Most fibroid appointments are too short and too passive. The doctor talks, you listen, you leave with less clarity than you needed. This guide gives you the specific questions that extract the most useful information — at different stages of your fibroid journey.
At First Diagnosis
The first appointment after a fibroid diagnosis is often rushed. The GP or gynaecologist confirms what imaging has shown and outlines basic options. Come prepared with these questions:
“How many fibroids do I have, and what size is the largest?” Basic but often not volunteered clearly.
“Are any of them submucosal — inside the uterine cavity?” This is the most important anatomical question. Submucosal fibroids have the most significant impact on bleeding and fertility.
“Are any of them distorting the uterine cavity?” Cavity distortion is the key variable for fertility and the primary indicator for removal.
“Should I have a transvaginal ultrasound if I haven’t had one?” Transabdominal scans miss smaller fibroids. TVUS gives significantly better information about the cavity and smaller intramural fibroids.
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At Follow-Up Monitoring Appointments
“Has the largest fibroid grown since my last scan, and if so, by how much?” This quantifies growth rate — the most important single variable for treatment timing decisions.
“Is my haemoglobin and ferritin being checked, not just haemoglobin?” Ferritin depletes before haemoglobin falls. Low ferritin explains fatigue and warrants supplementation even with technically normal haemoglobin.
“At what point would you recommend active treatment?” Getting a specific threshold converts monitoring into a plan.
“Are there any new treatment options I should know about?” Fibroid treatment options have expanded in the last decade — UFE, MRI-guided ultrasound, new medical treatments like ulipristal acetate — and not all doctors proactively discuss the full range.
Before Any Treatment Decision
“What are all my options for my specific fibroids?” Not the standard options — your specific ones, given fibroid type, location, size, and your fertility intentions.
“What are the recurrence rates for each option you’re recommending?” Treatment is not permanent for most options. Knowing recurrence rates informs realistic expectations.
“How does my desire to preserve fertility affect these options?” Fertility considerations fundamentally change the treatment hierarchy. Be explicit about this if it is relevant.
“What happens if I choose no treatment for another 12 months?” Understanding the natural trajectory of your specific situation is important for treatment timing decisions.
“Can I get a second opinion before deciding?” Always reasonable for major interventions. No professional should object to a second opinion on a significant gynaecological procedure.
After Treatment
“What monitoring schedule do you recommend?” Annual ultrasound for 3–5 years is standard practice after any fibroid treatment.
“What symptoms would indicate recurrence?” Knowing what to watch for enables early detection when options are broader.
“Are there any lifestyle changes that reduce recurrence risk?” This question often opens up a useful conversation about diet, weight, and hormonal management post-treatment. For more detail on this see our guide on fibroid recurrence.
