Uterine Fibroids: Symptoms, Treatment, and When to Seek Help - Obstetrics and Gynecology

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Uterine fibroids, also known as leiomyomas, are non-cancerous growths that develop in the uterus. They are quite common, particularly in women of reproductive age, and can vary in size from very small to large masses. While many women with fibroids experience no symptoms, others may face a range of issues, including heavy menstrual bleeding, prolonged periods, pelvic pain, and pressure symptoms.
In your case, the symptoms you are experiencing—irregular menstrual cycles, decreased menstrual flow, and abdominal pain—are indeed concerning, especially in the context of having a 3 cm fibroid. The medications prescribed to you, Premarin (an estrogen replacement therapy) and Primolut-Nor (a progestin), are often used to help regulate menstrual cycles and manage symptoms associated with fibroids. However, it is essential to monitor your symptoms closely, especially since you are experiencing increasing abdominal pain.

The fact that you have a family history of cancer can understandably heighten your anxiety regarding any new or worsening symptoms. While the majority of uterine fibroids are benign, it is crucial to differentiate between fibroid-related pain and other potential issues, such as endometriosis, adenomyosis, or even more serious conditions.
If you notice that your abdominal pain is worsening, or if you experience any new symptoms such as heavy bleeding, passing large clots, or any unusual discharge, it would be prudent to return to your healthcare provider sooner than the scheduled follow-up. Additionally, if you experience symptoms like fever, chills, or severe pain that does not respond to over-the-counter pain relief, seek medical attention immediately, as these could indicate complications such as infection or other urgent issues.

In terms of treatment options, if your fibroids are causing significant symptoms and are not responsive to medication, your doctor may discuss other interventions. These can range from non-invasive procedures like MRI-guided focused ultrasound to more traditional surgical options, such as myomectomy (removal of fibroids) or hysterectomy (removal of the uterus), depending on your age, desire for future fertility, and overall health.

It's also worth noting that lifestyle factors can play a role in managing fibroid symptoms. Maintaining a healthy weight, eating a balanced diet, and managing stress can all contribute to overall reproductive health.
In summary, while uterine fibroids are typically benign, your increasing abdominal pain and family history warrant a proactive approach. Do not hesitate to reach out to your healthcare provider if you feel your symptoms are worsening or if you have any concerns. Early intervention can help manage symptoms effectively and provide peace of mind regarding your health.