Heavy periods that seem worse than usual.
Constant fatigue.
A feeling of pressure or frequent trips to the bathroom.
For many women, these non-specific symptoms could be signs of uterine fibroids.
Typically noncancerous, fibroids are growths that develop in the uterus. While some are small and go unnoticed, others can grow larger and cause symptoms.
Some patients might have only one fibroid, while others can have multiple. The impact they can have on daily life often depends on their size, location and whether they press on nearby organs or pelvic structures.
Who’s at risk and what to look for
Up to 80% of women will develop fibroids sometime during their childbearing years. Not all fibroids are obvious on a physical exam, so patients may require additional imaging for diagnosis.
Certain factors can increase risk, including:
- Age
- Family history
- Hormonal changes
- Overall health factors like weight
Hormones like estrogen and progesterone also play a role in how fibroids grow.
Some women won’t experience symptoms at all. However, when they do, common signs include:
- Heavy or prolonged menstrual period
- Pelvic pressure or discomfort
- Frequent urination
- Difficulty emptying the bladder
- Fatigue or low energy levels
“We also see women feeling more tired than usual, and in some cases, developing iron deficiency from heavy bleeding,” said Dr. Yuliya Malayev, OB-GYN at DMC Huron Valley-Sinai Hospital. “You should use your period as another vital sign. If you notice changes in your menstrual cycle -- especially if they are affecting your daily life -- it’s important to discuss them with your gynecologist.”
When to get checked
If symptoms are mild, some women might choose to monitor them. However, it’s important to speak with a doctor if you notice:
- Heavier or more frequent periods, especially soaking a pad per hour during your heaviest days
- Bleeding between periods
- Trouble getting pregnant
- Pelvic pressure or discomfort
- Fatigue or dizziness
Fibroids are often found during a routine pelvic exam or with an ultrasound.
In some cases, symptoms like heavy bleeding or discomfort lead to further imaging to better understand what’s going on. Early evaluation can help determine the cause and guide next steps.
Treatment and care options
Treatment depends on symptoms, fibroid size and personal goals.
Some women might not need treatment and can be monitored over time.
Others may benefit from:
- Medications to manage symptoms and reduce blood loss during cycles
- Hormonal options like birth control pills, injections or intrauterine devices (IUDs)
- Hormone-blocking medications that may temporarily reduce fibroid size or bleeding
- Minimally invasive procedures using advanced imaging or small instruments
- Surgical removal of fibroids
- Hysterectomy (removal of the uterus) for patients who have completed childbearing
“Every woman’s experience is different,” Dr. Malayev explained. “Our goal is to find the right approach based on each patient’s needs.”
At DMC Huron Valley-Sinai Hospital, physicians offer advanced options like the Sonata system, an incision-free procedure designed to treat uterine fibroids while preserving the uterus. DMC Huron Valley-Sinai Hospital was the first in Michigan to provide this treatment, offering patients an additional option for care.
If you’re experiencing changes in your cycle or ongoing symptoms, talk to your doctor. To learn more or schedule an appointment, click or tap here.