It is common for a woman with fibroids to have multiple tumors and it may be difficult to understand which fibroid is causing her symptoms. A woman may also have one or several types of fibroids. Because there can be multiple fibroids located throughout the uterus—some very small in size—there are usually more fibroids present than can be detected. Even a woman who has only one visible fibroid needs to consider that there may be multiple uterine fibroids present when discussing treatment options.
There are four major types of uterine fibroids:
- Intramural Fibroids
Intramural fibroid tumors are the most common type of fibroid and typically develop within the uterine wall and expand from there. This type of fibroid can also cause excessive menstrual bleeding, prolonged menstrual cycles, clot passing, and pelvic pain due to the additional pressure placed on surrounding organs by fibroid growth.
- Subserosal Fibroids
Subserosal fibroids typically develop on the outer uterine wall. The growth of a subserosal fibroid will put additional pressure on surrounding organs. Therefore, symptoms of subserosal fibroid tumors usually do not include abnormal or excessive menstrual bleeding or interfere with a women’s typical menstrual flow.
- Submucosal Fibroids
The least common of the various types of fibroid tumors are submucosal fibroids. These fibroids develop just under the lining of the uterine cavity. Large submucosal fibroids may increase the size of the uterine cavity and can block the fallopian tubes, which can cause complications with fertility. Some submucosal fibroids do not produce any symptoms at all, whereas others can be severely symptomatic.
- Pedunculated Fibroids
Pedunculated uterine fibroids occur when a fibroid tumor grows on a stalk, resulting in pedunculated submucosal or subserosal fibroids. These fibroids can grow into the uterus and also can grow on the outside of the uterine wall. Symptoms associated with pedunculated fibroid tumors include pain and pressure as the fibroids can sometimes twist on the stalk.
VIVA EVE’s state-of-the-art center for uterine fibroids has the latest technology to help our experienced fibroid specialists to make a correct diagnosis and to suggest the best course of treatment for every patient’s unique circumstances.
Symptoms that Require a Consultation with a Fibroid Specialist
Some women discover they have fibroids, but never experience any noticeable symptoms. Others see their fibroid specialist in NYC because of increasingly uncomfortable symptoms.
The symptoms that should require a visit to a specialist:
- Severe cramping and pain during and between periods
- Heavy and prolonged bleeding during your period
- Anemia due to the heavy bleeding
- Tension, pressure, a sense of fullness or soreness throughout your abdomen
- Increased need to urinate
- Constipation and bloating due to fibroid’s pressure on other organs
- Back, pelvic or leg pain as the fibroid presses on certain nerves
Anemia can lead fatigue and weakness. If your fibroids have grown to affect your bladder or bowels, you must seek help from a fibroid center to keep from experiencing life-threatening infections.
The good news is that most fibroids grow slowly, so you and your uterine fibroid specialist doctor have time to discuss the best options for your treatment.
Treatment Options for You at VIVA EVE
Because of the slow nature of fibroid growth, you and your NYC gynecologist specializing in fibroids have the chance to decide which treatment options are best for you. During your first fibroid clinic appointment, you discuss your medical history and symptoms. Your fibroid doctor performs a pelvic exam and may order lab tests, an ultrasound or an MRI. Treatment options depend on the severity of your symptoms, your age, your family planning desires and the size. position and type of the fibroid. Treatment may include any combination of the following:
- Wait-and-see approach. If you are experiencing mild or no symptoms or are close to menopause, the best fibroid surgeons in NYC may recommend a wait-and-see approach. Many fibroids shrink and disappear at the onset of menopause.
- Over-the-counter or prescription pain relievers. Sometimes alleviating the pain symptoms makes a huge difference.
- Hormone therapies. Birth control pills or gonadotropin-reducing hormone analogues (GN-RH) reduce the production of estrogen, which helps control heavy menstruation.
- Minimally invasive techniques. Uterine fibroid embolization is a nonsurgical alternative worth considering. Reported success rates are high, with 90 percent of patients experiencing a dramatic reduction of symptoms and fibroids that become inactive over time.
- Invasive surgical options. If your growths are large or affecting other organs or nerves, surgical techniques such as myomectomy or hysterectomy may be necessary.
When you search for a “fibroid specialist near me,” you’ll find VIVA EVE, the center for uterine fibroids in Forest Hills, NY. This fibroid clinic has the best fibroid surgeons and a team of experts ready to provide you with a correct diagnosis and quick, effective treatment. We will partner with you and help you choose the fibroid treatment option that is right for you.