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How to Deal with Uterine Fibroids During Menopause


The menopause can be a highly traumatic time in a woman’s life, but it can be far more difficult to deal with for women suffering with uterine fibroids. While fibroids are relatively common amongst women over 30 in the UK, the side-effects can be painful, and in some rare cases, life-threatening. The first step to dealing with the issue involves identifying the symptoms.

fibroids and menopause

What are uterine fibroids?

Fibroids and con-cancerous growths that develop in the uterus over time. Although they are not cancerous, they consist of muscle and fibrous tissue, which can be the cause of severe pain and heightened symptoms of menstruation. Some clinicians may refer to them as leiomyomas or uterine myomas.

What are the symptoms of uterine fibroids?

It is believed that 40 percent of women will suffer from fibroids at some point in their life, but the symptoms can be so subtle that many women go through life without ever realising they have them. However, if fibroids grow particularly large, or if women are suffering from other related issues as well, the symptoms can be more severe. They include:

  • Particularly heavy and painful periods for no apparent reason
  • Pronounced abdominal and back pain throughout the month
  • The constant sensation of needing to urinate
  • Trouble passing stools
  • Pain and discomfort during sexual intercourse

In some very rare cases fibroids have been known to cause complications during pregnancy, as well as fertility problems.

What can be done to alleviate the symptoms?

In most cases, little more than taking painkillers will be recommended by a doctor. Most fibroids are relatively harmless, and they will often shrink over time – particularly after menopause. However, if you’re living through menopause and your symptoms are severe, you should seek an initial consultation with your GP, who may refer you to a Women’s Health Hospital.

If your periods are particularly heavy as a result of fibroids, your clinician may recommend the fitting of a plastic device, which will slowly release hormones that prevent the lining of your womb from growing. A thinner womb lining will mean your bleeding is drastically reduced. However, there are some side effects associated with this treatment, including headaches, spots, tenderness of the breasts and the absence of periods. Despite the high safety level of Clomid online, it should be administered in accordance with doctor’s directions and safety instructions. Do not use the treatment if you are allergic to any of its ingredients or have such conditions as an ovarian cyst, abnormal vaginal bleeding, pituitary gland tumor, liver impairments and several others.

There are several oral medications available as well, including anti-inflammatory medications, the contraceptive pill, tranexamic acid and oral norethisterone. If your symptoms are particularly severe, progestogen injections may be recommended – one injection can last for up to 12 weeks.

Shrinking fibroids

If your symptoms aren’t alleviated by any of the drugs prescribed by your doctor, you may be prescribed hormones that stimulate the production of oestrogen – which can shrink fibroids and reduce your symptoms over time. These injections will probably stop your periods altogether, but they can exacerbate the common symptoms of menopause such as muscle stiffness, severe perspiration, vaginal dryness and hot flushes.

If your symptoms are unaffected by medication, you may need to consider the possibility of surgery. Wherever possible, a surgeon will recommend a myomectomy, which involves removing fibroids from your womb walls. However, if your fibroids are particularly large, you may have no other viable option than a hysterectomy.

While there are several non-surgical procedures available, women of menopausal age will usually be steered along the hysterectomy route if symptoms persist. If you’re experiencing severe symptoms related to your time of the month, you should contact your GP without delay.

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