What are Uterine Fibroids?

An article from Dr. Steven R. Goldstein M.D, a top Gynecologist in NYC. What are uterine fibroids?

Fibroids are the most common benign pelvic tumors. They are hormonally responsive to estrogen and, thus, they are not seen prior to women getting their first period and they will shrink in size after menopause when no more estrogen is produced. By age fifty, approximately 70% of Caucasian women and 80% of Black women will have some uterine fibroids. Most will be asymptomatic and incidental, although between 25-50% of women can experience symptoms especially heavy menstrual bleeding, iron deficiency with or without anemia, painful pressure symptoms, increased urinary frequency, and also reproductive issues.

Many women, however, seem to be unaware of their fibroids and their impact on their health. Recent study suggested that the average woman does not seek treatment for a mean of 3.6 years and 41% saw at least two healthcare providers before being properly diagnosed.

However, one must be extremely careful because fibroids are so common and so easily visualized on transvaginal ultrasound that understanding the difference between incidental and significant fibroids is paramount. I have a slide in my lecture that says, “fibroids are like fingerprints, no two are ever alike.”

In addition, fibroids are much like real estate: “LOCATION, LOCATION, LOCATION.” Even small fibroids that impinge on the endometrial cavity (lining) can cause significant bleeding and fertility issues even when they are relatively small whereas, sometimes, rather large fibroids originating in the muscle and growing outward may have no impact whatsoever on bleeding, fertility, and patients may be totally unaware until examined.

In my practice I use transvaginal ultrasound liberally in the examination of my patients. I perform these transvaginal ultrasounds personally and do not rely on the findings of a technician. If you have symptoms of fibroids, been told you have fibroids, or need a second opinion before surgery, feel free to schedule a consultation.

Dr Steven R. Goldstein M.D is considered one of the nation’s top doctors in gynecology.