Uterine fibroids are small growths and tumors that are found in the uterus. Uterine fibroids, typically referred fibroids, are benign (noncancerous). Fibroids usually develop during childbearing years; however, women may continue to experience fibroids after menopause. Fibroids can cause a plethora of uncomfortable symptoms.

What are the Different Types of Fibroids?

Fibroids After MenopauseDifferent types of fibroids cause different symptoms. For example, Subserosal fibroids cause frequent urination because the fibroids press against the bladder. Conversely, submucosal fibroids often result in heavier periods.

  • Intramural fibroids are noncancerous growths that develop between a woman’s uterine muscles. These fibroids can be located in the back of the uterus (posterior intramural fibroids) or at the front of the uterus (anterior intramural fibroids).
  • Pedunculated fibroids attach the uterine walls with a peduncle (stalk-like) growth. These fibroids can develop outside the uterus (subserous pedunculated fibroids) or inside the uterus (pedunculated submucosal fibroids).
  • Submucosal fibroids develop on the uterus’s inner layer (submucosal layer). These fibroids grow into the cavity of the uterus and can block or distort a woman’s fallopian tubes, causing infertility.
  • Subserosal fibroids develop on the outside of the uterus. This type of fibroid often causes back pain and frequent urination as a Subserosal fibroid presses on nearby organs.

 

What Causes Fibroids?

Doctors are unsure of what exactly causes the development of fibroids; however, they believe that female hormone levels can cause fibroids to grow and become larger. Some women experience fibroid shrinkage when they transition into menopause; however, this is not always the case. Furthermore, even if the fibroids shrink, postmenopausal women will experience symptoms. Enlisting the assistance of a functional medicine practitioner who is knowledgeable in hormone therapy may help shrink fibroids and reduce the severity of symptoms.

 

Symptoms of Fibroids

Fibroids After MenopauseAge does not affect the symptoms women experience with fibroids. The symptoms can vary based on the type of fibroid. The amount of discomfort varies from woman to woman. Fibroids can be so severe that they prevent women from carrying out their day to day activities. Conversely, some women do not experience any symptoms and only find out that they have fibroids during a gynecological exam. Some common symptoms of postmenopausal women with fibroids are-

  • AnemiaAnemia occurs when a woman experience excess bleeding due to heavy bleeding, spotting, and prolonged bleeding.
  • Enlarged abdomen – If a woman has a large fibroid, it can cause abdominal swelling. The fibroid can press on the uterus and other internal organs causing them to make the abdomen distended.
  • Fatigue – Fatigue from fibroids can be caused by insomnia, heavy bleeding, iron deficiency, and anemia. Fatigue is easily overlooked; however, it is often experienced in women with fibroids.
  • Heavy bleeding and frequent spotting – A uterine fibroid can cause abnormal bleeding which may include frequent spotting and heavy bleeding with clots.
  • Low back pain – A uterine fibroid can place pressure on the surrounding organs, which can lead to low back pain. Furthermore, the pain can extend through the hips and down the back of your legs.
  • Nausea and fever – If a fibroid undergoes torsion (twisting) it can cause excruciating pain, nausea, and a low grade fever.
  • Painful intercourse – A large fibroid can cause pelvic pressure or pain. Many women who have fibroids report painful intercourse as well.
  • Pressure on the bladder– If the fibroid is large, it can place pressure on the bladder. Fibroids have been shown to cause frequent urination, urine leakage, and incontinence.
  • Pressure on the bowels – Depending on the location of the fibroid, it can place pressure on the bowels, resulting in constipation and abdominal pain.

Women suffering from uterine fibroids can experience a plethora of emotional problems. Fear, anxiety, and stress over fertility issues and pain can exacerbate sadness, leading to depression. Understanding fibroids and the treatment options available can help you handle the multitude of symptoms that you may experience with uterine fibroids.

Many postmenopausal women are surprised to learn that they can continue to have fibroids once they transition into menopause. You can help manage the effects of fibroids by talking with our doctors specializing in women’s health. Using relaxation techniques, eating a healthy diet, exercising regularly, and getting enough sleep can help minimize the symptoms of fibroids.