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Living with uterine fibroids

Leiomyoma - living with fibroids; Fibromyoma - living with fibroids; Myoma - living with fibroids; Vaginal bleeding - living with fibroids; Uterine bleeding - living with fibroids; Pelvic pain - living with fibroids

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Description

Uterine fibroids are tumors that grow in a woman's womb (uterus). These growths are not cancerous.

No one knows exactly what causes fibroids.

You may have seen your health care provider for uterine fibroids. They can cause:

• Heavy menstrual bleeding and long periods
• Bleeding between periods
• Painful periods
• An urge to urinate more often
• Feeling fullness or pressure in your lower belly
• Pain during intercourse

Many women with fibroids have no symptoms. If you have symptoms, you may receive medicines or sometimes surgery. There are also certain things you can do to help relieve fibroid pain.

Medicines to Treat Uterine Fibroids

Your provider may prescribe different types of hormone therapy to help control extra bleeding. This may include birth control pills or injections. Be sure to follow provider's directions for taking these medicines. Do not stop taking them without talking to your provider first. Be sure to tell your provider about any side effects that you have.

Over-the-counter pain relievers can reduce the pain of uterine fibroids. These include:

• Ibuprofen (Advil)
• Naproxen (Aleve)
• Acetaminophen (Tylenol)

To help ease painful periods, try starting these medicines 1 to 2 days before your period begins.

Hormonal treatment options include:

• Birth control pills to help with heavy periods.
• Intrauterine devices (IUDs) that release hormones to help reduce heavy bleeding and pain.
• Medicines that cause a menopause-like state. Side effects include hot flashes, vaginal dryness, and mood changes.

Iron supplements may be prescribed to prevent or treat anemia due to heavy periods. Constipation and diarrhea are very common with these supplements. If constipation becomes a problem, take a stool softener such as docusate sodium (Colace).

Self Care

Learning how to manage your symptoms can make it easier to live with fibroids.

Apply a hot water bottle or heating pad on your lower stomach. This can get blood flowing and relax your muscles. Warm baths also may help relieve pain.

Lie down and rest. Place a pillow under your knees when lying on your back. If you prefer to lie on your side, pull your knees up toward your chest. These positions help take the pressure off your back.

Get regular exercise. Exercise helps improve blood flow. It also triggers your body's natural painkillers, called endorphins.

Eat a balanced, healthy diet. Maintaining a healthy weight will help improve your overall health. Eating plenty of fiber can help keep you regular so you do not have to strain during bowel movements.

Techniques to relax and help relieve pain include:

• Muscle relaxation
• Deep breathing
• Visualization
• Biofeedback
• Yoga

Some women find that acupuncture helps ease painful periods.

When to Call the Doctor

Contact your provider if you have:

• Heavy bleeding
• Increased cramping
• Bleeding between periods
• Fullness or heaviness in your lower belly area

If self-care for pain does not help, talk with your provider about other treatment options.

References

Dolan MS, Hill CC, Valea FA. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 18.

Moravek MB, Bulun SE, Stewart EA, Orellana M. Uterine fibroids and adenomyosis. In: Robertson RP, ed. DeGroot's Endocrinology. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 126.

Navarro A, Bariani MV, Yang Q, Al-Hendy A. Understanding the impact of uterine fibroids on human endometrium function. Front Cell Dev Biol. 2021;9:633180. PMID: 34113609 pubmed.ncbi.nlm.nih.gov/34113609/.

Review Date: 3/31/2024  

Reviewed By: LaQuita Martinez, MD, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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