Patient education
Fibroids (leiomyomas)
Fibroids are common non-cancerous growths in the uterus. They can cause heavy bleeding, clots, pressure symptoms, and fertility concerns, but many treatment options are available.
Quick definition
Fibroid treatment is goal-based: reduce bleeding, manage pressure symptoms, protect fertility when needed, and avoid overtreatment.
If symptoms are changing or persistent, structured assessment helps avoid missed diagnoses and unnecessary delay.
What are fibroids?
Fibroids are benign muscle growths of the uterus. They can sit in different locations, and location often explains symptom pattern.
- Some cause heavy periods and clots.
- Some cause pressure symptoms (bladder/bowel pressure).
- Some cause no symptoms and only need monitoring.
When to seek urgent care
- Very heavy bleeding with dizziness, fainting, or weakness.
- Severe pelvic pain with fever or vomiting.
- Rapidly worsening symptoms affecting daily function.
If you are unsure, contact reception or your nearest emergency centre.
How we assess fibroids
Step 1
Symptom map
Bleeding, pain, pressure, anemia symptoms, and fertility goals.
Step 2
Exam and bloods
Blood count/iron where heavy bleeding is present.
Step 3
Pelvic ultrasound
Confirms number, size, and location.
Step 4
Plan by goals
Bleeding control, symptom relief, and fertility planning.
Treatment options
Medical bleeding control
Tranexamic acid, hormonal tablets, and LNG-IUD options can reduce bleeding in selected patients.
Fibroid-targeted procedures
Myomectomy, UAE, or hysteroscopic options may be considered depending on fibroid type and goals.
Definitive surgery (selected)
Hysterectomy can be appropriate when other options are unsuitable or not desired.
Fibroids, fertility, and pregnancy
Not all fibroids affect fertility. Impact depends mainly on size and location. If pregnancy is a goal, treatment planning is tailored to that priority.
Common questions
Frequently asked questions
Are fibroids cancer?
Most fibroids are benign. Assessment still matters to confirm the pattern and plan treatment.
Do all fibroids need surgery?
No. Many are managed medically or monitored, depending on symptoms and goals.
Can fibroids cause heavy bleeding and anemia?
Yes. Heavy bleeding is common and can lead to iron deficiency if ongoing.
Can I still plan pregnancy with fibroids?
Often yes. We individualize treatment around fertility timing and fibroid location.
Still unsure? We can map your symptoms to the right pathway and agree on practical next steps.