Congratulations on your baby!
Fibroids are one of the most common gynaecological problems. They affect 20-25% of women worldwide, and about 3-5 % of women will require surgical removal. Fibroids are generally in one of the 3 locations
- subserosal - fibroids growing from the outer surface of the uterus
- intramural - fibroids growing in the muscle wall of the uterus
- sub mucosal - fibroids growing inside the uterine cavity
Fibroids may cause these three issues
- Heavy periods (menorrhagia) / Abnormal uterine bleeding severe enough to cause iron deficiency anemia.
- Pelvic pain (pressure symptoms): Large fibroids at particular locations can cause these symptoms. Painful periods or painful intercourse may also be associated with the presence of fibroids. Increased frequency of urination OR difficulty opening bowels.
- Sub-fertility (difficulty achieving pregnancy)
Your ultrasound reports a relatively large 'sub serosal 'fibroid (12.8 cms - A newborn baby's head size is about 10 cm). Generally, Subserosal fibroids do NOT distort the endometrial cavity. Intramural and sub mucosal may! You probably need a good quality ultrasound or an MRI to know the precise location of the fibroids.
Finally, You only require treatment if you have symptoms, which I suspect you may be experiencing given the size of the fibroids. You have multiple options for treatment depending on the symptoms, your future pregnancy needs, etc. The chance of a cancerous change in the fibroid is low, however this risk can vary with your etinicy and medical history.
If you get a chance, please read about fibroids on my website page
You should see and follow up with a specialist gynaecologist who is also an expert in fibrois, who can monitor your symptoms and the size of the fibroids and give you the appropriate advice.
Hope this helps
Dr. Yogesh Nikam
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