Fibroids are non-cancerous growths of muscle and fibrous tissue that develop in or around the uterus. They are very common — most women will develop at least one by the time they reach menopause — and many cause no symptoms at all.

When fibroids do cause problems, the most frequent are heavy or prolonged periods, pelvic pressure or a sense of fullness, urinary frequency, and discomfort during intercourse. Larger fibroids, or those that distort the cavity of the uterus, may occasionally affect fertility or pregnancy.

Assessment usually involves a pelvic ultrasound to determine the number, size and position of the fibroids. Occasionally an MRI is arranged to plan treatment more precisely.

Treatment depends on symptoms, fibroid size and location, and whether future pregnancy is planned. Options range from observation and medical management of bleeding through to hysteroscopic removal, myomectomy (removing the fibroids while preserving the uterus) or hysterectomy. Each option is discussed openly so the decision fits your circumstances.