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Unravelling the Mystery of Fibroids: Causes, Treatments, and the Vital Role of OBGYN Doctors

Updated: Dec 20, 2023

Fibroids, or uterine fibroids, are non-cancerous growths that develop in the uterus. While they are often benign, they can cause a range of symptoms and complications, affecting women of reproductive age. In this comprehensive guide, we will explore the causes of fibroids, delve into various treatment options, and highlight the essential role that OBGYN (Obstetrician-Gynaecologist) doctors play in managing this common women's health issue.

A girl lying on the bed holding her stomach.
Unravelling the Mystery of Fibroids

Causes of Fibroids:

The exact cause of fibroids remains elusive, but several factors are believed to contribute to their development:

Hormonal Influences: Estrogen and progesterone, two hormones that regulate the menstrual cycle, are thought to promote the growth of fibroids. These growths often develop during the reproductive years when hormone levels are at their peak.

Genetic Predisposition: A family history of fibroids may increase an individual's likelihood of developing them. Genetic factors can influence the growth patterns of these tumours.

Race and Ethnicity: Studies have shown that fibroids are more prevalent in African-American women compared to women of other racial and ethnic backgrounds. Additionally, fibroids in African-American women tend to develop at a younger age and can be more severe.

Age and Hormonal Changes: Fibroids typically grow in response to hormonal changes, and they often shrink after menopause when estrogen and progesterone levels decrease.

Treatment Options for Fibroids:

The management of fibroids depends on various factors, including the severity of symptoms, the size and location of the fibroids, and the patient's reproductive goals. Here are some common treatment options:

Watchful Waiting:

In cases where fibroids are small, asymptomatic, or not affecting fertility, OBGYN doctors may recommend a watchful waiting approach, monitoring the growth of fibroids over time.


Hormonal medications, such as birth control pills or gonadotropin-releasing hormone agonists, can help regulate the menstrual cycle and manage symptoms like heavy bleeding and pelvic pain.

Minimally Invasive Procedures:

Uterine Fibroid Embolization (UFE): This procedure involves blocking the blood vessels supplying the fibroids, causing them to shrink. It is a non-surgical option performed by interventional radiologists.

Myomectomy: OBGYN doctors can perform a myomectomy to surgically remove fibroids while preserving the uterus. This procedure is often recommended for women who wish to maintain fertility.

Surgical Intervention:

Hysterectomy: In cases where fibroids are severe, causing significant symptoms, or affecting fertility, a hysterectomy may be recommended. This surgery involves removing the uterus and is a definitive solution to eliminate fibroids.

The Crucial Role of OBGYN Doctors:

OBGYN doctors, specialists in women's reproductive health, are at the forefront of diagnosing and managing fibroids. Here's why their expertise is invaluable in addressing this common gynaecological condition:

Accurate Diagnosis:

OBGYN doctors employ various diagnostic tools, including ultrasounds and imaging studies, to accurately diagnose the presence, size, and location of fibroids.

Personalized Treatment Plans:

OBGYNs work closely with patients to develop personalized treatment plans based on individual symptoms, reproductive goals, and overall health. Their expertise ensures that the chosen treatment aligns with the patient's unique circumstances.

Non-Surgical and Surgical Options:

OBGYN doctors are skilled in both non-surgical and surgical interventions for fibroids. They can guide patients through the available options, helping them make informed decisions about their care.

Fertility Preservation:

For women seeking to preserve fertility, OBGYN doctors can explore options like myomectomy, and removing fibroids while preserving the uterus. This approach allows women to maintain the possibility of conceiving in the future.

Postoperative Care:

In cases where surgery is necessary, OBGYN doctors provide comprehensive postoperative care, ensuring a smooth recovery process and addressing any concerns or complications that may arise.


Fibroids are a common and often manageable health concern for women. With advancements in medical science and the expertise of OBGYN doctors, there are diverse treatment options available to address the symptoms and complications associated with fibroids. Whether opting for watchful waiting, medication, minimally invasive procedures, or surgery, the guidance of an OBGYN doctor is crucial in navigating the journey toward better reproductive health.

If you suspect you have fibroids or are experiencing symptoms such as pelvic pain, heavy menstrual bleeding, or changes in urinary habits, don't hesitate to consult with an OBGYN doctor. They are your partners in women's health, dedicated to providing compassionate care and tailored solutions to ensure your well-being throughout every stage of life.

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