Watchful Waiting
Asymptomatic fibroids require no treatment — monitoring with ultrasound.
Uterine Conditions
Uterine Fibroids — Management in Maryland
Uterine fibroids affect 70–80% of women by age 50 — causing heavy bleeding, pressure, and pain. Most can be managed medically; symptomatic fibroids have multiple treatment options.
Schedule an Appointment →Common Signs & Symptoms
- !Heavy or prolonged menstrual bleeding
- !Pelvic pressure or fullness
- !Urinary frequency from uterine enlargement
- !Constipation from posterior fibroid pressure
- !Pelvic pain or pressure
- !Infertility or recurrent miscarriage in some cases
What Causes This?
- •Benign smooth muscle tumors of the uterine wall
- •Estrogen and progesterone drive growth
- •Genetic factors — family history increases risk
- •Black women have higher prevalence and more severe fibroids
Treatment Approaches
Medical Management
GnRH agonists, tranexamic acid, and oral contraceptives manage bleeding and symptoms.
Uterine Fibroid Embolization
Interventional radiology procedure shrinking fibroids via arterial embolization — refer to IR.
Myomectomy / Hysterectomy
Definitive surgical options — myomectomy preserves uterus; hysterectomy is curative.
Frequently Asked Questions
Do fibroids cause cancer?▾
Uterine fibroids are benign — cancer risk is not increased. Leiomyosarcoma is a separate, rare condition that can mimic fibroids.
Related Topics
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