fibromes

Fibromes are benign (non-cancerous) growths that develop in the uterine muscle, primarily in women who have had multiple pregnancies. They are also known as leiomyomas or uterine fibroids. These growths can vary in size, from small to large, and may cause symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowel. The exact cause of fibromes is not fully understood, but they are believed to be influenced by hormonal factors, particularly estrogen and progesterone.

Diagnosis of fibromes typically involves a physical examination, pelvic ultrasound, and sometimes a hysterosalpingogram or MRI. Treatment options depend on the severity of symptoms and may include medication, minimally invasive procedures, or surgery. Medications such as hormonal therapies, nonsteroidal anti-inflammatory drugs (NSAIDs), or gonadotropin-releasing hormone (GnRH) agonists can help manage symptoms. Minimally invasive procedures like uterine artery embolization (UAE) or myomectomy can remove or shrink fibromes without a full hysterectomy. Surgical options include myomectomy, which removes the fibromes, and hysterectomy, which removes the uterus.

Fibromes are generally not life-threatening, but they can significantly impact a woman's quality of life. Management focuses on relieving symptoms and preventing complications. Regular follow-up with a healthcare provider is important to monitor the growth and progression of fibromes. In some cases, fibromes may resolve on their own, especially in younger women, but they can persist or grow in size over time.