Do Fibroids Cause Pelvic Pain and Pressure?

Understanding Pelvic Pain and Pressure from Fibroids

Fibroids can lead to a persistent sensation of pressure or pain in the pelvic region, which is located between the hip bones and below the stomach. This discomfort can present in different ways:

• Dull, aching pain that lingers throughout the day
• Sharp or cramping pain, especially during menstruation
• A feeling of heaviness or fullness in the lower abdomen
• Lower back pain, radiating from the pelvis

The severity of these symptoms often depends on the size, location, and number of fibroids. Larger fibroids exert more pressure on surrounding organs and tissues, leading to increased discomfort. The pain can be triggered by certain movements, prolonged sitting or standing, and even during sexual intercourse.

How Do Fibroids Cause Pelvic Pain?

Compression of Nearby Organs

As fibroids grow, they can press against nearby organs such as the bladder, rectum, and intestines, causing additional discomfort. This pressure can lead to:

• Increased urinary frequency or difficulty emptying the bladder
• Constipation or bloating due to pressure on the bowels
• Pain during bowel movements

Inflammation and Swelling

Fibroids can cause chronic inflammation in the uterus, leading to increased swelling and pain. Inflammatory processes can heighten sensitivity in the pelvic region, making even mild pressure feel more uncomfortable.

Pain During Menstruation

Many women with fibroids experience heavier and more painful periods. This is because fibroids can alter the way the uterine muscles contract, leading to severe menstrual cramps that worsen during menstruation. Some women also report clotting and prolonged bleeding, which can contribute to fatigue and anemia over time.

Nerve Compression and Lower Back Pain

Fibroids located at the back of the uterus may press against the sciatic nerve, leading to lower back pain, leg pain, and difficulty walking. This type of pain may worsen with prolonged standing or physical activity.

Can Fibroids Cause Pain During Intercourse?

Yes, some women with fibroids experience pain or discomfort during sexual intercourse (a condition known as dyspareunia). This is especially common when fibroids are located near the cervix or in the lower uterus. The pain may be sharp, deep, or aching and can sometimes persist even after intercourse.

How to Manage Fibroid-Related Pelvic Pain and Pressure

Women experiencing chronic pelvic pain and pressure due to fibroids may find relief through various management strategies, including lifestyle changes, medications, and medical treatments.

Lifestyle and Home Remedies

For mild symptoms, some women find relief through:

• Applying heat – A heating pad or warm compress can help relax pelvic muscles and reduce cramping.
• Regular exercise – Low-impact activities like yoga, swimming, or walking may help relieve discomfort by improving blood circulation.
• Stress management – Meditation, deep breathing, and relaxation techniques can help reduce tension and minimize pain.
• Dietary changes – Eating anti-inflammatory foods, such as leafy greens, berries, and omega-3-rich fish, may help reduce fibroid-related inflammation.

Medications for Symptom Relief

Over-the-counter and prescription medications may help manage fibroid-related pain, including:

• Nonsteroidal anti-inflammatory drugs (NSAIDs) – Ibuprofen or naproxen can help alleviate menstrual cramps and reduce inflammation.
• Hormonal birth control – Birth control pills, patches, or intrauterine devices (IUDs) can regulate heavy periods and reduce cramping.
• Gonadotropin-releasing hormone (GnRH) agonists – These medications shrink fibroids temporarily by reducing estrogen levels but are generally used for short-term relief before surgery.

Non-Surgical Treatment: Uterine Fibroid Embolization (UFE)

For women looking for a minimally invasive treatment, Uterine Fibroid Embolization (UFE) is an effective option. UFE works by blocking the blood supply to fibroids, causing them to shrink over time. Benefits of UFE include:

• Relief from pelvic pain and pressure
• No need for major surgery or removal of the uterus
• Shorter recovery time compared to surgery
• Reduced symptoms of heavy menstrual bleeding

Surgical Treatment Options

In cases where fibroids are large or causing severe symptoms, surgical intervention may be necessary:

• Myomectomy – A procedure to remove fibroids while preserving the uterus.
• Hysterectomy – The complete removal of the uterus, typically recommended for women who do not wish to become pregnant in the future.

When to See a Doctor

If you are experiencing persistent pelvic pain, pressure, or any of the following symptoms, it’s important to consult a medical professional:

• Severe or worsening pain that interferes with daily life
• Heavy menstrual bleeding leading to fatigue or anemia
• Painful intercourse
• Frequent urination or difficulty emptying the bladder
• Sudden or sharp pelvic pain (which could indicate a fibroid complication)

Find Relief with Preferred Fibroid and Vascular Center

If you are struggling with pelvic pain and pressure caused by fibroids, you don’t have to suffer in silence. At Preferred Fibroid and Vascular Center, we specialize in non-surgical fibroid treatment, including Uterine Fibroid Embolization (UFE). Our expert team is dedicated to helping women find lasting relief and regain their quality of life.

Schedule a consultation today to learn more about UFE and other fibroid treatment options. Take control of your health and find the relief you deserve.