Fibroid Risk Factors

Uterine fibroids are the most frequent tumors found in the reproductive system, commonly affecting women in their childbearing years. Although these benign tumors are widespread, approximately only 50% of women are considered to be at risk for them. Since the symptoms of fibroids can resemble those of other female health issues, it is crucial to be aware of the risk factors, particularly if you are African-American or have a family history of fibroids.

Common Fibroid Risk Factors

Several factors can increase the risk of fibroids, beyond just being a woman of reproductive age. If you believe you might be at risk, it is crucial to arrange a consultation with one of our partnered physicians to receive an accurate diagnosis and appropriate treatment for your condition.

Risk Factors For Fibroid

Explore possible risk factors for fibroids, such as age, race, family history, obesity, early menstruation, and vitamin D deficiency. Learn about the elements that may contribute to their development.

Age

Fibroids can develop at any age, but their prevalence increases as women get older. Symptoms often appear in a woman's late 30s or early 40s and can continue up until menopause. After menopause, the likelihood of developing new fibroids decreases significantly, and existing ones typically shrink.

Race

African American women are three times more prone to developing uterine fibroids compared to women of other races. Additionally, younger African American women aged 29 to 39 are more likely to suffer from severe fibroid symptoms. Research indicates that genetics and low Vitamin D levels may be key factors contributing to this disparity.

Family History

Uterine fibroids often have a genetic component, with a family history being a significant risk factor. If your mother, sister, or grandmother had uterine fibroids, you might be at a higher risk of developing them too. Specifically, if your mother had fibroids, your risk of developing them is three times greater than the average.

Obesity

Being significantly overweight or having a high Body Mass Index (BMI) can increase the risk of developing uterine fibroids. This is because excess fat cells produce more estrogen, leading to elevated hormone levels in the body. Higher levels of estrogen and progesterone often result in the growth of fibroids.

Early Onset Of Menstruation

Fibroids are more prevalent among women who start menstruating at a younger age. Typically, girls have their first period (menarche) around 12 or 13 years old. Research shows that beginning menstruation early is associated with increased risks of fibroids, obesity, and diabetes. Additionally, early menarche is observed more frequently in African American women.

Vitamin D Deficiency

Vitamin D, a fat-soluble vitamin, assists in the absorption and metabolism of calcium, magnesium, and phosphate. It is also regarded as a hormone due to its influence on the reproductive system. A deficiency in Vitamin D is defined as having a level below 30 ng/ml. Women with uterine fibroids typically have an average Vitamin D level of 23.3 ng/ml.

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Who is at High Risk for Developing Uterine Fibroid?

Uterine fibroids are the most prevalent tumors in the female reproductive system, making all women susceptible to them. By the age of 50, up to 80% of women may be affected. If you’re having symptoms of uterine fibroids, your OBGYN physicians can diagnose them during your yearly pelvic exam. Some women have a higher risk of developing fibroids, including:

African American women
Women with excess weight
Women who have their menstrual periods at an early age
Women between the ages of 30 and 54
Women who have a family history of fibroids
Women with high blood pressure

Risk Factors For Fibroid

While it’s not possible to completely prevent uterine fibroids, making certain lifestyle choices may help lower your risk for them. Adopting these changes is a key initial step in managing fibroids and alleviating symptoms if you’re concerned about your risk. Consider taking these actions to help prevent and lessen the impact of fibroids.

Consume a diet that includes plenty of fruits, vegetables, and fish.
Regulate your estrogen levels.
Engage in physical activity, shed excess pounds, and keep a healthy weight.
Reduce your blood pressure.
Ensure you get sufficient Vitamin D.
Reduce your intake of alcohol.

Fibroid FAQ

Can fibroids develop into cancer?

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.

In what ways can fibroids impact pregnancy?

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.

Can fibroids reappear after undergoing Uterine Fibroid Embolization?

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.

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