Fibroid Pain

Fibroid Pain: An Indication of Uterine Fibroids

While some individuals with uterine fibroids may not experience any symptoms, others might suffer from significant pain that can interfere with daily activities. Larger fibroids are more likely to cause discomfort, often manifesting as a feeling of heaviness or pressure in the lower abdomen or pelvis. Many women describe this pain as a dull ache that makes it difficult to lie face down or bend over. The intensity of the pain can vary depending on the fibroids’ size, location, and number.

In certain situations, fibroids can cause severe, acute pain, particularly if a fibroid starts to degenerate. This type of pain is usually localized and may subside on its own within about four weeks. However, it is important to consult your doctor if you experience pain that you suspect might be related to uterine fibroids.

Symptoms of Pain from Fibroids

The pain caused by uterine fibroids can vary from mild to intense. When symptoms do occur, they might be limited to instances like sexual activity or menstruation, or they could be more constant. Managing this pain is important to prevent individuals with uterine fibroids from feeling restricted by their discomfort. Symptoms associated with fibroid pain may include:

Causes of Fibroid Pain

Pelvic pain can result from various gynecological conditions and problems. However, pain associated with uterine fibroids is distinct. It typically arises from the weight of the fibroid pressing on or resting against pelvic organs. If you are experiencing pelvic pain, it is crucial to consult your doctor to determine whether it is due to uterine fibroids or another issue. Potential causes of pelvic pain include:

Twisted or ruptured ovarian cysts
Irritable bowel syndrome
Endometriosis
Adenomyosis
Pelvic infection
Appendicitis
Ruptured fallopian tube
Uterine fibroids
Musculoskeletal problem
Urinary tract infection
Pelvic Congestion Syndrome

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How Do Fibroids Lead to Pain?

Fibroid pain is not directly caused by the fibroids themselves, but rather by their impact on surrounding pelvic organs. Similarly, back pain related to fibroids results from pressure exerted on the lower back muscles and nerves. Additionally, pelvic pain can arise from blood leaking into the peritoneal cavity from the uterine cavity during heavy periods (retrograde menstruation), which irritates the inner lining of the organs. Since there are various causes of back pain, it is important to consult with your doctor to determine whether it is related to uterine fibroids or another issue. Individuals with larger fibroids located towards the back of the uterus are more likely to experience back pain.

Fibroid Pain Relief

The approach to treating fibroid pain varies based on how severe your symptoms are. After confirming that your pelvic or back pain is due to uterine fibroids, our experts at Fibroid Clinic will recommend the most suitable treatment plan. In some instances, lifestyle adjustments might be sufficient to manage the pain. However, in other cases, we might recommend a minimally invasive procedure, such as Uterine Fibroid Embolization (UFE), to reduce or remove your fibroids.

Lifestyle Changes & Medication

Fibroid pain is frequently manageable at home through lifestyle adjustments and over-the-counter medications. For those whose pain doesn't significantly disrupt daily activities, home remedies can be very effective. Nonsteroidal anti-inflammatory drugs (such as ibuprofen) are commonly suggested. Additional methods for alleviating fibroid pain at home include maintaining a balanced diet, reducing alcohol intake, using vitamin and mineral supplements, and engaging in regular exercise.

UFE Procedure: Minimally Invasive Fibroid Treatment

If the pain is intense or your fibroids are leading to other bothersome symptoms, Uterine Fibroid Embolization (UFE) might be the most effective treatment. UFE is a minimally invasive, image-guided procedure where the blood supply to the fibroids is blocked, causing them to shrink and eventually die, which alleviates symptoms. Compared to major surgery, UFE is advantageous because it doesn’t require hospitalization and typically involves a quicker recovery and fewer complications.

What to Anticipate from Uterine Fibroid Embolization

Reduced bleeding, pelvic discomfort, and pressure

Enhancement in physical and emotional health

Minimally invasive procedure

Reduced likelihood of complications

Quicker recovery period

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