Fibroids, also known as uterine leiomyomas, are benign growths of the uterus. Fibroids can vary in size and severity, but oftentimes they require no intervention. Most women begin to experience symptoms from fibroids after age 30 and fibroids can increase in size with time. Symptomatic fibroids are much more common in Black women than Caucasians. Common complications from fibroids include heavy menstrual bleeding, painful periods, and difficulty conceiving. Most fibroids can be diagnosed with a routine pelvic ultrasound performed in the outpatient setting. Management of fibroids depends on severity of symptoms and can include hormonal suppression with birth control methods, hysteroscopic myomectomy (to preserve fertility), endometrial ablations (for women who have completed childbearing), uterine artery embolization, or hysterectomy. Fibroid management is individualized based on location and size of the fibroid and patients should consult with their provider to determine their most appropriate plan of care.
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