A GP writes: Fibroids Uncovered – Symptoms and Treatment

What are fibroids?

Fibroids are benign (non-cancerous) growths that develop in or around the uterus (womb.)  They are known as uterine leiomyomas and can vary greatly in size.

Many women have small fibroids that cause no symptoms, which makes it difficult to estimate how common they are. They are more prevalent in women of  Afro-Caribbean heritage.

What are the symptoms?

Women with fibroids may experience:

• Heavy menstrual periods, sometimes with clots, or soaking through pads or tampons
• Painful periods
• Constipation
• Lower back pain
• A frequent need to pass urine
• A bloated abdomen
• Pain during sex

In more severe cases, heavy bleeding can lead to anaemia (low haemoglobin levels), which may cause tiredness and fatigue. They can also sometimes affect fertility or cause complications during pregnancy.

Treatment

As mentioned above, fibroids without any symptoms generally do not need any treatment.

If there are symptoms, the first step is to see your GP, who will examine you and request blood tests and an ultrasound of the womb.

Your GP will discuss the most appropriate treatment options with you – these may include:

• Painkillers such as ibuprofen
• Medications to reduce heavy menstrual bleeding
• Contraceptive pill to help control the bleeding

If medication is not effective, or if the fibroid is large or causing complications, your GP may refer you to a gynaecologist. Further treatment options, including surgical procedures, can then be discussed.

For more on how Teladoc can help you receive the right care you need, visit the link here for more.