg pain
  • Fertility issues or pregnancy complications

How Are Fibroids Diagnosed?

Diagnosis typically starts with a pelvic exam and may be followed by imaging tests such as:

  • Pelvic ultrasound or transvaginal ultrasound
  • MRI for detailed visualization
  • Hysterosonography (saline-infusion ultrasound)
  • Hysteroscopy (a small camera inserted into the uterus)

Treatment Options for Fibroids

Not all fibroids need treatment. Options depend on symptoms, size, location, and your reproductive goals.

1. Watchful Waiting

If fibroids aren’t causing symptoms, regular monitoring may be all that’s needed.

2. Medication

  • Hormonal therapies like birth control pills or GnRH agonists
  • NSAIDs for pain relief
  • Tranexamic acid to reduce bleeding
  • Hormone-releasing IUDs

3. Minimally Invasive Procedures

  • Uterine Fibroid Embolization (UFE): blocks blood supply to fibroids causing them to shrink
  • MRI-guided Focused Ultrasound (FUS): uses sound waves to destroy fibroid tissue
  • Endometrial Ablation: destroys the uterine lining to reduce bleeding

4. Surgical Options

  • Myomectomy: removes fibroids while preserving the uterus
  • Hysterectomy: complete removal of the uterus (permanent solution)

Why Choose Uterine Fibroid Embolization (UFE)?

UFE is a non-surgical, highly effective treatment with benefits like:

  • No large incisions or hospital stay
  • Short recovery (about 7–10 days)
  • Preservation of the uterus
  • High success rate and low complication risk

What to Expect After Treatment

Most UFE patients experience mild cramping and fatigue after the procedure and resume normal activity within one week. Symptom relief begins within a few weeks and continues as fibroids shrink.

Can Fibroids Return?

Fibroids can regrow, especially after surgery that removes only visible tumors. UFE treats all fibroids by cutting off their blood supply, lowering the chance of recurrence.

When to See a Specialist

If fibroids are affecting your quality of life or reproductive plans, it’s time to talk to a fibroid specialist. At FKMD, we offer personalized treatment with compassion and expertise.

Take Control of Your Fibroid Health

You don’t have to live with heavy periods, pain, or pressure. Safe, non-surgical options like UFE can help you reclaim your comfort and confidence.

📞 Call FKMD today at 650-404-8445 to schedule your consultation.