Fibroids, also known as leiomyomas, are non-cancerous growths that commonly develop in the uterus, specifically the smooth muscle tissue. They can be as small as a pea or as large as a grapefruit and can develop as a single growth or in clusters.
While fibroids can be asymptomatic and go unnoticed, they can also cause a range of symptoms including heavy bleeding, pelvic pain, and infertility. Fibroids can also affect pregnancy outcomes and increase the risk of premature labor and delivery.
Diagnostic Tools for Fibroids
When it comes to diagnosing fibroids, there are a variety of tools and tests that your healthcare provider may utilize.
Physical Exam
A physical exam is used to identify the presence of an enlarged uterus and can sometimes help healthcare providers identify the presence of fibroids. During a physical exam, your provider will use their hands to feel the size and shape of your uterus.
Imaging Tests
Imaging tests are used to obtain a clear picture of the uterus and identify the presence and location of fibroids. There are several imaging tests that your provider may use, including:.
Ultrasound
Ultrasounds use sound waves to produce images of the uterus and detect the presence of fibroids. This non-invasive test can be performed either transabdominally or transvaginally depending on the needs of the patient.
Magnetic Resonance Imaging (MRI)
An MRI uses a magnetic field and radio waves to create detailed images of the uterus. This imaging test is particularly useful for identifying the size and location of fibroids.
Hysterosalpingography (HSG)
An HSG is an X-ray that uses a special dye to identify the presence and location of fibroids in the uterus and fallopian tubes.
Hysteroscopy
A hysteroscopy is a minimally invasive procedure in which a thin, lighted scope is inserted through the cervix to view the uterus. During this procedure, a healthcare provider can visualize the fibroids and assess their size and location.
Biopsy
In rare cases, a biopsy may be recommended. This involves taking a small tissue sample of the fibroid and examining it under a microscope to rule out the presence of cancer.
When to Seek Medical Attention
If you experience any of the following symptoms, it is important to seek medical attention:.
- Heavy or prolonged menstrual periods
- Pelvic pain or pressure
- Bloating
- Frequent urination
- Difficulty emptying your bladder
- Pain during sex
While fibroids are not typically cancerous, it is important to seek medical attention if you experience any of the above symptoms in order to best manage your health.
Conclusion
Fibroids in the uterus are a common condition that can cause a range of symptoms. With proper diagnosis, however, many women are able to manage their symptoms and lead healthy lives.
Your healthcare provider can help you determine the best diagnostic tools based on your medical history and presenting symptoms.