Fibroids are often referred to as “Uterine leiomyomas” or just simply Myomas. These do not need a biopsy or as called, a histologic confirmation of the clinical diagnosis. Often fibroids see, both growth and regression and for such reasons asymptomatic uterine fibroids can usually be followed without any intervention.Doctors often follow and recommend a “watchful waiting” for patients who do not report back with any significant change in symptoms or decline in quality of life with this condition. At the first an important part of doctor visits is to see that a reassurance is extended to women who are asymptomatic or have mild symptoms and choose to avoid intervention. More so as , evidence-based guidelines support not treating asymptomatic fibroids.
Fibroids often cause no symptoms at all. When they do cause symptoms, they can cause:
●Pain, pressure, or a feeling of “fullness” in the belly
●The need to urinate often
●Too few bowel movements (constipation)
●Difficulty getting pregnant
There are several treatment options. Each option has its own pros and cons. The right treatment for you will depend on:
●The symptoms you have
●Your age (because most fibroids shrink or stop causing symptoms after menopause)
●Whether you are done having children
●Whether your fibroids cause so much bleeding that you have a condition called anemia
●The size, number, and location of your fibroids
●How you feel about the risks and benefits of the different options
Concerning Asymptomatic women, woman with moderate or severe hydronephrosis or a woman with a hysteroscopically-resectable submucous leiomyoma who is pursuing pregnancy is only need to be followed.
For women with abnormal uterine bleeding related to leiomyomas who wish to undergo the least invasive procedure, we suggest a trial of placement of a levonorgestrel-releasing intrauterine contraception over other drug therapies.