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Uterine fibroid, its types and symptoms, and when is it dangerous?
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 As soon as a woman feels an abnormal lump in the lower abdomen, she will think that it could be a fibroid, and this will make her wonder what the normal size of a fibroid is.

What is a fibroid?

Fibroids are known as non-cancerous, benign growths that may occur in any of the body's fibrous or connective tissues. They usually do not require treatment, as they are non-cancerous and do not cause any problems. However, the main rule remains to conduct periodic examinations to ensure that any problem is detected early and the appropriate treatment program is developed for it.

What is the difference between a sebaceous cyst and a fibroid?

Some people may confuse a sebaceous cyst with a fibroid tumor because they may have a certain degree of similarity, but here are the most important differences between them: 

Sebaceous cyst

  • The sebaceous cyst is estimated to be about a few centimeters in size, and is usually in the form of fat cells that collect under the skin to form a round mass. 
  • It may appear all over the body, but is usually found most frequently in the scalp, neck, face, ears and back. 
  • Sebaceous cyst is formed as a result of blockage of the sebaceous glands, causing the accumulation of fat, or as it is known as sebum, in the affected area. 
  • A sebaceous cyst does not cause any health problems, but it is a suitable environment for bacteria to grow, and thus pain, redness, and irritation of the skin may occur.

fibroma

Fibroids are quite different from sebaceous cysts in that: 

  • It is a random growth of cells and tissues of the body, and it may be a benign tumor or cancer that requires a visit to the doctor. 
  • Fibroids may cause pain if they are cancerous cells, unlike a sebaceous cyst, which does not cause any pain except in the event of an infection or inflammation. 

Always remember that you should visit a specialist doctor when you notice any strange symptoms, provided by Al Moosa Hospital Oncology center Integrated with one of the most famous equipment and doctors in the field of oncology treatment, or the appearance of irregular growth in any part of the body’s tissue. 

Learn about: Human papillomavirus infection

What is the difference between fibroid and malignant tumor?

Malignant tumors usually have several characteristics, including: 

  • Ability to reproduce in size.
  • Spread to other parts of the body.
  • It causes various pains.
  • It negatively affects various aspects of health over time.
  • It requires intensive treatment, either chemotherapy, radiation, or a combination of both.

What are the types of fibroids?

Uterine fibroids are abnormal growths that occur inside the uterus or on its wall. They are often benign tumors, meaning they are not cancer in most cases. They are also known as uterine fibroids. The types of fibroids vary depending on where the tumor is located inside the uterus, and each type has its symptoms and impact on the woman’s health. The following is an explanation of the types of uterine fibroids:

Submucosal fibrosis

 This type grows under the inner lining of the uterus, that is, in the inner wall of the uterus, and may extend into the uterine cavity itself. It is considered one of the types that most causes heavy bleeding during the menstrual cycle because it directly affects the uterine lining. It may also affect fertility, increase the difficulty of pregnancy, or cause recurrent miscarriage.

Fibrosis within the muscular wall of the uterus

 This is the most common type, as the tumor grows within the muscular wall of the uterus itself. It may lead to an enlargement of the size of the uterus in general, causing pressure on nearby organs such as the bladder or intestines. Its symptoms appear in the form of pelvic pain, heavy menstruation, or a feeling of heaviness in the lower abdomen.

Subserosal fibrosis

 This type grows on the outer surface of the uterus, that is, under the outer membrane covering it. It often does not affect the menstrual cycle, but it may cause pressure on the bladder or rectum depending on its size and location, and it may cause frequent urination, constipation, or a feeling of discomfort in the abdomen.

Fibrosis attached to the uterus with a thin leg

 It is a type of fibrosis that grows outside the uterus but is connected to it through a small leg or fibrous link. This type may cause severe pain if the leg turns or the blood suddenly stops from it, which may lead to an emergency situation that requires quick medical intervention.

Cervical fibrosis

 This type grows in the cervix and is less common than other types. It may cause abnormal bleeding, difficulty in marital relations, or problems during childbirth. Each type of fibrosis differs in its effect on the body and on the woman’s ability to get pregnant or give birth, and no clear symptoms may appear in some cases. Therefore, it is preferable to follow up periodically with a specialist doctor, especially when any changes in the menstrual cycle appear or unusual pain in the pelvic area appears.

احجزي الآن في Oncology center At Al-Mousa Hospital To conduct a comprehensive examination of the uterus and check on the condition of the fibroid with a team specialized in women’s health.

What are the sizes of fibroids?

It is necessary to know its normal size so that women with fibroids do not confuse that this tumor that they suffer from is a cancerous tumor, and its normal size can be divided into the following: -

Small fibrous tumor

Its size ranges from 1 to 5 cm, which is approximately the size of a pea.

Mesenchymal fibroma

Its size ranges from 5 to 10 cm, i.e. the size of a large lemon.

Large fibrous tumor

There is no need to worry if the tumor is large, as its normal size may reach more than 10 cm, which is approximately the size of a mango.

When is fibroid dangerous?

It becomes dangerous when it grows in size and migrates from its place to other places in the body, in addition to feeling any pain resulting from it. All of the previous signs may warn of the possibility of it turning into invasive cancer cells that require a visit to the doctor as soon as possible, to conduct the necessary tests, and develop a treatment program for the problem  as soon as it is discovered.

What is uterine fibroid?

It is one of the types that infect the tissues of the uterus, and it infects many girls of reproductive age at a rate that may reach 50%. Its main problem is that it does not cause any pain or warning signs that encourage a visit to a specialist doctor. 

Uterine fibroids are one of the most common reasons for hysterectomy, to ensure safety and ensure that they do not turn into cancerous tumors, despite the difficulty of this matter. 

Fibroids are often discovered by chance through an ultrasound machine, so make sure, my dear, to perform regular examinations on a regular basis, in addition to regular examinations to detect any changes in appearance. 

What does a uterine fibroid look like?

They are known as myomas because they affect the muscles of the uterus. They form in the uterus either individually or in groups, and their sizes vary from a grain of rice to the size of an orange, reaching in some cases the size of a watermelon. Although they are not dangerous, they may turn into cancerous in some cases.

Methods of treating uterine fibroids

Treatment methods vary according to the size of fibrosis, the number and location of tumors, the severity of symptoms, and the patient’s general health condition. Below is a detailed explanation of the most important methods available for treating uterine fibrosis:

Monitor and follow up only

 In many cases, women do not need immediate treatment, especially if there are no disturbing symptoms or if the size of the fibrosis is small. It is sufficient to follow up with the doctor from time to time to monitor the size of the fibrosis and ensure that it does not develop or cause health problems.

العلاج الدوائي

 There are a number of medications that help reduce symptoms or slow the growth of fibrosis, but do not eliminate it completely:

  • Hormonal medications such as estrogen or progesterone inhibitors are used to reduce the extent of fibrosis and reduce bleeding but may cause side effects such as hot flashes or osteoporosis.
  • Hormonal contraceptives may help regulate the cycle and reduce bleeding, but they do not affect the extent of the fibrosis itself.
  • Anti-inflammatory medications such as ibuprofen are used to relieve pain.
  • Iron supplements are used in case of anemia due to chronic bleeding.

Non-surgical treatment with modern techniques

  • Uterine vascular embolization is a technique that aims to stop blood flow to the fibrosis, causing it to gradually shrink. This procedure is performed through a small catheter that is inserted through the thigh.
  • Focused ultrasound therapy is a modern, non-surgical technique that uses powerful waves to heat and destroy fibrosis from outside the body without the need to open the abdomen.
  • Laser or heat using a catheter where a special device is inserted through the vagina to heat and destroy the fibrotic tissue.

العلاج الجراحي

 It is used if the size of the fibrosis is large or causes pressure on other organs or if other methods fail:

  • Fibroectomy only, which is an operation in which only fibrosis is removed while preserving the uterus, and is suitable for women who plan to become pregnant in the future.
  • Complete hysterectomy, in which the entire uterus is removed, is used as a last option when there are large and multiple fibroids or when the patient does not plan to have children later.

Tips to relieve the symptoms of uterine fibroids

Although in many cases fibrosis is benign and does not require direct surgical treatment, there are important tips that can help alleviate the symptoms and improve the condition naturally. Among the most important tips that help relieve the symptoms of uterine fibrosis are the following:

  • Practicing regular physical activity: Doing simple exercises such as walking or yoga helps improve blood circulation, reduce stress, and regulate weight. Regular activity also contributes to reducing levels of excess estrogen, which is one of the factors associated with the growth of fibrosis.
  • Maintaining a healthy weight: Obesity is one of the factors that increases the severity of symptoms because excess body fat increases the production of estrogen. Maintaining an appropriate weight reduces pressure on the uterus and relieves the sensation of pain and pressure in the pelvic area.
  • Reducing stress and psychological pressures: Chronic stress negatively affects hormones and increases feelings of pain and discomfort. Practicing deep breathing exercises, meditation, or any activity that feels psychologically relaxing has a positive effect on hormonal balance and alleviating symptoms.
  • Using warm compresses: Applying warm water compresses to the abdominal or pelvic area helps relax the muscles and relieve pain, especially during the menstrual cycle or when feeling cramps.
  • Regular follow-up with the doctor: Regular visits to the doctor are very important to monitor the extent of fibrosis and ensure that it does not grow quickly or cause complications. The doctor can also prescribe appropriate analgesic medications or hormonal medications, depending on the case, to relieve symptoms.
  • Avoid caffeine and alcohol: Excessive consumption of caffeine found in coffee or tea may exacerbate symptoms in some women, and alcohol affects the liver and weakens its ability to regulate the body’s hormones.
  • Take nutritional supplements when needed: Some women may benefit from vitamin D or iron supplements, especially if there is anemia resulting from severe bleeding due to fibrosis, but a doctor must be consulted before taking any supplement.

Risk factors for uterine fibroids

There are a group of factors that may increase the probability of developing it, and these factors are known as risk factors, and they are as follows:

  • Genetic or family factor: Having a family history of uterine fibroids increases the risk of infection. If the mother or sister has it, the possibility of it appearing in the rest of the family members increases.
  • Age: Uterine fibroids usually appear in the age group between thirty and fifty years, and the older a woman gets, especially before menopause, the more likely she is to develop it.
  • Race: Studies have shown that women of African descent are more likely to develop uterine fibroids than women of other races, and that their fibroids appear at a younger age and are more severe.
  • Hormonal changes: Estrogen and progesterone, which are the two hormones responsible for regulating the menstrual cycle, have a role in the growth of fibrosis, as it has been observed that fibrosis grows during periods of high levels of these hormones, such as pregnancy, and shrinks after menopause.
  • Overweight or obesity: Excess body fat leads to an increase in the proportion of estrogen, which promotes the growth of fibrosis, so women who suffer from obesity are more susceptible to it.
  • Diet: Diets that contain large amounts of red meat and processed foods and are low in vegetables and fruits may increase the risk of cirrhosis due to their negative impact on the hormonal balance in the body.
  • Early menstruation: If a girl begins her menstrual cycle at an early age, less than twelve years old, she will be exposed to a greater number of ovulatory cycles during her life, and this may increase the risk of fibrosis.
  • Use of hormonal contraceptives: Some types of birth control pills that contain hormones may affect the growth of fibrosis, but the relationship between them varies depending on the type of hormone used.
  • Chronic stress: Constant exposure to stress and psychological pressure may lead to hormonal imbalance, thus increasing the possibility of fibrosis in some women.
  • Vitamin D deficiency: Some studies indicate that low levels of vitamin D in the body may be linked to an increased risk of developing uterine fibroids because this vitamin plays a role in regulating cell growth.

Frequently asked questions

Can fibroids be cured?

Yes, fibroids can be cured because they are benign and do not cause any problems, and they can be removed without causing any problems. 

Are uterine fibroids dangerous?

Your question can be answered in more than one way. One of them is that uterine fibroids are not dangerous. Rather, medically, the uterus consists of a group of fibers, tissues, and muscles. However, perhaps by your question you mean fibroids that affect the uterus. In most cases, they are not serious provided that you visit a specialist doctor, to conduct the necessary examinations, diagnose the condition, and develop the appropriate treatment program. However, if these fibroids are cancerous tumors, dealing with them varies based on their location and whether they have spread to other places in the body or not.

When is a hysterectomy due to fibroids performed?

Hysterectomy due to fibroid tumor is among the final solutions that are resorted to in the event of failure of drug treatments and failure to remove the tumor only. In this case, the doctor works to remove the uterus only. In some rare cases, the doctor may resort to removing the uterus, ovaries, and fallopian tubes, in some cases at the discretion of the treating doctor.

Do uterine fibers appear on ultrasound?

Yes, uterine fibroids can be seen via ultrasound, and vaginal ultrasound is among the best methods that provide a better view of the uterus. 

Uterine fibroids are one of the common health problems that affect women at different ages, but it is safe and can only turn into cancer in rare cases. However, care should be taken to follow up periodically and visit a doctor to establish the appropriate treatment. At Al-Mousa Hospital, we have the best doctors specialized in treating such cases. 

Sources and references

 Fibroma: Symptoms, Causes & Treatment

Fibroma Symptoms and Treatment

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