the Growth and Multiplication of Uterine Fibroids: Key Insights

What is the probability of a single fibroid becoming multiple fibroids?

1.
The finding of a fibroid from a smear test, with measurements increasing from 6.5 cm to 6.8 cm over six months, can be considered growth.

2.
I would like to inquire if there are statistical values in gynecology indicating the rate at which a single fibroid can develop into multiple fibroids.
Is surgery always necessary for fibroids?
3.
During a pelvic examination, the physician noted that the cervix is distorted.
I would like to know if this could be due to pressure from the fibroid or if there are other possible causes.
4.
Two physicians evaluated the ultrasound results; one described the appearance as resembling grapes, while the other estimated about 8 to 9 fibroids.
Do these two interpretations suggest different pathological phenomena? Thank you.

Renee, 40~49 year old female. Ask Date: 2016/07/10

Dr. Huang Yiwen reply Obstetrics and Gynecology

1.
The difference between a fibroid measuring 6.5 cm and 6.8 cm is not significant on ultrasound, making it difficult to determine growth.

2.
It is unlikely for a single fibroid to develop into multiple ones unless new fibroids form in other areas.
Generally, fibroids are rarely solitary and are often multiple.
Surgery is not necessarily required for fibroids unless there are clear symptoms, such as heavy menstrual bleeding leading to severe anemia, significant enlargement causing pressure on the bladder, ureters, or colon, resulting in severe urinary frequency, hydronephrosis, or constipation, or if there is rapid change in size within a short period raising suspicion of malignancy.

3.
Cervical distortion may be due to pressure from a fibroid or adhesions in the pelvic area, such as those caused by endometriosis.

4.
It is not uncommon for different physicians to provide varying diagnoses based on ultrasound findings, so seeking opinions from multiple doctors can be beneficial.

Reply Date: 2016/07/10

More Info

Understanding the growth and multiplication of uterine fibroids is crucial for women experiencing symptoms or concerns related to these benign tumors. Uterine fibroids, also known as leiomyomas, are non-cancerous growths that develop in the uterus and can vary in size, number, and location. Here, I will address your questions and provide insights based on current medical knowledge.

1. Growth Measurement: The increase in size from 6.5 cm to 6.8 cm over six months can be considered a slight growth, but it is essential to evaluate this in the context of the individual’s overall health and symptoms. Fibroids can exhibit variable growth patterns; some may remain stable for years, while others can grow rapidly. Regular monitoring through ultrasound or other imaging techniques is recommended to assess growth trends over time.

2. Statistics on Multiplication: The transformation of a single fibroid into multiple fibroids is not uncommon. Studies suggest that approximately 20-50% of women with one fibroid may develop additional fibroids over time. However, the exact rate can vary based on individual factors such as genetics, hormonal influences, and overall health. Not all fibroids require surgical intervention; many women manage their symptoms with observation, medication, or non-invasive treatments.

3. Cervical Deformity: The distortion of the cervix noted during an examination could indeed be attributed to the pressure exerted by fibroids. Fibroids located near the cervix can cause displacement or distortion, leading to changes in its shape. However, other factors, such as previous surgeries or congenital anomalies, could also contribute to cervical deformity. A thorough evaluation by a gynecologist is essential to determine the exact cause.

4. Ultrasound Findings: The differing interpretations of ultrasound results—one describing a "grape-like" appearance and the other noting approximately 8-9 fibroids—may indicate variations in the imaging technique, the experience of the interpreting physician, or the fibroids' characteristics. A "grape-like" appearance may suggest a cluster of smaller fibroids, while the count of 8-9 could refer to distinct fibroid masses. It is crucial to have a consistent follow-up with a healthcare provider who can correlate these findings with clinical symptoms and decide on the best management approach.

In summary, uterine fibroids are common, and their management is highly individualized. Regular monitoring and open communication with healthcare providers are vital for understanding the implications of fibroid growth and determining the appropriate course of action. Surgical intervention is not always necessary, and many women find relief through non-invasive treatments or medication. If you have concerns about your fibroids or any related symptoms, it is advisable to consult with a gynecologist who can provide personalized care based on your specific situation.

Similar Q&A

Understanding Uterine Fibroids: Growth Rate, Risks, and Surgical Options

Hello, doctor. In April of this year, an abdominal ultrasound at the gynecology clinic revealed that one of my uterine fibroids has grown to 8.8 cm (it can be felt with light pressure on the lower abdomen). Two years ago, it was only 5 or 6 cm in size. I also have iron deficiency...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
Regarding your concerns, here is a summary of the response: It is evident that this tumor is growing rapidly and consuming blood. The determination of whether it is benign or malignant can only be confirmed through surgical biopsy of the tumor; other methods are merely speculativ...

Managing Uterine Fibroids: Dietary Tips and Hormonal Considerations

Hello, a few years ago I underwent surgery for uterine fibroids, but during a recent follow-up, I was informed that they have grown back. The doctor mentioned that fibroids can be a series of growths and that they do not go away completely. I would like to know what dietary facto...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. Adenomyosis is not related to diet. 2. Estrogen medications have a stimulating effect on adenomyosis. Hsinchu City Hospital, Department of Obstetrics and Gynecology.

Understanding Uterine Fibroids: Accuracy of Ultrasound and Medication Effects

Six months ago, a transvaginal ultrasound showed a fibroid measuring over 3 centimeters, which has remained stable at that size for several years. Today, an abdominal ultrasound indicated it has grown to over 4 centimeters. I would like to ask if the abdominal ultrasound is less ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, an increase of 1 centimeter should be fine; just monitor and follow up. Wishing you good health.

Understanding Uterine Fibroids: Growth, Treatment, and Fertility Concerns

Hello Doctor, I have a few questions: 1. Last year on May 1st, I was diagnosed with a uterine fibroid measuring 1.2 x 0.8 x 1.2 cm. During my follow-up on September 6th this year, the fibroid had grown to 1.9 x 1.9 x 1.9 cm. Is this growth too rapid? Under what circumstances ...

Dr. Lü Lizheng reply Obstetrics and Gynecology
Dear Jane, 1. Your fibroids are still very small, so there is no need to worry. Just make sure to have regular follow-ups. The calcification of the fibroids is not a concern; it is simply a deposition of calcium and will not affect fertility. 2. Cervical erosion does not necess...