Uterine fibroids are noncancerous growths that form in or around the uterus. They are common during the reproductive years and can vary in size and number. Some cause no symptoms, while others lead to heavy bleeding, pelvic pain, or fertility challenges.

At MyOBGYN in Las Vegas, we provide expert evaluation and individualized treatment to help you manage fibroids and improve your quality of life.

What Are Fibroids?

Fibroids, also known as leiomyomas or myomas, are composed of muscle and connective tissue. They can grow:

  • Intramural: Within the uterine wall
  • Submucosal: Just beneath the uterine lining
  • Subserosal: On the outer surface of the uterus
  • Pedunculated: Attached by a thin stem

Some patients have one fibroid, while others have several of different sizes.

Common Symptoms of Fibroids

Many fibroids cause no noticeable symptoms, but when they do, you may experience:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Bloating or abdominal fullness
  • Frequent urination or trouble emptying the bladder
  • Constipation or back pain
  • Pain during intercourse
  • Distended or enlarged abdomen
  • Difficulty becoming or staying pregnant

If your symptoms are affecting your comfort or daily activities, it is time for an evaluation.

What Causes Fibroids?

The cause of fibroids is not fully understood, but several factors are linked to their development:

  • Hormonal changes involving estrogen and progesterone
  • Family history of fibroids
  • Age, with peak occurrence between 30 and 50
  • Race, with higher rates in Black women
  • Obesity or lifestyle factors
  • Possible environmental influences such as smoking

Fibroids often shrink naturally after menopause when hormone levels decrease.

How Are Fibroids Diagnosed?

Diagnosis begins with a pelvic exam and a discussion of symptoms. To confirm size and location, your provider may recommend:

  • Pelvic ultrasound to visualize fibroids
  • Saline infusion sonogram for a clearer view of the uterine lining
  • MRI for detailed mapping, especially before surgery
  • Hysteroscopy to view the uterine cavity directly

Accurate imaging helps guide the best treatment approach for your needs and fertility goals.

Treatment Options for Fibroids

Treatment is based on your symptoms, fibroid size, and reproductive plans.

Medications:

  • Hormonal birth control to control bleeding
  • GnRH agonists to shrink fibroids temporarily
  • Tranexamic acid to reduce menstrual blood loss
  • Iron supplements to address anemia

Minimally invasive procedures:

  • Uterine fibroid embolization (UFE) to block blood supply and shrink fibroids
  • Endometrial ablation to reduce bleeding (not suitable for future pregnancies)
  • Hysteroscopic myomectomy to remove fibroids from inside the uterus

Surgical options:

  • Myomectomy to remove fibroids while preserving fertility
  • Hysterectomy for patients with severe symptoms who have completed childbearing

Your provider will review each option carefully to help you make an informed choice.

Fibroids and Fertility

Fibroids do not always affect fertility, but some types can make conception or pregnancy more difficult. Submucosal fibroids, for example, may increase the risk of miscarriage. If you are planning a pregnancy, we will design a care plan that supports your goals and addresses fibroids before conception when necessary.

Take Control of Your Health

Living with fibroids does not have to mean living with discomfort. With proper evaluation and modern treatment options, you can achieve relief and maintain reproductive health.

📞 Call (702) 463-2981 or visit https://myobgynvegas.com/ to schedule your appointment.