The Truth About Fibroids: When Do They Become a Problem (and How to Fix Them)6 min read

Meet Priyanka, a busy marketing professional. Lately, her periods have become heavy and unpredictable. Cramping disrupts her workday, and she’s so tired that she finds it hard to keep up with her active life. These could be signs of fibroids, a surprisingly common condition affecting nearly half of all Indian women

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At Renew Healthcare, one of the best women’s health centres in Kolkatta, we understand women’s unique challenges throughout their lives. Our team of gynaecologists for fibroids, based in Kolkatta, offers personalised treatment options based on your needs and preferences.

Let’s explore fibroid symptoms in more detail,  shed light on when they become a concern and, most importantly, what you can do about them! 

Fibroids: Understanding the Basics

Fibroids are non-cancerous growths that develop in the muscular wall of the uterus. Nearly 40% of women in rural India and 24% of urban women are likely to experience fibroids at some point in their lives.  While not all fibroids cause problems, they can sometimes lead to uncomfortable symptoms. 

Why do fibroids occur? 

The exact cause of fibroids remains a mystery, but researchers believe several factors may be involved. One possibility is hormonal influence, as estrogen and progesterone, key players in menstrual regulation, seem to fuel fibroid growth. Additionally, genetics may play a role, with a family history of fibroids slightly increasing one’s risk.

What are the different types of fibroids?

The location of fibroids within the uterus can vary, and this influences their names:

  • Submucosal Fibroids: These fibroids protrude into the inner cavity of the uterus.
  • Intramural Fibroids: The most common type is intramural fibroids, which grow within the muscular wall of the uterus.
  • Subserosal Fibroids: These fibroids project outwards from the exterior wall of the uterus.


What are the symptoms of fibroids? 

Women may experience fibroid symptoms at different intensities – from mild to severe. Some common ones are: 

  • Heavy menstrual bleeding: Women with fibroids often report prolonged periods that are heavier than usual.
  • Pelvic pain and pressure: As fibroids grow, they can cause a feeling of heaviness or pressure in the lower abdomen.
  • Frequent urination: Large fibroids can press on the bladder, resulting in an urgent need to urinate.
  • Pain during intercourse: Depending on their location, fibroids can cause pain during sexual activities.
  • Lower back pain: Large fibroids on the back side of the uterus can press against the muscles and nerves of the lower back.
  • Complications during pregnancy and labour: Fibroids can increase the risk of complications such as preterm delivery and cesarean section.


How are fibroids diagnosed? 

Sonography for fibroids is a key diagnostic tool. Abdominal and pelvic ultrasounds provide images of the uterus, allowing doctors to see and measure any fibroids present. There are two main types of ultrasound used in fibroid diagnosis:

A transvaginal ultrasound for fibroids is usually more precise and uses a small probe that is inserted into the vagina. This method provides a clearer view of fibroids near the inner surface of the uterus.

The Big Question: When Are Fibroids a Problem?

While fibroids are prevalent, they don’t always cause problems. Many women have them without experiencing any complications. However, fibroids can become a concern if they:

  • Disrupt your daily life: Heavy bleeding, pelvic pain, or frequent urination can significantly impact your work, relationships, and overall quality of life.
  • Cause fertility issues: Large or submucosal fibroids can sometimes block the fallopian tubes or interfere with embryo implantation, making pregnancy difficult.
  • Lead to anaemia: Excessive blood loss from heavy periods can cause iron deficiency anaemia, which can lead to fatigue and weakness.

Treatment Options for Fibroids: Finding the Right Fit

A spectrum of treatment options is available for fibroids, and the best approach depends on the specific situation.

  • Conservative Management:  For mild symptoms, non-surgical approaches might be recommended. This could include:
    • Hormonal Therapy: Medications like birth control pills or progestin-only options can help regulate hormones and reduce fibroid growth.
  • Pain Relievers: Over-the-counter pain relievers like ibuprofen can help manage cramps and discomfort.
  • Lifestyle Changes: Maintaining a healthy weight, eating a balanced diet, and exercising regularly can improve overall well-being and potentially reduce fibroid symptoms.
  • Minimally Invasive Procedures:  These techniques offer targeted treatment for symptomatic fibroids:

Explore the advantages of minimally invasive surgery for conditions like fibroids. Discover how you can benefit from less pain and faster recovery. Insert link to – Benefits of Minimally Invasive Gynecological Surgery: Faster Recovery and Less Pain.

  • Uterine Artery Embolization (UAE): Tiny particles are injected into the arteries, feeding the fibroids, cutting off their blood supply and shrinking them.
  • Myomectomy: This surgical procedure removes the fibroids while preserving the uterus, potentially an option if you plan to become pregnant in the future.

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  • Hysteroscopy uses a thin, lighted telescope which is inserted through the vagina and cervix, allowing the doctor to see directly inside the uterine cavity. Thin instruments are inserted through the hysteroscope to cut or vaporise the fibroids within the uterine cavity, making this procedure ideal for smaller, protruding fibroids.
  • Laparoscopy targets fibroids on the uterus’ exterior. Small incisions are made in the abdomen, and a laparoscope with surgical instruments allows for direct removal or myomectomy (preserving the uterus). This is often preferred for larger or more numerous fibroids outside the cavity. 

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  • Surgical Options:  In severe cases or when pregnancy isn’t desired, hysterectomy (removal of the uterus) might be considered. However, this is usually a last resort.


Fibroids are common, but they don’t have to define your life. By understanding the signs and symptoms and seeking personalised care from a qualified gynaecologist, you can effectively manage fibroids and maintain a healthy, fulfilling life.

 Renew Healthcare is Here for You

At Renew Healthcare, we’re dedicated to empowering women with knowledge and providing comprehensive treatment for fibroids. Don’t hesitate to schedule a consultation with one of our specialists to discuss your concerns and explore your treatment options. Take charge of your health and live your best life!

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Key Takeaways:

  • Fibroids affect a significant portion of women, with varying symptoms like heavy menstrual bleeding, pelvic pain, and complications during pregnancy, which can severely impact daily life and overall well-being.
  • While the exact cause of fibroids is not fully understood, factors such as hormonal imbalances and genetics play a crucial role in their development.
  • Sonography, including abdominal and transvaginal ultrasound, is essential for diagnosing fibroids. It allows for detailed imaging of their size and location within the uterus.
  • Treatment options for fibroids range from conservative management, like hormonal therapy and lifestyle changes, to more aggressive approaches, such as minimally invasive procedures (e.g., UAE, myomectomy) and, in severe cases, hysterectomy.
  • Renew Healthcare emphasises personalised treatment plans tailored to the severity of symptoms and patient preferences, ensuring comprehensive care for women dealing with fibroids.

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