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Living with uterine fibroids

Description

Uterine fibroids are tumors that grow in a woman's womb (uterus). These growths are not cancerous.

No one knows exactly what causes fibroids.

You may have seen your health care provider for uterine fibroids. They can cause:

  • Heavy menstrual bleeding and long periods
  • Bleeding between periods
  • Painful periods
  • An urge to urinate more often
  • Feeling fullness or pressure in your lower belly
  • Pain during intercourse

Many women with fibroids have no symptoms. If you have symptoms, you may receive medicines or sometimes surgery. There are also certain things you can do to help relieve fibroid pain.

Alternative Names

Leiomyoma - living with fibroids; Fibromyoma - living with fibroids; Myoma - living with fibroids; Vaginal bleeding - living with fibroids; Uterine bleeding - living with fibroids; Pelvic pain - living with fibroids

Medicines to Treat Uterine Fibroids

Your provider may prescribe different types of hormone therapy to help control extra bleeding. This may include birth control pills or injections. Be sure to follow provider's directions for taking these medicines. DO NOT stop taking them without talking to your provider first. Be sure to tell your provider about any side effects you have.

Over-the-counter pain relievers can reduce the pain of uterine fibroids. These include:

  • Ibuprofen (Advil)
  • Naproxen (Aleve)
  • Acetaminophen (Tylenol)

To help ease painful periods, try starting these medicines 1 to 2 days before your period begins.

You may be receiving hormone therapy to prevent the endometriosis from becoming worse. Ask your doctor about side effects, including:

  • Birth control pills to help with heavy periods.
  • Intrauterine devices (IUDs) that release hormones to help reduce heavy bleeding and pain.
  • Medicines that cause a menopause-like state. Side effects include hot flashes, vaginal dryness, and mood changes.

Iron supplements may be prescribed to prevent or treat anemia due to heavy periods. Constipation and diarrhea are very common with these supplements. If constipation becomes a problem, take a stool softener such as docusate sodium (Colace).

Self-care

Learning how to manage your symptoms can make it easier to live with fibroids.

Apply a hot water bottle or heating pad on your lower stomach. This can get blood flowing and relax your muscles. Warm baths also may help relieve pain.

Lie down and rest. Place a pillow under your knees when lying on your back. If you prefer to lie on your side, pull your knees up toward your chest. These positions help take the pressure off your back.

Get regular exercise. Exercise helps improve blood flow. It also triggers your body's natural painkillers, called endorphins.

Eat a balanced, healthy diet. Maintaining a healthy weight will help improve your overall health. Eating plenty of fiber can help keep you regular so you do not have to strain during bowel movements.

Techniques to relax and help relieve pain include:

  • Muscle relaxation
  • Deep breathing
  • Visualization
  • Biofeedback
  • Yoga

Some women find that acupuncture helps ease painful periods.

When to Call the Doctor

Call your provider if you have:

  • Heavy bleeding
  • Increased cramping
  • Bleeding between periods
  • Fullness or heaviness in your lower belly area

If self-care for pain does not help, talk with your provider about other treatment options.

References

American College of Obstetricians and Gynecologists. ACOG practice bulletin. Alternatives to hysterectomy in the management of leiomyomas. Obstet Gynecol. 2008;112:387-400. PMID: 18669742 www.ncbi.nlm.nih.gov/pubmed/18669742.

Ferri FF. Uterine fibroids. In: Ferri FF, ed. Ferri's Clinical Advisor 2016. Philadelphia, PA: Elsevier; 2016:1271-1272.

Katz VL. Benign gynecologic lesions: Vulva, vagina, cervix, uterus, oviduct, ovary. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 6th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 18.

Moravek MB, Bulun SE. Uterine fibroids. In: Jameson JL, De Groot LJ, de Krester DM, et al, eds. Endocrinology: Adult and Pediatric. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 131.

Smith CA, Armour M, Zhu X, Li X, Lu ZY, Song J. Acupuncture for dysmenorrhoea. Cochrane Database Syst Rev. 2016;4:CD007854. [Epub ahead of print]. PMID: 27087494 www.ncbi.nlm.nih.gov/pubmed/27087494.

Review Date:4/5/2016
Reviewed By:Irina Burd, MD, PhD, Associate Professor of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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