Intramural Fibroids: Treatment, Types & Symptoms

What Are Intramural Fibroids?

Intramural fibroids are a type of uterine fibroids that develop within the muscular wall of the uterus, known as the myometrium. These fibroids grow horizontally and can cause the uterus to enlarge, leading to various symptoms depending on their size, number, and location within the uterine wall.

Types of Intramural Fibroids

Intramural fibroids can be classified based on their location within the uterine wall. There are three main types of intramural fibroids outlined below.

Fundal Intramural Fibroid

These fibroids are positioned near the top of the uterus (fundus). Their location can affect fertility or cause complications during pregnancy by obstructing the fallopian tubes or disrupting the embryo's implantation.

Anterior Intramural Fibroid

Situated on the front wall of the uterus, anterior intramural fibroids might lead to symptoms like pelvic pressure, frequent urination, or difficulty with bowel movements due to their proximity to the bladder and intestines.

Posterior Intramural Fibroid

These fibroids develop on the back wall of the uterus, potentially causing back pain, discomfort during bowel movements, or pressure on the spine or nerves due to their position close to the intestines and spine.

Causes of Intramural Fibroids

While the exact causes of intramural fibroids remain unclear, several factors may contribute to their development:

• Hormonal Imbalance: Fibroids are influenced by estrogen and progesterone, two hormones that stimulate the growth of the uterine lining. When these hormone levels are elevated, it may increase the risk of fibroid formation.
• Genetic Factors: A family history of fibroids increases the likelihood of developing them. Women with a genetic predisposition are more prone to fibroid growth.
• Environmental Factors: Exposure to certain environmental toxins, chemicals, and endocrine-disrupting substances can affect hormone levels, potentially contributing to fibroid growth.
• Abnormal Cell Growth: Some research suggests that the presence of abnormal cells within the uterine wall may lead to the formation of intramural fibroids.

Do Intramural Fibroids Cause Pain?

Some women with intramural fibroids may experience pelvic or lower back pain, particularly when the fibroids grow larger or press against nearby organs. Additionally, fibroids can cause discomfort during intercourse.

Do Intramural Fibroids Cause Bleeding?

Yes, intramural fibroids can cause heavy or prolonged menstrual bleeding. Because they grow within the uterine wall, they can interfere with the uterus's ability to contract and shed the endometrial lining, leading to excessive or irregular bleeding.

Other Symptoms of Intramural Fibroids

The symptoms associated with intramural fibroids can vary depending on their size, number, and location within the uterine wall.

Smaller fibroids may go unnoticed in some cases, while larger fibroids can lead to disruptive symptoms that affect daily life.

Along with pain and heavy bleeding, other common fibroid symptoms include:

• Prolonged periods lasting longer than seven days.
• Pelvic pressure.
• Severe cramping during menstruation.
• Frequent urination or difficulty emptying the bladder.
• Constipation or discomfort during bowel movements.
• Abdominal bloating or noticeable increase in abdominal size.
• Anemia and fatigue due to excessive blood loss.
• Bleeding between menstrual cycles.

Intramural Fibroids and Pregnancy

Depending on their size and location, intramural fibroids can impact your ability to conceive and may lead to complications during pregnancy.

Can You Get Pregnant with Intramural Fibroids?

Yes, you can get pregnant with intramural fibroids. However, fibroids may interfere with conception by:

• Blocking the fallopian tubes and preventing fertilization.
• Altering the shape of the uterus, making it difficult for a fertilized egg to implant.
• Affecting the uterine lining, potentially disrupting early pregnancy.

Can Intramural Fibroids Cause Miscarriage?

During pregnancy, fibroids may grow larger due to increased estrogen levels. While the risk of miscarriage is minimal, larger fibroids can increase the chances of pregnancy loss, particularly during the first trimester.

Do Intramural Fibroids Cause Infertility?

In some cases, large intramural fibroids can cause temporary infertility by obstructing the fallopian tubes or altering the shape of the uterine cavity. Treating these fibroids through minimally invasive options can help restore fertility in many cases.

How Are Intramural Fibroids Diagnosed?

Typically, there are two ways to diagnose fibroids:

1. Ultrasound

Ultrasound imaging is the most commonly used non-invasive technique to confirm the presence of intramural fibroids. It provides valuable information about the size, location, and number of fibroids.

2. MRI (Magnetic Resonance Imaging)

MRI is often used for a more detailed view of fibroids, particularly for patients considering UFE or other advanced treatment options.

Intramural Fibroid Treatment

There are different ways to treat intramural fibroids, fitting each person's needs. One good option is Uterine Fibroid Embolization (UFE), which is less invasive and works well.

During UFE, doctors aim to make fibroids smaller by stopping their blood supply. Here's what happens:

1. Doctors use MRI or ultrasound to find and check the fibroids.
2. With local anesthesia, they make a small cut in the groin or wrist to reach the uterus artery. They put tiny particles into the artery using special imaging, blocking blood flow to the fibroids.
3. Without blood, fibroids shrink over time, easing symptoms.

UFE is a better option than traditional surgery for most women due to its minimal incision, reducing complications and expediting the healing process. It preserves the uterus, making it an ideal choice for those aiming to conceive or avoid a hysterectomy. Additionally, research indicates that UFE effectively addresses issues such as pelvic pain, heavy periods, and urinary challenges associated with fibroids.

Alternative treatments, including medications that alleviate symptoms without directly reducing fibroid size, are also available.

Surgical options, like myomectomy (removing fibroids while preserving the uterus) or hysterectomy (complete removal of the uterus), become considerations for severe cases or situations where maintaining fertility is not a priority.

Eliminate Intramural Fibroid Symptoms in Georgia

Don’t let fibroid symptoms affect your everyday life. Let us guide you toward relief and improved quality of life.

At Georgia Fibroids in Atlanta, we specialize in evaluating and customizing treatment plans to address intramural fibroids and their impact on your life. Our goal is to offer practical solutions while prioritizing your comfort and well-being.

If you're experiencing symptoms related to intramural fibroids or seeking guidance on suitable treatment options, schedule a consultation with Georgia Fibroids today.

Trust Georgia Fibroids for personalized care and advanced solutions to manage intramural fibroids effectively. Your health matters to us.

Understanding Uterine Fibroids: