“Gynecologic surgeon Sandra Laveaux, MD, MPH, talking with a patient

Fibroids are treatable.

Our experts will support you in choosing the best treatment option for you.

What are fibroids?

Uterine fibroids are benign (noncancerous) growths in the muscle walls of the uterus. Also called leiomyoma or myoma, fibroids can be as small as an apple seed or as big as a grapefruit — sometimes even bigger. Fibroids may occur individually or as a cluster. They often increase in size and frequency with age, but may shrink slightly after menopause.

At the Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids, we create personalized care and treatment plans designed to:

  • Remove fibroids
  • Shrink fibroids
  • Manage and treat fibroid symptoms

Whether your symptoms are mild and manageable or you’re in urgent need of relief, our experts at the CATeR Fibroid Center are ready to help.

About Uterine Fibroids

Are You Having Symptoms

If you think you may have fibroids, discuss your symptoms with a specialist who can help.

Gynecologists Who Treat Uterine Fibroids
Advanced Care & Second Opinions

If your fibroid symptoms are severe or seem unmanageable, discuss treatment options with our advanced care specialists at the CATeR Fibroid Center.

CATeR Fibroid Center Care Team

Fibroid symptoms can vary significantly from person to person. Some women experience severe symptoms, while others have no symptoms at all. Oftentimes, women who do not have symptoms at first may begin to experience symptoms as the fibroid grows.

Common symptoms of fibroids include:

  • Abdominal distension or bloating
  • Anemia (low count of healthy red blood cells)
  • Heavy bleeding, cramping or clotting during periods
  • Infertility or difficulty getting pregnant
  • Pain during sexual intercourse
  • Pain or pressure in the abdomen or lower back
  • Prolonged periods (consistently more than seven to eight days)
  • Urinary problems, such as the need to urinate frequently, and rarely, leakage or inability to empty the bladder
  • Vaginal bleeding between periods
Fibroids are often detected when a physician feels a firm mass during a patient's pelvic exam. Tests, such as ultrasound or magnetic resonance imaging (MRI), may help your physician determine if you have fibroids. Patient-reported symptoms, such as those listed above, may prompt your provider to order a pelvic ultrasound. That's the most common way fibroids are found. Bleeding through your clothing, passing clots or soiling your bedding are not normal. If you have these symptoms, request an ultrasound.
Team of general gynecologists at UChicago Medicine in Hyde Park
Illustration by Sandra Laveaux, MD, MPH

Fibroids are classified based on how and where they grow:

  • Intramural fibroids are embedded within the uterine wall. Symptoms include pelvic pressure, frequent urination, heavy bleeding, prolonged periods and cramping or clotting during periods.
  • Pedunculated fibroids branch out from the interior (pedunculated submucosal) or exterior (pedunculated subserosal) surface of the uterine wall. Protruding out on a stem of tissue, these fibroids can shift and even twist, causing pelvic pain and pressure.
  • Submucosal fibroids grow on the interior surface of the uterine wall, just beneath the inner lining of the uterus (endometrium). They are commonly associated with heavy bleeding. This type of fibroid is generally the least likely to occur.
  • Subserosal fibroids grow on the exterior surface of the uterine wall, often causing pelvic pain and pressure.

What is the best treatment for fibroids?

A treatment option that works for a friend, sister or mother may not work for your unique situation. It is important to take a holistic account of what your lifestyle goals are, so that we may partner with you to achieve them.

Q&A: Don't suffer in silence: Get answers about fibroid symptoms and treatment

In addition to your symptoms, age and the number, size and location of your fibroid tumor(s), there are many things to consider when choosing the best treatment option.
Are You Having Symptoms

If you think you may have fibroids, discuss your symptoms with a specialist who can help.

Gynecologists Who Treat Uterine Fibroids
Advanced Care & Second Opinions

If your fibroid symptoms are severe or seem unmanageable, discuss treatment options with our advanced care specialists at the CATeR Fibroid Center.

CATeR Fibroid Center Care Team

In some cases, there are effective ways to treat fibroids without surgery.

Your doctor can help you understand whether nonsurgical treatment may be possible for you.

Depending on your symptoms, your medical history and your health goals, options for nonsurgical fibroid treatment may include:

 

Hysterectomy is effective, but it is not the only option for treating uterine fibroids. There are alternative treatments available that allow you to keep your uterus and/or preserve your ability to conceive in the future.
In most cases, our gynecologic surgeons can perform fibroid removal surgery — including myomectomy and hysterectomy — using laparoscopic or robotic techniques without cutting you open.
A diagnosis of uterine fibroids does not mean you can’t have children. Whether you need preconception and fertility counseling or want to explore options to preserve your fertility to plan a pregnancy after fibroid treatment, our experts are ready to help.

Life-Changing Care That’s Integrative, Not Isolated

We understand that having fibroids is more than heavy bleeding and painful cramps and can sometimes impact your health in more complicated ways. At the CATeR Fibroid Center, our team often partners with other University of Chicago Medicine experts to design treatment plans specific to your unique combination of health challenges, including:

Coping with Fibroid Symptoms and Treatment

Treating symptoms is important, but we also believe in thinking more broadly about how fibroids impact your life and how our experts can help. From managing pain, heavy bleeding and other symptoms to understanding and making treatment decisions, having fibroids can contribute to stress, anxiety and depression, taking a toll on your overall mental health and wellbeing.

At the CATeR Fibroid Center, we collaborate with psychologists, psychiatrists and vetted resources to offer counseling services and social support. Maintaining your mental health and wellness is a crucial component to successfully managing and treating your uterine fibroids.


Request an Appointment

The information you provide will enable us to assist you as efficiently as possible. A representative will contact you within one to two business days to help you schedule an appointment.

You can also make an appointment with our providers by:

Scheduling a virtual video visit to see a provider from the comfort of your home

Requesting an online second opinion from our specialists

Filling out an online questionnaire (e-visit) to get a same-day diagnosis and treatment for common conditions.

To speak to someone directly, please call 1-888-824-0200. If you have symptoms of an urgent nature, please call your doctor or go to the emergency room immediately.

 

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Uterine Fibroids