Uterine Fibroids

Uterine fibroids are one of the most common non-cancerous growth in the female reproductive system; it is also known as leiomyomas or myomas. Although it is a common condition, its causes remain elusive. It is believed to be caused by prolonged exposure and stimulation from estrogen. They usually reduce in sizes after menopause and are not causes of concerns. 


Most uterine fibroids do not cause symptoms. Many people discover them incidentally during ultrasound for other purposes, such as during and prior to pregnancy. 

Some people may develop menorrhagia (heavy periods) or menstrual pain. If the fibroids grow large, they may lead to abdominal pain or protrusion. They may also press on the bladder and cause frequent urge of urination. Whether or not uterine fibroids may affect fertility depending on their locations and sizes. 

Risk factors

Most uterine growths are benign and have nothing to do with cancer, nor do they increase the risk of cancer in the future. 

Apart from medication to manage the pain, they usually do not warrant surgical treatments unless they cause significant and serious symptoms, including serial miscarriages, menorrhagia, and frequent urination due to mass effect (i.e., pressing on the bladder). Otherwise, regular follow up with ultrasound is recommended. If surgeries are carried out through minimally invasive surgery or laparoscopy, normal pregnancy should be possible after six months. Uterine fibroids can recur. Some patients may consider removal of the entire uterus so as to prevent recurrences, as they do not have plans to become pregnant.  

Certainly, everyone’s condition is different. You should follow doctor’s recommendations if you have uterine fibroids.


Family Health Service, Department of Health