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Fibroids are non-cancerous growths of the womb (uterus). They are also known as uterine myomas or leiomyomas. Fibroids are very common - around 70-80 percent of women have fibroids by the time they're 50. However, most of these women don't ever get any symptoms.

About fibroids 

Fibroids are growths enclosed in capsules attached to the wall of your womb. They don't spread to other parts of your body.

You may have only one fibroid or you may have many fibroids of different sizes. Fibroids range from being too small to be seen with the naked eye to around the size of a basketball in some cases.

Fibroids are named according to where they are found in your womb:

  • Intramural fibroids grow within the muscular wall of your womb; these are the most common.
  • Submucosal fibroids grow from the inner wall of your womb into the space inside your womb.
  • Subserosal fibroids grow from the outside wall of your womb into your pelvic cavity. They can become very large.

The different types of fibroids

Symptoms of fibroids 

Fibroids don't usually cause symptoms. However, you may get one or more of the symptoms listed below, often depending on where the fibroid is within your womb.

  • Heavy periods, sometimes leading to anaemia. Up to one in three women with fibroids have heavy periods.
  • Prolonged periods lasting up to seven days.
  • Pain in your pelvic area.
  • Swelling in your pelvic area.
  • Passing urine more often than normal. This can happen if a fibroid is pressing on your bladder.
  • Constipation, if a fibroid is pressing on your rectum.

You can get severe pain if a fibroid that is growing on a stalk twists or if a fibroid outgrows its blood supply causing it to break down, but this is rare.

Complications of fibroids 

Most women with fibroids can have a normal pregnancy and delivery; however there can be some complications.

  • Submucosal fibroids can affect the shape and internal environment of your womb, which can make it more difficult for you to become pregnant.
  • Fibroids can sometimes cause problems such as miscarriage, premature labour and bleeding, but this is rare.

Watch a video on the symptoms of fibroids and polyps, which are common female conditions, and how they can be treated to help achieve a pregnancy.

Causes of fibroids 

The reasons why women get fibroids aren't known. Although oestrogen seems to make fibroids grow, it's not thought to be responsible for their initial development. You're more likely to get fibroids if you:

  • have a mother or sister who has fibroids
  • have no children - pregnancy and childbirth seem to protect against developing fibroids
  • experience early onset of periods
  • are overweight - some studies have suggested a link between being overweight and developing fibroids.

Diagnosis of fibroids 

Most women with fibroids have no symptoms, so the fibroids often go undetected. Sometimes they are found during a routine gynaecological examination. If you have symptoms, such as pain or heavy periods, your doctor may do the following tests:

  • An internal examination. This is to check the size of your womb - an enlarged womb indicates that you may have fibroids.
  • An ultrasound scan. This uses sound waves to produce an image of part of your womb and can confirm if you have fibroids.
  • Other specialised imaging tests. These include:
    • Sonohysterography which uses saline to expand the cavity of the womb making it easier to get good ultrasound images
    • Hysterosalpingography which uses dye to highlight the cavity of the womb and fallopian tubes on X-ray images
    • Hysteroscopy which looks inside the womb with a small telescope.
  • An MRI scan. This uses magnets and radio waves to produce images of the inside of your womb.

Your doctor may also order a blood test to see if you've become anaemic from the increased bleeding.

Treatment of fibroids 

If you don't have any symptoms, or if your symptoms are mild, you won't need treatment.

If you have more severe symptoms, there's a range of treatments available. Discuss with your doctor which treatment is most suitable for you.


There is no medicine that cures fibroids.

Hormone-based treatments such as the oral contraceptive pill can help regulate your periods and relieve your symptoms. While there have been previous reports of fibroids growing in response to use of the pill, this is more likely with older, high-dose formulations.

There are medicines that lower your oestrogen level to try and shrink fibroids. However, they have side effects similar to that of menopause, such as hot flushes and vaginal dryness. And if these medicines are used for more than six months, they increase your risk of osteoporosis (thinning of the bones). These medicines are most likely to be used for the three to four months prior to surgery, to try and reduce the size of the fibroids to make it easier for the surgeon to remove them.

Non-steroidal anti-inflammatory drugs (NSAIDs) may be effective in relieving pain related to fibroids.

Talk to your doctor regarding whether a medicine will be able to help you.


There are a number of surgical options for treating fibroids, including those outlined below.


A myomectomy is an operation to remove fibroids, leaving your womb in place. It may be done through a cut in your tummy, or sometimes it may be possible for your surgeon to use keyhole surgery. Myomectomy is usually only offered to women who would like the option to become pregnant in the future. Because your womb isn't removed there is a chance that more fibroids will grow in the future, so you may need to have further treatment.

Uterine artery embolisation (UAE)

This procedure blocks the blood supply to a fibroid, causing it to shrink. It's performed under local anaesthesia, meaning that feeling in the area will be completely blocked but you will stay awake during the operation. UAE gives relief from symptoms such as bleeding and pain for at least six in every 10 women treated. It's only recommended to be used for treating women with infertility related to fibroids as part of a clinical trial.

Endometrial ablation or resection

Endometrial ablation is a procedure to remove most of the lining of your womb or to destroy or remove an individual fibroid using energy such as microwaves or heat. During an endometrial resection, the lining of your womb or the fibroid is cut away. Endometrial ablation helps stop heavy and prolonged bleeding, but doesn't affect fibroids sitting outside the inside lining of the womb.


A hysterectomy is a major operation to remove your entire womb, usually via a 'bikini-line' cut in your abdomen or, if the fibroids aren't too large, via your vagina. You and your doctor may also choose to remove your fallopian tubes and ovaries. You no longer have periods after a hysterectomy and you can't become pregnant. Discuss with your doctor which of these options is right for you.

Further information 

The Jean Hailes Foundation: Health for Women


The Jean Hailes Foundation for Women's Health. Fact Sheet: Fibroids. [online] Clayton South, VIC: The Jean Hailes Foundation for Women's Health. c2011 [Last updated Jun 2010, accessed 14 Jul 2011] Available from:

Lethaby A Hickey M Garry R et al. Endometrial resection/ablation techniques for heavy menstrual bleeding. Cochrane Database of Systematic Reviews 2009, Issue 4. [online] 2009 [Accessed 14 Jul 2011] Available from:

Mayo Clinic. Uterine Fibroids. [online] Mayo Foundation for Medical Research and Education. c1998-2011 [last updated 11 Jun 2011, accessed 14 Jul 2011] Available

National Institute for Health and Clinical Excellence (NICE). Uterine artery embolisation for fibroids. [online] Nov 2010 [accessed 14 Jul 2011] Available from:

Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the Australasian CREI Consensus Expert Panel on Trial evidence group. Fibroids in Infertility. [online] East Melbourne, VIC: RANZCOG. Mar 2011 [Accessed 14 Jul 2011]

Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). Uterine Artery Embolisation for the treatment of Uterine Fibroids. [online] East Melbourne, VIC: RANZCOG. Mar 2008 [Accessed 14 Jul 2011]

This information has been developed and reviewed for Bupa by health professionals. To the best of their knowledge it is current and based on reputable sources of medical research. It should be used as a guide only and should not be relied upon as a substitute for professional medical or other health professional advice.

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