Fibroids

Uterine leiomyomata, often referred to as fibroids, are tumours of the uterus (womb). They are very common and can be asymptomatic. Fibroids tend to be multiple and can be situated inside the cavity of the uterus, in the wall or outside. In some cases, they can grow to a very large size.No one knows why they develop, but it is well established that the female hormone oestrogen makes them enlarge; this is why fibroids are usually diagnosed when women are in their 30's and 40's, and why they shrink after the menopause.While not all women have symptoms, typical complaints associated with fibroids include heavy periods, irregular vaginal bleeding, pelvic pain, pelvic mass, pressure symptoms and subfertility. Briefly, treatment is indicated if the fibroids are thought to be responsible for troublesome symptoms, or if they become large. If there are no symptoms or if the fibroids are small, there is no need for treatment. Although fibroids can become cancerous, the chance is so small that they are not routinely removed just because they are there.