Uterine Fibroids Symptoms
What are the signs and symptoms of uterine fibroids?
Most women with uterine fibroids don’t have symptoms or need medical treatment. However, if symptoms do occur, they can greatly impact your quality of life and long-term health. The severity of these symptoms is influenced by the fibroids’ location, size, and number. If you suspect you have fibroids, it’s crucial to book a consultation with our doctors at various Fibroid Clinics for a precise diagnosis. Upon confirmation, our team will create a customized treatment plan tailored to your individual needs.
Typical Symptoms of Uterine Fibroids

Abnormal Bleeding
Fibroids attract blood vessels and draw blood from circulation, like a sponge soaking up water. During menstruation, this blood is released, causing heavy bleeding that can last over 7 days and require frequent pad or tampon changes. This is hard to manage, leading some women to avoid going out due to fear of leaks. Fibroids near the uterine cavity are especially linked to excessive bleeding. If the uterus doesn’t contract properly, it may struggle to stop bleeding.
Anemia
Some women experience heavy bleeding from uterine fibroids, which can lead to anemia—a condition caused by a lack of healthy red blood cells. This can result in fatigue, weakness, and shortness of breath. Certain types and locations of fibroids are more likely to trigger bleeding. The good news is that both fibroids and anemia are treatable. With the right care, treatment can relieve symptoms and improve your energy levels and overall quality of life.
Abdominal Discomfort
Many women often mistake fibroid pain for regular menstrual cramps. This pain is usually found in women with large uterine fibroids. Some experience persistent abdominal pain from their fibroids, which can make movement and everyday activities challenging. Additionally, you might feel a heavy or pressured sensation in your lower abdomen, which is more uncomfortable than painful. The large fibroids can press on surrounding organs, leading to back pain, frequent urination, pain during sex, and constipation.
Frequent Urination
A prevalent bladder symptom caused by uterine fibroids is frequent urination. As fibroids enlarge, they can expand the uterus, putting added pressure on the bladder and reducing its overall capacity. This can lead to a stressful and uncomfortable sensation, making you constantly search for a nearby restroom, wake up repeatedly during the night, or alter your daily plans and schedule to accommodate your physical needs and discomfort.
Pain During Intercourse
Uterine fibroids can cause discomfort or pain during sex, which may vary depending on the fibroid’s size and location. This pain might occur only in certain positions or during specific times in the menstrual cycle, such as before or during your period. In addition to affecting physical well-being, it can impact emotional intimacy and strain relationships. If your doctor doesn’t mention this symptom during your visit, it’s important to bring it up for proper evaluation and support.
Severe Menstrual Cramps
Fibroids can cause painful cramping in the abdomen and back, along with heavy, irregular bleeding. Uterine contractions during menstruation are triggered by prostaglandins—chemicals that cause pain and inflammation. Fibroids often raise prostaglandin levels, leading to more intense cramps. In some cases, menstrual blood flows backward into the abdominal cavity (retrograde menstruation), irritating surrounding tissues and worsening the pain.
Do You Experience Symptoms of Fibroids?
Take Risk Assessment NowInitial Symptoms of Fibroids
Uterine fibroids are non-cancerous growths that frequently show no symptoms in the beginning. In many cases, these growths can develop slowly and go unnoticed for a long period. Many women may not realize they have fibroids because the early signs are subtle, mild, or can easily be mistaken for other common health conditions. Initial signs might include:
- Slight discomfort in the pelvic area
- Slight discomfort in the pelvic area
- Intense or extended menstrual flow
- Experiencing spotting or bleeding between menstrual cycles
Symptoms of Advanced Fibroids
- Intense pain in the pelvic area, abdomen, and/or back
- Discomfort during sexual activity
- Regular need to urinate and/or difficulty with bowel movements
- Heavy and extended menstrual bleeding
- Anemia and its related symptoms.
Fibroid FAQ
Can fibroids develop into cancer?
Uterine fibroids are generally non-cancerous, with cancerous ones being extremely rare, occurring in fewer than one in 1,000 cases. The rare cancerous fibroid is called uterine leiomyosarcoma (ULMS). Most women with fibroids do not show symptoms, and only a small fraction will need medical intervention. Having uterine fibroids does not raise your risk of developing a cancerous fibroid or other uterine cancers.