Signs & Symptoms of Uterine Fibroids
Fibroids, even large ones, can be present without any symptoms.
However, they can also cause a variety of symptoms depending on their size, location and the absence or presence of complications such as torsion (twisting) or degeneration (fibroid grows to an extent that it starts running out of its blood supply).
The most common symptoms are heavy cyclical menstrual bleeding (menorrhagia) accompanied by menstrual pain (dysmenorrhea).
Sometimes, especially when a fibroid protrudes into the uterine cavity, it can cause erosion of the endometrial lining and produce irregular or continuous bleeding (meno-metrorrhagia).
Other possible symptoms include pain with deep penetration during intercourse (dyspareunia), bladder irritability, rectal pressure, constipation and painful bowel movements (dyschezia).
How Do Fibroids & Uterine Abnormalities Affect Fertility
Fibroids and uterine abnormalities may play a role in hampering a couple’s ability to conceive.If the fibroids are in the uterine cavity or push on the fallopian tubes, they can affect a woman’s fertility. However, it is not clear whether fibroids in the uterine muscle affect fertility if they do not directly influence the movement of sperm, egg, or embryo.
Changes in the position of the cervix (the vaginal opening to the womb) from the fibroids above may affect the number of sperm that can travel through the cervix.
Changes in the shape of the uterus can interfere with sperm movement.
Changes in the uterine muscle which prevents movement of the sperm or embryo.
Inflammation in the wall of the uterine cavity which can affect implantation.
Effects on the blood flow to the uterine cavity where the embryo would implant.
Blockage of the fallopian tubes by the fibroids.
The egg and tube are separated by fibroids and the egg cannot find its way into the tube.