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

See your doctor if the pain or incontinence of fibroids is affecting your daily life. Treatments might also be affected by a woman's plans for having children.

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. 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

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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.