Fibroids / UFE

Heavy bleeding is a symptom. Fibroids are one possible reason.

Uterine fibroids can cause heavy menstrual bleeding, anemia, pelvic pressure, urinary frequency, constipation, pain and abdominal enlargement. The right treatment depends on symptoms, anatomy, fertility goals and how strongly you want to preserve the uterus.

Fibroid 101

Location and symptom pattern matter as much as size.

Submucosal fibroids often drive bleeding. Larger intramural or subserosal fibroids may create bulk pressure, urinary frequency, constipation or abdominal fullness. Adenomyosis can overlap and may change treatment expectations.

Bleeding symptoms

  • Heavy or prolonged periods
  • Clots
  • Anemia / fatigue
  • Bleeding between cycles

Bulk symptoms

  • Pelvic pressure or heaviness
  • Frequent urination
  • Constipation
  • Abdominal enlargement
  • Pain with sex or activity

Fibroid Symptom Snapshot

This is a structured visit-prep tool, not a validated diagnosis score.

Educational Options

Uterus-preserving and definitive options both belong in the conversation.

Observation

Reasonable when symptoms are mild and blood counts are stable.

Medication

Hormonal therapy, tranexamic acid and other medicines can reduce bleeding or symptoms depending on the situation.

Myomectomy

Surgical removal of fibroids while preserving the uterus. Often considered when future pregnancy is a major goal.

Radiofrequency / focused treatments

Selected fibroids may be treated with minimally invasive energy-based approaches depending on anatomy and local availability.

Uterine Fibroid Embolization

A catheter-based treatment that blocks the fibroid blood supply. Fibroids shrink over time while the uterus remains in place.

Hysterectomy

Definitive treatment that removes the uterus and eliminates future fibroid recurrence.

Fertility matters: patients who desire future pregnancy should discuss fibroid location, age, ovarian reserve, myomectomy and UFE with gynecology and interventional radiology. UFE is uterus-preserving, but pregnancy goals require individualized counseling.
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