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Subserosal Fibroids

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What Are Subserosal Fibroids?

A subserosal fibroid, also known as a subserosal leiomyoma, is a non-cancerous tumor that develops on the outer surface of the uterus, beneath the serosa. These fibroids may be attached directly to the uterine wall or connected by a slender stalk (pedunculated). Unlike other types of uterine fibroids, subserosal fibroids typically do not cause heavy bleeding but can lead to intense pelvic pain. They can vary in size and exert pressure on nearby organs such as the bladder, rectum, and intestines. Although uterine fibroids rarely turn cancerous and are generally not life-threatening, subserosal fibroids can cause various uncomfortable symptoms. If you think you may have subserosal fibroids, it is important to consult a fibroid clinic. A specialist there can evaluate your symptoms, provide an accurate diagnosis with advanced technology, and develop a tailored treatment plan for you.

Signs of Subserosal Fibroids

In contrast to intramural and submucosal fibroids, subserosal fibroids develop on the outer surface of the uterus. This location results in different symptoms. As they expand, subserosal fibroids often lead to bulk-related issues like pelvic pain, bloating, and urinary incontinence by exerting pressure on adjacent organs or structures. Typical symptoms include:
  • Frequent urination
  • Feeling of heaviness or fullness
  • Abdominal pain or cramping
  • Bloating or constipation
  • Lower back or leg pain (sciatica)
  • Pelvic pain
  • Pain during sexual intercourse

Reasons for Subserosal Fibroids

The precise cause of subserosal fibroids remains unclear. Nevertheless, research suggests that genetics and hormones may contribute to a higher risk of developing fibroids. Elevated estrogen levels can lead to increased growth and more severe symptoms of fibroids. Additionally, women of African American descent are three times more likely to develop fibroids compared to other racial groups. Typically, fibroids affect 70-80% of women during their reproductive years, from puberty to menopause.


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How are subserosal fibroids identified?

Fibroids are typically detected during a standard pelvic exam with your gynecologist. To confirm the diagnosis, imaging tests like ultrasound and MRI are utilized. Subserosal fibroids, which can be difficult to locate due to their placement and size, are most accurately diagnosed with an MRI. This imaging technique employs magnets and radio waves to create detailed images, aiding your doctor in differentiating between fibroids and adenomyosis, a condition that is often incorrectly diagnosed. If subserosal fibroids are found, our specialists at different fibroid clinics will provide appropriate treatment for your condition.

Do You Experience Symptoms of Fibroids?

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Non-Surgical Treatment For Subserosal Fibroids

It’s important to address your subserosal fibroids to alleviate painful symptoms and prevent complications. At our fibroid clinics, our doctors offer Uterine Fibroid Embolization (UFE), a minimally invasive procedure guided by imaging. UFE involves making a small incision in the wrist or groin to block the blood supply to the fibroids, leading to their shrinkage and eventual death. This procedure is performed on an outpatient basis, allowing patients to go home the same day. Unlike traditional surgeries such as hysterectomy or myomectomy, UFE preserves the uterus and leaves no scarring. Contact a fibroid clinic near you to find out more about the UFE procedure today.

What to Anticipate from Uterine Fibroid Embolization

  • The uterus remains undamaged
  • No need for hospitalization
  • Less invasive compared to major surgery
  • Alleviates symptoms associated with fibroids
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