Fibroids: Uterine Myomas, Uterine/Pelvic Tumors
Uterine fibroids—also known as uterine myomas and formally called leiomyomas—are the most common types of pelvic tumors in females. Fibroids are benign uterine tumors arising from the smooth muscle cells in the wall of the uterus. They are most often clinically relevant in reproductive age and perimenopausal women. Symptoms include heavy menstrual bleeding, pelvic pain or pressure, infertility and adverse pregnancy outcomes.
Diagnosis of Uterine Fibroids
The presumptive diagnosis of fibroids can be made with a history and physical exam which may indicate to the physician irregular, firm mass in the uterus. Transvaginal imaging is also used to confirm the precise location of the pelvic tumors in the uterus.
Treatment will be individualized to the location and size of your fibroids. Common treatment modalities include:
- Medical management with oral contraceptive pills or intrauterine devices (IUDs)
- Gonadotropin-releasing agonists (e.g. Lupron)
- Hysteroscopic myomectomy
- Open or laparoscopy myomectomy
- Uterine artery embolization, an interventional radiologic procedure
- Hysterectomy, including laparoscopic, vagina, and open approaches
Symptoms related to fibroids often resolve with menopause. Most, but not all, women have shrinkage of leiomyomas thereafter.
Contact Consultants in Women’s Healthcare
We’ve been providing women in St. Louis, eastern Missouri and western Illinois with personal, individualized care for 25 years. Come visit us on the campus of Missouri Baptist Medical Center in St. Louis to learn more.