Uterine Fibroids

Fibroids & Race/Ethnicity

Research shows fibroids affect people differently: – Black women: 2–3 times more likely to develop fibroids, often at a younger age, with larger and more symptomatic fibroids – Hispanic women: Higher risk than white women, with symptoms often appearing earlier – White women: Lower overall risk, but fibroids remain common

These differences are influenced by genetics, hormones, environmental factors, and access to care.

Where Do Fibroids Grow?

Fibroids can be: – One single growth or multiple clustered growths – As small as a seed or as large as a melon

They may grow: – Inside the uterine wall – Inside the uterine cavity – On the outer surface of the uterus

Types of Uterine Fibroids (Quick Guide)

🟠 Intramural Fibroids

• Grow within the muscular wall of the uterus
• Most common type
• Can cause heavy periods and pelvic pressure

🔵 Submucosal Fibroids

• Grow just under the uterine lining
• Often cause heavy or prolonged bleeding
• Can affect fertility

🟢 Subserosal Fibroids

• Grow on the outer surface of the uterus
• Can become large and press on nearby organs
• May cause bloating or frequent urination

🟣 Pedunculated Fibroids

• Attached to the uterus by a stalk
• Less common
• Can cause sharp pain if twisted

Common Symptoms

You may have uterine fibroids if you experience one or more of the following:

📝 My Symptoms Checklist

(Check all that apply) – ☐ Heavy or prolonged menstrual bleeding – ☐ Periods lasting longer than 7 days – ☐ Bleeding between periods – ☐ Pelvic pressure or fullness – ☐ Pelvic or lower abdominal pain – ☐ Lower back pain – ☐ Frequent urination or difficulty emptying the bladder – ☐ Constipation or rectal pressure – ☐ Pain during sex – ☐ Abdominal bloating or visible enlargement – ☐ Fatigue, dizziness, or shortness of breath (possible anemia)

Some people have no symptoms at all, which is why routine gynecologic care is important.

When Should You See a Doctor Right Away?

Early evaluation of uterine fibroid symptoms can prevent complications and expand treatment options. Contact your OB/GYN if you have: – Heavy bleeding that soaks pads or tampons every hour – Periods lasting longer than 7 days – Pelvic pain that does not improve – Sudden or severe abdominal pain – Difficulty urinating or bowel changes – Symptoms of anemia (fatigue, dizziness, shortness of breath)

Early evaluation allows for more treatment options and better outcomes.

Why Early Care Matters

At Pelvic Laser Institute of Florida, we specialize in early identification and minimally invasive treatment of uterine fibroids.

Seeking care early can: – Prevent worsening anemia from heavy bleeding – Reduce pelvic pain and pressure symptoms – Preserve fertility and uterus-sparing options – Allow for less invasive treatment approaches – Improve quality of life sooner

Fibroids often grow slowly, but symptoms can progress. Early care means more choices and better outcomes.

How Are Fibroids Diagnosed?

Fibroids are commonly diagnosed with: – Pelvic exam – Ultrasound – MRI (in select cases)

Treatment Options

Treatment depends on symptoms, fibroid size/location, and your personal goals.

🌿 Watchful Waiting

• For mild or no symptoms
• Regular monitoring

💊 Medications

• Hormonal therapies
• Medications to reduce bleeding or shrink fibroids

🩺 Minimally Invasive Procedures

• Uterine artery embolization (UAE)
• Radiofrequency ablation
• Hysteroscopic fibroid removal

🏥 Surgical Options

• Myomectomy (fibroid removal)
• Hysterectomy (uterus removal, when appropriate)

Your provider will help tailor the best option for your body and your future plans.

You’re Not Alone

Fibroids are common, treatable, and manageable. If symptoms are affecting your quality of life, you deserve answers and options.

📍 Pelvic Laser Institute of Florida 📞 Call our office or schedule an appointment online to discuss your symptoms and personalized treatment plan.