When should I seek immediate help if I have uterine fibroids?

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If you already know that you have fibroids, signs that indicate your fibroids are growing larger and causing problems are as follows: 

  • Heavier periods
  • Frequent abdominal pain
  • Increased urination
  • Chronic constipation
  • Difficulty getting pregnant

If you experience any of the above symptoms, inform your doctor.

Dr. Kord T. Strebel, MD
OBGYN (Obstetrician & Gynecologist)

See your doctor if the pain or incontinence of fibroids is affecting your daily life, says Kord Strebel, MD, an OBGYN at Sunrise Hospital. In this video, he says that treatments might also be affected by a woman's plans for having children.

Dr. John C. Lipman, MD
Vascular & Interventional Radiologist

If you have fibroids and no symptoms, no treatment is necessary. You should continue all routine screening examinations and check-ups. If you develop significant symptoms, you should schedule an appointment right away with your healthcare provider to discuss these. The most notable are:

  • Heavy menstrual bleeding: Patients that change pads more frequently than every 2-3 hours or more than 8 pads/day are bleeding too heavy. They may report episodes of blood "flooding" or "gushing" out or passing large clots.
  • Chronic fatigue during your menstrual. Fibroids can cause heavy bleeding (see above) which can lead to anemia. Clinical signs of anemia include being tired/weak, episodes of lightheadedness/dizziness, menstrual migraines, chewing/craving ice, hair changes (brittle)/hair loss.
  • Pelvic pain during menstruation. Fibroids can press on pelvic nerves to cause pain which can be radiate in to the lower back, hips, buttocks and even legs. Passing large clots of blood can also cause pain.
  • Increased urinary frequency and/or nocturia (waking up at night to urinate) during menstrual. Fibroids can act like a paperweight on the bladder not allowing it to fill to capacity. These results in more frequent urination during the day and at night.
  • If you have difficulty getting pregnant or miscarry due to a known central fibroid.

Continue Learning about Uterine Fibroids

Uterine Fibroids

If you have uterine fibroids, you may never even notice that they are there. Ranging from the size of a small seed to grapefruit-sized, fibroids are tumors on the uterus that rarely cause harm. Some women have true discomfort with ...

fibroids, including pain in the abdomen or low back, or pain during sex. Sometimes, uterine fibroids can cause miscarriage, preterm labor, or even lead to infertility. Women in their 40s and 50s, women of African-American descent and women that are overweight are at higher risk of developing fibroids, although an estimated 20-80% of women will have them at some point before they turn 50. If your doctor notices fibroids during an ultrasound or pelvic exam, he or she may want to treat them with medication or surgery.
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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.