What Are Intramural Fibroids?

An intramural fibroid is a type of uterine fibroid that develops within the muscular wall of the uterus, known as the myometrium. These noncancerous growths are quite common among women of reproductive age and can vary in size from small nodules to large masses. Intramural fibroids may cause symptoms such as heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and even infertility in some cases.

The exact cause of intramural fibroids is not fully understood, but hormonal factors, particularly estrogen and progesterone, are believed to play a significant role in their development and growth. Additionally, genetic predisposition and other factors such as obesity and diet may contribute to their formation.

Diagnosis of intramural fibroids often involves a pelvic examination, imaging tests such as ultrasound or MRI, and sometimes a biopsy to rule out other conditions. Treatment options vary depending on the size and symptoms of the fibroids, as well as the patient’s reproductive plans.

Management strategies may include medication to alleviate symptoms, such as hormonal birth control or GnRH agonists to shrink the fibroids, or surgical interventions like myomectomy (removal of the fibroids while preserving the uterus) or hysterectomy (removal of the uterus). In cases where fertility preservation is a concern, minimally invasive procedures like laparoscopic or robotic-assisted surgery may be preferred.

Regular monitoring and communication with healthcare providers are essential for managing intramural fibroids effectively and ensuring the best possible outcome for the patient’s reproductive health and overall well-being.