A fibroid is common benign growth in the uterus (it means that it is not cancerous). The size of fibroids can vary from as small as a pea to as large as a basketball. Read on to know the prognosis of fibroids.
- Many women with fibroid have no symptoms. If you have no symptoms, you may not need treatment. Your doctor may advise regular follow ups to monitor the size and growth of the fibroids and to monitor that there are no indicators of malignancy.
- Response to treatment and outcome depend on the size and number fibroid and the chosen treatment. For example, there is a risk of recurrence of fibroid in women who are treated with myomectomy or hysteroscopic resection of fibroid, but hysterectomy (surgical removal of uterus with the fibroid) is considered a cure.
- Fibroids may affect your chance to conceive. Your chances of conception are influenced by the size, number and location of the fibroids. Fibroid is more common after the age of 35. Besides the fibroid, other factors such as decreased egg quality and decreased ovulation also possibly contribute to decrease in fertility.
- Most fibroids are benign and rarely become malignant. The risk of malignancy is increased in a woman after menopause. The commonest sign of malignancy is a rapidly growing tumour that requires surgery.
Complications of fibroid: Fibroids can cause complications such as:
- Severe pain and heavy bleeding and surgery may be required for such a condition.
- If the fibroid is pedunculated it can become twisted and may cause obstruction to blood flow in the vessel feeding the tumour (this type of fibroid may need surgery).
- Anaemia occurs as a result of heavy menstrual bleeding.
- Urinary tract infections are a potential risk if the fibroid presses and prevents the bladder from fully emptying.
- Infertility (rarely).
- Fibroids may cause complications during pregnancy such as preterm delivery, need for caesarean section as the fibroids may block the birth canal, cause the baby to be positioned wrong and finally heavy bleeding immediately after giving birth. However, the risk of complications is small.
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