Uterine fibroids are common benign growths arising from the muscular wall of the uterus. They are not the same as cancer. Many women have no symptoms and may only need observation. Management depends on symptoms, the size and location of the fibroids, age and fertility plans.
Possible symptoms include heavy or prolonged periods, painful menstruation, pelvic pressure, back discomfort, frequent urination and bowel pressure. Persistent heavy bleeding may cause iron-deficiency anaemia. Ultrasound is commonly used to assess the number, location and size of fibroids, while blood tests may be needed when bleeding is significant.
In TCM practice, care is individualised according to menstrual patterns, pain and the person’s overall presentation, often discussed in terms such as qi stagnation and blood stasis. The aim may be to support symptom relief and general wellbeing, not to promise that fibroids will disappear. Heavy bleeding, dizziness, worsening pain, rapid abdominal enlargement, bleeding after menopause or fertility concerns require prompt gynaecological assessment.
Before review, record bleeding days, protection changes, clots, pain and pressure symptoms, and bring previous scans. Those hoping to conceive should discuss fertility plans because management depends partly on fibroid location and reproductive goals.
