Uterine Fibroids

Uterine fibroids (fibroid tumors, leiomyomas, or myomas) are benign masses that grow on the outside or in the muscle wall of the uterus. Fibroids are very common in women in their 30s and 40s— as many 70%-80% of all women will have fibroids by age 50. While the cause of Fibroids is not conclusively proven, they seem to be linked with the female hormones estrogen and progesterone. Fibroids can range in number and size from a single growth to multiple growths, and from very small to very large.

While many women do not even notice they have fibroids or only experience mild symptoms, moderate to severe fibroids can lead to more severe symptoms. Fibroids come in many different forms. Intramural fibroids, the most common, grow in the wall of the uterus, making the uterus feel bigger possibly making the woman appear as if she were pregnant. Subserosal fibroids grow on the outside of the uterus. As they grow larger, they can cause pain due to their size or put pressure on nearby organs such as the bladder or rectum and cause further complications. Submucosal fibroids grow just underneath the uterine lining and can grow into the uterine cavity. The increasing pressure on the muscle lining can lead to irritation and heavy bleeding, potentially leading to more serious complications such as anemia. Pedunculated fibroids grow on the small stalks inside or outside the uterus.

Symptoms of Uterine Fibroids

  • IREGULAR, HEAVY MENSTURAL BLEEDING
  • SEVERE CRAMPING
  • FULLNESS OR PRESSURE IN THE BELLY/PELVIS
  • LOW BACK PAIN
  • PAIN DURING SEX
  • AN URGE TO URINATE OFTEN
  • DIFFICULTY IN CONCEPTION, PREGNANCY, OR INCREASED RISK OF MISCARRIAGE

Fibroids often shrink or disappear during menopause; however, women that experience severe fibroid symptoms often do not wish to wait to see if the fibroids relent. Once confirmed with an ultrasound and pelvic exam, the traditional approach to treating fibroids has been to perform a full or partial hysterectomy or the surgical removal of the fibroids. As uterine fibroids increase in size and age, the body develops new arteries and veins that supply blood to the masses, increasing the vascular network in the pelvis. A minimally invasive interventional procedure called a Uterine Fibroid Embolization (UFE) can eliminate fibroids by accessing this vascular network and shutting down the blood flow to the fibroids, causing them to skink and disappear. A UFE eliminates the need for major surgery, long recovery times, and the complications of having a hysterectomy.
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What to expect | Your first appointment will involve the following

Ultrasound

Your treatment will being with an ultrasound examination of your veins, arteries, or both, in your legs to diagnose the presence and extent of disease. Your test results will be immediately available to review with the doctor.

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Consult with the doctor

Once we review the results of your diagnostic tests, our physicians will help you develop a plan to provide you with the best treatment for your disease.

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Testimonials

Love this place, the staff and the Doctors. They help people that might otherwise have a greater problem! Very professional, answers all questions. Provides information so that patients understand.
Great vascular surgery facility in Orange County. Their doctors are great. Office looks very nice. Staff is really helpful and kind.

They take the time to understand the problem. You will feel like you are in very caring hands.

My experience at Pedes Orange County has been great! I have no complaints. Dr. Goldstein and Dr. Hewett have been professional in explaining my procedures and treatment plan. I have even recommended your office to my friends and people I know from church. Gregg and David (Ultrasound techs) have treated me well and the rest of the staff has been very helpful.