Fibroids: What You Need to Know About Uterine Growths

Uterine fibroids are non-cancerous growths that develop in or on the uterus. They are a common gynaecological condition, affecting many women of reproductive age. While fibroids are usually benign, they can cause uncomfortable symptoms such as heavy periods, pelvic pain, and pressure on surrounding organs. Understanding fibroids can help women make informed decisions about their health and treatment options. If you are experiencing symptoms or seeking expert care, Dr Kelly Hankins, a women’s health specialist offering fibroid surgery in Gosford, provides comprehensive diagnosis and treatment for uterine fibroids.

Uterine Fibroid Causes

The exact uterine fibroids cause is not fully understood, but several factors contribute to their development:

Hormonal Influence: Oestrogen and progesterone, the hormones that regulate the menstrual cycle, play a key role in fibroid growth. Fibroids tend to shrink after menopause when hormone levels decline.
Genetic Predisposition: A family history of fibroids increases the likelihood of developing them.
Age: Fibroids are most common in women aged 30-50, with risk increasing as women approach menopause.
Obesity: Excess body weight is linked to higher oestrogen levels, which may contribute to fibroid growth.
Diet: Diets high in red meat and low in fruits and vegetables have been associated with a higher risk of fibroids.
Ethnicity: Fibroids are more prevalent and severe in women of African descent compared to other ethnic groups.

Types of Uterine Fibroids

Fibroids can develop in different areas of the uterus, leading to varying symptoms:

Intramural Fibroids: Grow within the muscular wall of the uterus (most common type).
Submucosal Fibroids: Grow into the uterine cavity and can cause heavy menstrual bleeding.
Subserosal Fibroids: Develop on the outer surface of the uterus and may press on surrounding organs.
Pedunculated Fibroids: Attached to the uterus by a stalk and can grow inside or outside the uterus.

Common Symptoms of Fibroids

Symptoms vary depending on fibroid size, location, and number. Some women experience no symptoms at all (asymptomatic), while others may notice:

Heavy, prolonged menstrual periods
Pelvic pain or pressure
Frequent urination or difficulty emptying the bladder
Constipation
Pain during intercourse
Lower back pain
Enlarged abdomen or unexplained weight gain

When to See a Doctor

It’s essential to seek medical attention if you experience any of the symptoms mentioned above. Difficulty conceiving or pregnancy complications is also another reason to visit your doctor, as that can be a sign of other gynaecological conditions.

Regular gynaecological check-ups are crucial for early detection and management. Dr Kelly Hankins, a leading gynaecologist for fibroids in Gosford, provides expert evaluation and personalised treatment plans.

How Are Fibroids Diagnosed?

Diagnosing fibroids typically involves a pelvic exam where a doctor may feel an enlarged or irregular uterus. From there, imaging tests such as an ultrasound, MRI, or specialised procedures like hysteroscopy and saline infusion sonogram may be used and offer a detailed view of fibroids.

Treatment Options for Fibroids

Treatment depends on fibroid size, location, severity of symptoms, and a woman’s reproductive goals.

Non-Surgical Treatment Options

Watchful Waiting: Small, asymptomatic fibroids may not require immediate treatment. Watchful waiting involves your doctor periodically evaluating your symptoms to determine if further treatment is needed.
Medications: Hormonal therapies, such as birth control or GnRH agonists, can help manage symptoms, while anti-inflammatory drugs can reduce pain symptoms.

Surgical Treatment Options

Uterine Artery Embolization (UAE): This is a minimally invasive procedure that blocks blood supply to fibroids, causing them to shrink.
MRI-Guided Focused Ultrasound: Another minimally invasive procedure that uses high-intensity ultrasound waves to target and shrink fibroids.
Myomectomy: Removes fibroids while preserving the uterus, ideal for women wanting to conceive.
Hysterectomy: Complete removal of the uterus, a definitive solution for severe cases.

Dr Kelly Hankins, a trusted uterine fibroid specialist in Gosford, tailors treatment to each patient’s needs, ensuring optimal care and long-term wellbeing.

Fibroids and Fertility

While many women with fibroids can conceive and have healthy pregnancies, fibroids may sometimes cause infertility or pregnancy complications such as blockage of the fallopian tubes, distortion of the uterine cavity, or increased risk of miscarriage or preterm labour.

For women trying to conceive, treatment options such as myomectomy can improve fertility outcomes.

Myths vs Facts About Fibroids

Myth: All fibroids cause symptoms. Fact: Many fibroids are asymptomatic and are discovered incidentally during routine exams.

Myth: Fibroids always lead to infertility. Fact: Many women with fibroids conceive naturally and have successful pregnancies.

Myth: Surgery is the only treatment option. Fact: Several non-surgical treatments exist, including medications and minimally invasive procedures.

Why Choose Dr Kelly Hankins for Gynaecological Care?

Dr Kelly Hankins is a leading expert in diagnosing fibroids and managing fibroid pain. She offers compassionate, patient-centred care and advanced treatment options tailored to individual needs. As a respected women’s health specialist in Gosford, she ensures that each patient receives the highest standard of medical care, from diagnosis to treatment and ongoing management.

Uterine fibroids are a common but manageable condition. Whether you are experiencing fibroid symptoms and seeking treatment, concerned about fertility, or looking for expert guidance, Dr Kelly Hankins provides personalised, evidence-based care. If you suspect you may have fibroids or need a consultation, don’t hesitate to seek professional advice. Take control of your reproductive health with the expertise and support of Dr Kelly Hankins in Gosford.