A myomatous uterus, which is a benign mass of tissue, may cause symptoms such as abnormal menstrual bleeding, abdominal pressure or pain, swelling, and infertility. Symptoms vary depending on the size and location of the mass, and it’s important to consult a doctor for evaluation.
A myomatous uterus, in which there is a benign mass of tissue known as a myoma or fibroma, may or may not have symptoms. Whether or not a person experiences symptoms depends largely on the size and location of the tissue mass. When symptoms are present, they typically include unusual menstrual bleeding, abdominal pressure or pain, abdominal swelling, and infertility problems. The location of the myoma could also cause secondary complications that bring their own set of symptoms.
A woman who has a myomatous uterus may experience excessively heavy, long, or painful menstrual bleeding. You might also experience spotting between menstrual periods. These specific symptoms are often indicative of a submucosal myoma, which means that the mass is growing on the inner lining of the uterus, known as the endometrium. Excessive bleeding from this condition could cause a secondary case of anemia where there is not enough oxygen in the bloodstream. Anemia has its own symptoms, including paleness, fatigue, and feeling short of breath.
Another symptom that could indicate a myomatous uterus is a feeling of pressure in the abdominal area. Depending on the location and size of the myoma, a woman may feel as if something is pressing on the lower back, intestines, or bladder. If the pressure is on the bladder, this can lead to urinary frequency. If the myoma presses on the urethra, blocking the normal flow of urine, a woman may have difficulty urinating despite feeling urgent. When myoma presses on the intestines, in addition to discomfort, the condition could also cause constipation.
Depending on the size and location of the myoma, a myomatous uterus could cause swelling of the abdomen. This is usually due to an enlargement of the uterus itself. If the swelling is more localized, it could indicate a subserous myoma, which means that the tissue mass is located on the outer wall of a woman’s uterus.
Infertility problems can be both a symptom and a complication of this disorder. Depending on the location of the myoma, it can interfere with the proper implantation of an egg inside the uterus. This can make it difficult for a woman to conceive. In cases where a woman is already pregnant, myoma could cut off blood flow to the placenta or hinder the development of the fetus, resulting in miscarriage or stillbirth.
Symptoms of a myomatous uterus, when present, are similar to symptoms of other conditions as well. Consequently, it is important for a woman experiencing these types of symptoms to have them evaluated by a qualified physician. Also, because symptoms can vary from person to person, it’s important for a woman to take careful note of any changes or irregularities, no matter how subtle, and notify her doctor accordingly.
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