Abnormal bleeding can be classified as bleeding that occurs between menstrual cycles or after intercourse, unusually prolonged bleeding, or an exceptionally heavy period. Typically, a normal menstrual period lasts about five days and occurs every 21 to 35 days. It is crucial to inform your healthcare provider about any unusual bleeding you experience.
For women with uterine fibroids, irregular or heavy bleeding is a common symptom. These non-cancerous tumors cause abnormal growth of cells in the uterus, leading to irregular bleeding. If you find yourself using more feminine hygiene products than usual, it could be a sign of fibroids.
Abnormal bleeding does not necessarily mean there is a severe problem, but it is frequently associated with uterine fibroids. Menstrual bleeding can vary widely in what is considered “normal.” However, if your bleeding is excessively heavy and irregular to the point of disrupting your daily life, it might indicate a medical issue. Typical signs of abnormal bleeding include:
Abnormal bleeding can result from a variety of factors, including medical conditions and stress. In many cases, it is due to a hormonal imbalance. The hormones estrogen and progesterone are typically released each month during ovulation. Other possible causes of abnormal uterine bleeding (AUB) include:
Fibroids can exert pressure on the uterine lining, potentially leading to increased bleeding. This pressure may impair the uterus’s ability to contract effectively, making it difficult to control the bleeding. Additionally, fibroids can promote the development of new blood vessels, which may cause heavier or irregular menstrual periods and spotting between periods.
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Uterine fibroids are generally non-cancerous, with cancerous ones being extremely rare, occurring in fewer than one in 1,000 cases. The rare cancerous fibroid is called uterine leiomyosarcoma (ULMS). Most women with fibroids do not show symptoms, and only a small fraction will need medical intervention. Having uterine fibroids does not raise your risk of developing a cancerous fibroid or other uterine cancers.
Small to medium-sized fibroids that don't cause symptoms typically won't impact your ability to conceive or have a healthy pregnancy. However, fibroids can enlarge during pregnancy due to higher hormone levels and increased blood flow to the uterus. If they do grow, it's usually within the first trimester. Generally, surgery is not required or done during this period. If you have fibroids and become pregnant, consult your doctor.
UFE is a minimally invasive, image-guided treatment designed to obstruct blood flow to the fibroids in your uterus, leading to their gradual shrinkage. The effectiveness of UFE can differ based on factors like the fibroids' location and number, as well as your general health. If the fibroids do recur, they typically grow at a slow rate. Nevertheless, research indicates that most women find their fibroids do not return after this procedure.