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Uterine fibroids

Leiomyoma uteri · Děložní myomy

female only

What it is

Benign muscle tumours; up to 70% of women have them by 50.

Symptoms & signs

  • Heavy prolonged periods
  • pelvic pressure
  • frequent urination
  • constipation
  • back ache
  • infertility or miscarriage

🚩 Get help if…

  • call 112 / 911 now Very heavy bleeding soaking a pad an hour with dizziness
  • call 112 / 911 now Sudden severe pelvic pain with fever
  • see a doctor soon Heavy periods with tiredness or breathlessness (anaemia)
  • see a doctor soon Fast-growing pelvic swelling, or bleeding after menopause

Where it strikes

Medical treatment

  • Tranexamic acid
  • hormonal IUD
  • GnRH antagonist combos (relugolix)
  • myomectomy
  • uterine artery embolisation
  • hysterectomy
  • MRI-guided focused ultrasound — FDA-approved 2004
  • radiofrequency ablation (Acessa, Sonata) — FDA-cleared

Natural & lifestyle

  • Iron repletion for anaemia
  • vitamin D
  • weight management
  • green tea extract (early evidence)

Emerging & experimental

  • Non-hormonal medical therapy

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Traditional Chinese formulas (Guizhi Fuling) — Chinese trials early / small studies
  • Curcumin — laboratory data and small studies early / small studies
  • Castor-oil packs and 'fibroid-shrinking' herbs — anecdotal anecdotal / traditional

ICD codes