a hysterectomy. Grace, who’d never had surgery, wasn’t ready for that option so she decided to wait it out to see if the fibroids grew.
“I was like OK what can I do In the meantime,” Grace says.
She opted to take birth control to manage her symptoms. “Once I got on the pill, my pain was still there but it was slightly reduced. And then every time my period came, I would start taking medication a few days prior – like my ibuprofen. It also regulated my cycle so every time I knew when to expect it, so it lightened up,” Grace notes.
The pain was reduced just slightly enough to allow Grace to go to school normally.
Eventually, Grace sought the advice of another doctor. She was given two options: a hysterectomy (a surgical operation to remove all or part of the uterus) or a myomectomy (an operation to remove fibroids while preserving the uterus).
Although a hysterectomy would have eliminated Grace’s problem altogether, she wanted to have children so she opted to continue with natural alternatives, such as dieting and exercising throughout her schooling.
Exercising helped her combat the lack of energy she had due to low iron, however, she noticed that her stomach was growing larger.
“My doctor told me my uterus had stretched to the size of a six-month pregnancy and the size was like 21 centimeters,” Grace shares. “My clothes didn’t fit right. I was constantly shopping for new clothes because I just felt like oh this doesn’t look good on me.”
She ultimately decided to go through with a myomectomy, which allowed her to preserve her uterus and still be able to conceive. After the surgery, her uterus went back to the normal size of six centimeters.
She did experience some relief, but it was short-lived. Last year, Grace’s fibroids returned. She hasn’t decided on her next method of treatment, but as she weighs her options, she is looking at non-invasive options instead of going under the knife again. One option she is considering is uterine fibroid embolization (UFE), which wasn’t an option for her before due to the size of her fibroids. UFE is a minimally invasive procedure used to block blood flow to fibroid tumors, causing them to shrink.
Grace’s advice to women living with fibroids
- Find the right doctor. “Find a good doctor that you feel listens to you, understands you and you connect with and try to get those symptoms treated as soon as you can.”
- Find a therapist. “Finding a therapist to help you through what you go through –that’s really important– because having fibroids really affects you mentally…and it adds a lot of stress to your life.”
- Find a community. “Finding a community also is very important. I would tell women to find other communities out there that can provide resources.”
Grace recommends The Uterine Health Guide, a digital repository created by Sumitomo Pharma America (formerly Myovant Sciences) and Pfizer that contains information about menstrual health, including conditions such as uterine fibroids. The Uterine Health Guide also offers advice for talking to your doctor and finding support in your community.
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When to talk to a doctor about fibroids
Grace notes that “your body usually tells you when something is off.”
If you are experiencing any of the following, it’s a good idea to schedule an appointment with your doctor to get tested for fibroids:
- Heavy bleeding (which can be heavy enough to cause anemia) or painful periods
- Feeling of fullness in the pelvic area (lower stomach area)
- Enlargement of the lower abdomen
- Frequent urination
- Pain during sex
- Lower back pain
- Complications during pregnancy and labor, including a six-time greater risk of cesarean section
- Reproductive problems, such as infertility, which is very rare
The good news is that there are several treatment options available for fibroids, including:
- Medications. Used to help treat some of the symptoms associated with uterine fibroids.
- Gonadotropin-releasing hormone (GnRH) antagonists. Decrease heavy periods associated with fibroids.
- Minimally invasive procedures. Destroy the fibroids.
- Surgery. Hysterectomy (surgical removal of the uterus) or myomectomy (removal of fibroids from the uterus).
Your doctor can help you address your fibroids and find the best method of treatment.