Fibroids - What will happen?

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If you have fibroids, you may wonder what will happen to you. A lot depends on whether you have treatment. Here's what we know from the research.

If you don't have treatment

  • If you don't have any symptoms, you may never have any problems from your fibroids.[2]
  • Your fibroids could stay the same size for at least a year.[3]
  • If your fibroids are growing, waiting to treat them could make surgery harder on you and more difficult for your surgeon to do because they've got bigger.[4]
  • Your fibroids are unlikely to stop you getting pregnant.[5] For more, see Fibroids and getting pregnant.
  • If you're pregnant, your fibroids are unlikely to cause any problems. They'll probably stay the same size or even shrink during your pregnancy.[1] For more, see Fibroids and pregnancy.
  • Your fibroids will probably shrink when you go through the menopause.[2]

If you have treatment

  • Your fibroids are likely to grow back soon after you stop taking hormone treatments.[6]
  • Fibroids may grow back after surgery to remove them (called a myomectomy).[7]
  • You still have a good chance of getting pregnant after having surgery to remove fibroids.[5]
  • Most women who've had surgery to remove their womb (called a hysterectomy) say it made their life better because they didn't have symptoms anymore.[8] But you can't get pregnant after this surgery.

References

  1. Lumsden MA, Wallace EM. Clinical presentation of uterine fibroids. Baillieres Clinical Obstetrics and Gynaecology. 1998; 12: 177-195.
  2. DeWaay DJ, Syrop CH, Nygaard IE, et al. Natural history of uterine polyps and leiomyomata. Obstetrics and Gynecology. 2002; 100: 3-7.
  3. Carlson KJ, Miller BA, Fowler FJ Jr. The Maine Women's Health Study: I. Outcomes of hysterectomy. Obstetrics and Gynecology. 1994; 83: 556-565.
  4. Hillis SD, Marchbanks PA, Peterson HB. Uterine size and risk of complications among women undergoing abdominal hysterectomy for leiomyomas. Obstetrics and Gynecology. 1996; 87: 539-543.
  5. Seracchioli R, Rossi S, Govoni F, et al. Fertility and obstetric outcome after laparoscopic myomectomy of large myomata: a randomized comparison with abdominal myomectomy. Human Reproduction. 2000; 15: 2663-2668.
  6. Friedman AJ, Hoffman DI, Comite F, et al. Treatment of leiomyomata uteri with leuprolide acetate depot: a double-blind, placebo-controlled, multicenter study. Obstetrics and Gynecology. 1991; 77: 720-725.
  7. Royal Free Hospital. Myomectomy. Available at http://www.fibroids.uk.net/myomectomy.htm (accessed on 23 June 2007).
  8. Lumsden MA. Embolization versus myomectomy versus hysterectomy: which is best, when? Human Reproduction. 2002; 17: 253-259.

Glossary

menopause
When a woman stops having periods, it is called the menopause. This usually happens around the age of 50.

© BMJ Publishing Group Limited ("BMJ Group") 2007. All rights reserved

This information does not replace medical advice. If you are concerned you might have a medical problem please ask your Boots pharmacy team in your local Boots store, or see your doctor.

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