More fibroid symptoms
Pelvic Pain and Pressure
Over time, uterine fibroids may grow in size and start exerting pressure on the surrounding organs. This condition not only arouses a vague sense of discomfort, but also makes it difficult to lie face down or bend over.
At times, severe pain is experienced in the pelvic region due to the presence of fibroids. Pelvic pain usually occurs when the fibroid tumor undergoes a process called degeneration. The pain is generally persistent and localized, and improves within two to four weeks.
Acute pelvic pain also occurs when the stalk of a pedunculated subserosal or submucosal fibroid twists.
Bladder and Rectal Problems
Growing fibroids can exert pressure on the bladder, thereby reducing its capacity or blocking the outflow of urine. This results in the frequent urge to urinate or, occasionally, a woman may find it difficult to urinate despite having a full bladder.
Uterine fibroids may also press against the rectum, causing problems such as difficulty and pain with bowel movements and a feeling of rectal fullness. In some extreme cases, fibroids may induce the development of hemorrhoids.
Lower Back Pain
Although lower back pain is very common, sometimes fibroids, particularly large subserosal fibroids on the back surface of the uterus, may be responsible for it. Lower back pain occurs when fibroids press against muscles and nerves in the lower back region.
Pain or Discomfort During Sexual Intercourse
Intramural fibroids located in the cervix region are usually responsible for pain or discomfort during intercourse. Sometimes pain may occur only in specific positions or during certain times of the menstrual cycle.
Normally, it is believed that fibroid tumors do not have any effect on fertility and pregnancy, but studies have revealed that in about 3% of women, infertility is caused by uterine fibroids. Mainly large, multiple and pedunculated or stalked uterine fibroids are the real culprits.
Enlarged subserosal uterine fibroids may induce infertility in two ways:
- By compressing the fallopian tubes and blocking the passage of sperm and egg.
- By distorting the pelvic anatomy to such an extent that it becomes difficult for the fallopian tube to capture an egg at the time of ovulation.