🎯 Fibroids Explained — Episode 3

Fibroids and Heavy Menstrual Bleeding

One of the most common reasons women with fibroids seek medical attention is heavy menstrual bleeding.

However, not all fibroids affect menstrual bleeding in the same way.

The impact largely depends on the location of the fibroid within the uterus.

These fibroids develop just beneath the lining of the uterine cavity and are the type most strongly associated with heavy menstrual bleeding.

Even relatively small submucous fibroids can cause:

This is because they distort the uterine cavity and can interfere with normal mechanisms that control menstrual bleeding.

Intramural fibroids grow within the muscular wall of the uterus.

When they become large or extend toward the uterine cavity, they may contribute to:

The effect is generally less pronounced than with submucous fibroids but can still be clinically significant.

Subserosal fibroids grow on the outer surface of the uterus.

These fibroids are least likely to cause heavy menstrual bleeding because they do not directly affect the uterine cavity or its lining.

Instead, they are more commonly associated with:

When a woman with fibroids presents with heavy menstrual bleeding, the first question is not:

"How big is the fibroid?"

But rather:

"Where is the fibroid located?"

The location of a fibroid often has a greater impact on bleeding symptoms than its size alone.

Dr Rabab Cares ❤️

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