Uterine Fibroids — Frequently Asked Questions

By Dr. César Cantú · Minimally Invasive Gynecologic Surgeon · Member of the AAGL · Monterrey, Mexico · Ver en español

What are uterine fibroids?

Fibroids are common benign tumors of the uterine muscle. Many cause no symptoms; others cause bleeding, pain or pressure.

What symptoms do fibroids cause?

Heavy menstrual bleeding, anemia, pelvic pain or pressure, urinary frequency, and in some cases difficulty getting pregnant.

Do all fibroids need surgery?

No. Small, symptom-free fibroids are usually monitored. Surgery is considered when they cause symptoms, grow significantly or affect fertility.

Myomectomy or hysterectomy?

Myomectomy removes the fibroids and keeps the uterus; hysterectomy removes the uterus. Which fits depends on your pregnancy plans and the fibroids. See our decision guide.

Can I get pregnant after a myomectomy?

In many cases myomectomy is chosen to preserve that possibility. Timing and care are defined for your case.

Do fibroids come back?

They may recur in some people over time when the uterus is preserved.

Is there non-surgical treatment?

There are medical options to control symptoms, especially bleeding, which can be enough in selected cases. They do not remove the fibroids.

Are fibroids cancer?

Fibroids are benign. Uterine cancer is a separate, uncommon entity; evaluation clarifies any concern.

Have a question about your case?

Get a $50 USD online video consultation with Dr. César Cantú, a minimally invasive gynecologic surgeon in Monterrey, Mexico. In English or Spanish.

Related: Laparoscopic myomectomy · When do fibroids need surgery? · Myomectomy or hysterectomy?