Fibroids overview and Definition

The fibroids are the non cancerous growth that tend to develop in and around the uterus. The growth is made of the fibrous and muscle tissue. They are also known as leiomyomas and uterine myomas.

Structure of Fibroids

Fibroids are generally classified by their location. Intramural fibroids grow within the muscular uterine wall. Submucosal fibroids bulge into the uterine cavity. Subserosal fibroids project to the outside of the uterus

Clinical signs & symptoms

Heavy menstrual bleeding

Menstrual periods lasting more than a week

Pelvic pressure or pain

Frequent urination

Difficulty emptying the bladder


Backache or leg pains

Differential Diagnosis

Uterine fibroids are detected during routine the pelvic examination. The diagnosis are as follows:


The ultrasound uses sound waves to get the best image of the uterus.

A physician might place the ultrasound device which is called as the transducer over the abdomen that is the transabdominal region or places it inside the vagina (transvaginal) to get the images of the uterus.

Lab tests:

If the patient has abnormal menstrual bleeding the physician might see to the complete blood count to determine the presence of anaemia because of chronic blood loss and other blood tests to rule out bleeding disorders or thyroid problems.

Other tests are follows:

Magnetic Resonanace Imaging(MRI):

This test provides the more detail the size and location of fibroids and also detect the different type of tumours and help to determine the final treatment. An MRI scan is very much useful in women with a larger uterus or in women who is under  going menopause.


It is also called as saline infusion sonogram which uses sterile saline to expand the uterine cavity making it easier to get the images of submucosal fibroids and lining of the uterus in women  attempting pregnancy or who have heavy menstrual bleeding.


The physician might inserts small, lighted telescope called as hysteroscope through the cervix in the uterus.  The physician might use saline water for irrigation to get the best view of the uterus and fallopian tube.


The sound waves are used to get the pictures of the uterus to confirm the diagnosis to map and measures the size of the fibroids.
Fibroids are typically rounded growths that can look like nodules of the smooth muscles. In some cases, they can be attached with a thin stem, giving them a mushroom-like appearance.

FIGO classification of the uterine fibroids:

Stage 0: A sub mucosal pedunculated intra uterine cavity fibroid

Stage 1:  A  sub mucosal located less than 50% intra murally

Stage 2: A submucosal located greater than 50% intra morally

Stage 3: A fibroid which is 100% interstially or intra morally located in contact with the endometrium

Stage 4: A fibroid which is completely interstially or intra morally located.

Stage 5 : A sub serosal fibroid which is greater than or equal to 50% intra morally located

Stage 6 : A sub serosal fibroid which is less than 50% intra murally located

Stage 7: a sub serosal  pedunculated fibroid

Stage 8: others, parasite( round cervical ligament , large ligament)


Mostly the uterine fibroids shrink when the women attains the menopause.

If the fibroid are concerned only to localized area the 5 year survival rate is 63%

If it is malignant then the 5 year survival rate is 34%.


Maintain healthy lifestyle

Reduce the weight

Consume healthy diet

Follow healthy lifestyle

Delay in attending age

Have regular pelvic examination.