Fibroids, Cysts & Endometriosis
Fibroids are benign (non-cancerous) lumps that grow in the uterus, arising from the muscle fibers of the uterus wall. Fibroids are relatively common and may affect up to 25% of women. Most fibroids are small, grow slowly, and may not need to have any treatment, especially if they are not causing any symptoms. However larger fibroids can cause pain, heavy bleeding or pressure symptoms and a variety of treatment methods are available, including medication, high-intensity ultrasound and surgery. They are usually diagnosed with ultrasound in the clinic.
Cysts are collections of fluid that usually occur in the ovaries. Most ovarian cysts are benign and smaller ones may be treated with hormonal medication like the contraceptive pill. Larger cysts may require surgery, usually by laparoscopic (keyhole) approach. Many women with ovarian cysts are not aware that they have them and may be asymptomatic. Larger cysts usually result in a swelling that is noticeable in the lower abdomen or can cause pain
Endometriosis is a condition in which the uterine lining which sheds with menstrual periods, becomes deposited in other parts of the body, particularly affecting the ovaries and the pelvis. This can result in the development of “chocolate cysts” in the ovaries, so called because they contain old blood and tissue which resembles melted chocolate. Inflammation in the surrounding tissue and can affect fertility. Typically, women with endometriosis suffer with painful, heavy periods, painful sex and also often feel a pulling pain in the anus with bowel movements.