What should you know?
Fibroids are benign growths arising from the muscle of the uterus. They may be single or multiple and can project toward the uterine cavity, remain within the wall or grow outward.
Symptoms are influenced by location as well as size. A small submucosal fibroid may cause substantial bleeding, while a larger outward-growing fibroid can remain silent.
Common symptoms and signs
- Heavy or prolonged periods and iron-deficiency anemia
- Pelvic pressure, pain or increasing abdominal size
- Frequent urination or constipation
- Fertility or pregnancy-related difficulties in some cases
Diagnosis and the role of ultrasound
Ultrasound documents the number, three-dimensional size and exact location of fibroids and whether they distort the endometrial cavity. Doppler, saline sonography or MRI may be added for specific questions.
- Number and measurements
- Submucosal, intramural or subserosal location
- Cavity distortion
- Change from previous imaging
Ultrasound findings must be interpreted together with symptoms, examination and, when needed, laboratory or other imaging results. An image alone should not be used for self-diagnosis or self-treatment.
Treatment and next steps
Asymptomatic fibroids often need observation only. Medical treatment can reduce bleeding; selected patients may consider myomectomy, embolization or another procedure after specialist review.
Management is individual and depends on age, symptoms, imaging findings, other health conditions and pregnancy plans. Medication or a procedure should be selected with the appropriate clinician.
When is urgent care needed?
- Very heavy bleeding with weakness, palpitations or breathlessness
- Sudden severe pelvic pain
- Pain, bleeding or contractions during pregnancy
Related reading
- Heavy menstrual bleeding — causes and treatment
- Uterine polyp — symptoms, diagnosis and treatment
- Endometrial thickness — normal changes by age and menstrual cycle
When should you consult radiologist Lana Ezieshvili?
Radiologist Lana Ezieshvili performs targeted ultrasound examinations, describes findings using standard imaging criteria and explains the report in clear language.
If you have symptoms, a referral or need follow-up imaging, use the form below to book a visit with Lana Ezieshvili. Timely, appropriately selected imaging can reduce uncertainty and help determine the right next step.
This article is for education and does not replace medical advice. Seek urgent care for severe or rapidly worsening symptoms.