Uterine fibroids are non-cancerous growths of the uterus that affect many women during their reproductive years. Despite being common, fibroids are often diagnosed late, after years of heavy bleeding, anaemia, pain, and disrupted daily life.

Fibroids vary in size, number, and location. These differences explain why some women have severe symptoms while others have none.

How fibroids cause symptoms

Fibroids can distort the uterine cavity, increase surface area for bleeding, and trigger inflammation. Large fibroids may press on nearby organs, causing pelvic pressure, frequent urination, constipation, or back pain.

Common symptoms

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Abdominal bloating or enlargement
• Frequent urination or constipation
• Fertility or pregnancy complications in some cases

Why anaemia is a hidden danger

Chronic heavy bleeding can lead to iron-deficiency anaemia, causing fatigue, dizziness, shortness of breath, and reduced concentration. Treating fibroids without addressing anaemia leaves patients depleted.

Treatment is not one-size-fits-all

Management depends on symptoms, fibroid size/location, age, fertility plans, and overall health. Options range from monitoring and medication to procedures and surgery.

When urgent care is needed

• Bleeding causing fainting or severe weakness
• Sudden severe pelvic pain
• Rapidly enlarging abdominal mass

Bottom line: Fibroids are treatable. Early evaluation preserves health, fertility options, and quality of life.