Fibroids are usually benign cell proliferations in the female uterus, affecting approximately one in four women. The exact cause is unknown, but there are effective treatment options.

What is a fibroid?

Fibroids are benign muscle tumors usually round, which occur in the uterus (myometrium), usually are not life threatening, but may affect the quality of life considerably. The most common benign uterine tumor is leiomyoma, which consists of smooth muscle fibers. Furthermore, fibro-, adeno-and rhabdomyoma be distinguished that involve each growths cells of other tissues such as skeletal or glands. Also, depending on the situation in the uterine fibroids are grouped into different groups.


While fibroids may as a single node (solitary fibroids) occur, but usually occur in large numbers on the uterus and may vary by location and size (some up to 20 centimeters) cause varying degrees of discomfort. Increased or prolonged menstrual bleeding, irregular bleeding, pain and a feeling of pressure in the abdomen as the first symptoms. The size of the tumors can also cause problems with urination or bowel movements, sexual intercourse or by pressure on nerve endings to pain in the legs and back. In addition, you may experience anemia and problems in pregnancy (preterm labor, complications during implantation of the embryo,). Fibroids are common benign tumors in women and usually occur between the 35th and 50 Of age. 25 percent of women over 30 suffer from uterine fibroids, which really only occur in about a quarter of complaints. The malignant form of the fibroid is myosarcoma.


Fibroids usually develop from an immature muscle cell near a blood vessel and grow faster than the rest of the cells around it. But what exactly causes fibroids and why are growths in the uterus is not clear. Of the three proposals is an inherited predisposition, and observations indicate that estrogen stimulates the growth of tumors: young girls before puberty do not have any fibroids and menopause result in any new form or more already existing back. Furthermore, different frequencies are found in different cultures. Sun African and West Indian women suffer from fibroids for example, more likely to be European. Diagnosed with a fibroid will remain undetected by an adequate medical history performed by palpation, in which, however, little lumps. Certainty given the patient by an ultrasound or a uterus or laparoscopy.


Fibroids require no treatment and usually rarely develop into malignant tumors. The therapy is therefore based on the complaints posed by the proliferation of various sizes and limit the quality of life. Small fibroids are observed by means of ultrasound to detect as early enough changes. Moreover, treated with anti-inflammatory drugs or prepared by one of the menopause hormone therapy similar situation. The side effects are those of the menopause with hot flashes and osteoporosis are very similar, in addition, the proliferation after cessation of therapy, again increase to its original size.

Fibroids are too large, they must be surgically removed. Starting from the age of the patient, their family planning and the size of fibroids can be made between two methods. When Hystorektomie the fibroid is removed together with the entire uterus, which has resulted absolute sterility. The second variant is the Enucleation of the fibroid from the uterus, which today is already possible without laparotomy.
There is also the possibility of fibroids by means of ultrasonic heating or the injection of small gelatin or plastic particles (Myomverödung) to control and to hold the patient Sun symptom free.