Fibroids in the Uterus

Fibroids, also known as uterine leiomyomas, are non-cancerous growths that develop in the muscular wall of the uterus. They are very common, affecting many women at some point in their lives, particularly during the reproductive years.

While fibroids are often harmless, they can sometimes cause symptoms that affect daily life or fertility. At Midlands Women’s Health, we provide expert diagnosis, personalised management, and compassionate support for women with fibroids.

Symptoms of Fibroids

Many women with fibroids have no symptoms, but some may experience:

• Heavy or prolonged periods
• Pelvic pain or pressure
• Frequent urination or difficulty emptying the bladder
• Pain during intercourse
• Reproductive difficulties, including infertility or recurrent miscarriage

Causes and Risk Factors

The exact cause of fibroids is not fully understood, but several factors may influence their growth:

• Hormones: Estrogen and progesterone can encourage fibroid growth.
• Genetics: Family history may increase risk.
• Age: Most common in women in their 30s and 40s.
• Other factors: Obesity, diet, and certain medical conditions may play a role.

Diagnosis

At Midlands Women’s Health, fibroids are diagnosed using:

• Pelvic ultrasound – a detailed scan to assess size, number, and location of fibroids
• MRI imaging – for complex cases where precise mapping is needed
• Clinical assessment – evaluating your symptoms and medical history

Treatment Options

Treatment is personalised based on your symptoms, age, reproductive plans, and fibroid characteristics. Options may include:

• Conservative management: Monitoring fibroids that do not cause significant symptoms
• Medical therapy: Medications to manage bleeding or shrink fibroids
• Minimally invasive procedures: Such as hysteroscopic removal or uterine artery embolisation
• Surgical options: Myomectomy or, in selected cases, hysterectomy

Our team will discuss all options with you, helping you make informed decisions about your care.