Uterine fibroids (Leiomyomas of the Uterus) are non-cancerous growths within the uterus. Let’s explore the details:

  1. Prevalence:
    • Common in reproductive-age women.
    • Prevalence: 15-20%.
    • Increases with age (30-40% in women over 35).

  2. Fibroid Characteristics:
    • Vary in size.
    • Often multiple fibroids.
    • Castaneda OBGYN performs successful multiple fibroid removal in a single operation.

  3. Symptoms:
    • Size and Location Impact Symptoms:
      • Pain or Pressure: Due to fibroid size.
      • Heavy Menstrual Bleeding: May cause anemia.
      • Increased Cramping: Especially during heavy periods.
    • Pregnancy Impact:
      • Generally does not cause problems.
      • May lead to pain during pregnancy, delivery difficulties, or miscarriages.

  4. Hormone Dependence:
    • Fibroids continue to grow as long as menstruation occurs.
    • After menopause, they shrink by about 30% and remain stable.
    • Unpredictable growth; some reach impressive sizes.
  5. Treatment Options:
    • Medications:
      • Temporarily decrease fibroid size.
    • Hysterectomy:
      • Robotic, laparoscopic, or open abdominal incision.
    • Myomectomy:
      • Remove fibroids without removing the uterus.
      • DaVinci Robot, laparoscopic, or open approach.
      • Reserved for severe fibroid cases in women desiring pregnancy.


Remember to consult with our physicians at Castaneda OBGYN to explore personalized treatment options for uterine fibroids.