A diagnosis of fibroids can bring relief and a lot of questions at the same time. These are eight points that many people find useful to understand early, with links to the medical sources behind them.
1. Fibroids are common and usually not cancerous
Fibroids are growths of muscle and fibrous tissue in the womb. Cancerous change is very rare (NHS).
2. Many women have no symptoms
When there are no symptoms, treatment is often not needed and your doctor may suggest monitoring. When symptoms occur they can include heavy or painful periods, pelvic pressure, a swollen lower abdomen, needing to pass urine often, constipation or pain during sex.
3. Size and position matter as much as number
A small fibroid inside the womb cavity can cause heavy bleeding, while a larger one on the outside may cause pressure. Ask your doctor where yours are. See how to read your ultrasound report.
4. Heavy bleeding deserves a blood test
Heavy periods can cause iron-deficiency anaemia, with tiredness, breathlessness and dizziness. Ask about a blood count and do not start iron without advice (NHS).
5. There is a range of treatments
Options include monitoring, medicines to reduce bleeding or pain, hormonal treatments, uterine fibroid embolisation, myomectomy and hysterectomy. The best choice depends on your symptoms and whether you hope to become pregnant (ACOG). Compare them in our treatment options guide.
6. Be cautious with miracle claims
Some websites promise to eliminate fibroids with a diet, supplement or programme in days or weeks. No such approach has been proven. Healthy habits can help how you feel, but they should not replace assessment by a doctor.
7. A second opinion is normal
For a major decision such as surgery, asking for a second opinion is reasonable. See when to get one.
8. Fibroids often change after the menopause
Fibroids depend on hormones and commonly shrink after the menopause (Office on Women’s Health).
Read next If you want to understand the hormonal side of this, how estrogen drives fibroid growth — and what shifts it.