What problems can fibroids cause?
Most women with fibroids will have little or no symptom related to them. Unfortunately, 20-40% of women do have significant symptoms related to fibroids. These symptoms vary according to the size and location of the fibroid (see previous discussion). The most common symptom is heavy, prolonged, or irregular menstrual bleeding. This bleeding often results in iron-deficiency anemia. Pelvic pain and a sensation of pelvic fullness or bloating are also very common symptoms. Some women report that their clothes no longer fit because fibroids have caused such enlargement of their uterus. Less commonly, fibroids can result in frequent urination, painful intercourse, and inability to achieve or sustain pregnancy. Other conditions, such as endometriosis, can often mimic the symptoms produced by fibroids or coexist with fibroids in the same woman. This fact makes it imperative that a woman has a complete physical examination and full imaging evaluation prior to any planned treatments. • What shou