Anterior wall fibroid: Uterine fibroids – Symptoms and causes

26.07.202326.06.2023 by alexxlab

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Intramural Fibroid: Symptoms, Diagnosis, and Treatment

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Medically reviewed by Alana Biggers, M. D., MPH — By Scott Frothingham — Updated on April 18, 2018

What is an intramural fibroid?

An intramural fibroid is a noncancerous tumor that grows between the muscles of the uterus.

There are several types of intramural fibroids:

anterior intramural fibroid, located in the front of the uterus
posterior intramural fibroid, located in the back of the uterus
fundal intramural fibroid, located in the upper part of the uterus

In size, intramural fibroids can range from as small as a pea to as large as a grapefruit.

The exact cause of intramural fibroids is unknown. Many doctors believe that fibroids develop from an abnormal muscle cell in the middle layer of the uterine wall. When that cell is influenced by estrogen — the primary female hormone — it rapidly multiplies and forms a tumor.

Intramural fibroids have symptoms similar to those of other fibroid types. Many people experience mild symptoms, if any at all.

Some experience more severe symptoms, including:

pelvic pain
low back pain
heavy or extended menstrual periods
bleeding between menstrual periods

Typically, intramural fibroids and other types of fibroids are discovered during a routine pelvic exam or an abdominal examination.

Other procedures for diagnosing these growths may include:

X-ray
pelvic MRI scan
hysteroscopy
transvaginal ultrasound or ultrasonography
endometrial biopsy

In more than 99 percent of fibroid cases, the tumors are noncancerous (benign) and typically slow-growing. Intramural fibroids often cause few, if any, symptoms. However, this condition can cause you to experience severe discomfort.

If you notice any irregular bleeding or other symptoms, schedule a visit with your doctor to receive a comprehensive diagnosis. Intramural fibroids are treatable. Your doctor will be able to provide you with advice on dealing with the discomfort or recommendations for specific treatment options.

Last medically reviewed on April 17, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

Fibroids: Symptoms, treatment, diagnosis. (n.d.).
obgyn.ucla.edu/fibroids
Intramural fibroid. (n.d.).
ncbi.nlm.nih.gov/pubmedhealth/PMHT0024643/
Uterine fibroids: Overview. (2017).
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0072719/

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Medically reviewed by Alana Biggers, M.D., MPH — By Scott Frothingham — Updated on April 18, 2018

Intramural Fibroid: Symptoms And Treatment

Monday, July 4th, 2022

Table of Contents:

What are Intramural Fibroids?
What causes Intramural Fibroids?
Intramural Fibroid Symptoms
Fertility Concerns And Large Intramural Fibroids During Pregnancy
Do Intramural Fibroids Cause Pain?
Diagnosing Intramural Fibroids
Additional Types of Fibroids
Treating Intramural Fibroids

If you have uterine fibroids,

it’s important to be educated so you can make informed treatment choices. One critical piece of information you should know is what type of fibroid you have. Fibroid growth is often influenced by hormonal changes, genetics, and lifestyle choices. There are different forms of uterine fibroids. Each type of uterine fibroid may bring on different symptoms, or perhaps none at all. The most common type of uterine fibroids is the intramural fibroid.

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What are Intramural Fibroids?

Intramural fibroids are non-cancerous tumors that grow in the muscles of the uterus. It grows within the uterine wall and can be very large if left untreated. It’s common to have multiple intramural fibroids located in the same area. Doctors are unsure what causes the development of uterine fibroids. There is however, a common theory the cause of uterine fibroids is abnormal cells in the wall of the uterus.

Women are most likely to develop fibroids between the ages of 18-35.

However, not all of these women will experience symtpoms. Genetics, hormonal changes, and lifestyle influence the growth of uterine fibroids.

Intramural fibroids are classified into categories, based on their location in the uterus.

Anterior Intramural Fibroid —Forms in the front of the uterus
Posterior Intramural Fibroid — Forms in the back of the uterus
Fundal Intramural Fibroid — Forms in the upper part of the uterus

Depending on their size, an intramural fibroid may be detected during a routine pelvic exam conducted by your doctor. Women that don’t experience symptoms may not know they even have fibroids until visiting their doctor or OBGYN. Some cases require imaging tests, such as an ultrasound or magnetic resonance imaging (MRI), to make a formal diagnosis.

Uterine Fibroid Diagnosis

What Causes Intramural Fibroids?

Like other fibroids, the cause of intramural fibroids is largely unknown. Doctors believe that hormones, especially estrogen, play a role in developing fibroids.

Can You Prevent Fibroids?

You can’t prevent the development of fibroids because you can’t change many of the risk factors which lead to this condition. For instance, family history and early onset of menopause are two factors thought to increase the risk. However, obesity is also linked to the increased risk of developing fibroids, which can be managed through diet and exercise.

Connect With Fibroid Specialists Near You

Where do you need a fibroid specialist?

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Intramural Fibroid Symptoms

Intramural fibroids are common and can go undetected if they don’t produce noticeable symptoms. However, asymptomatic intramural fibroid can trigger physical problems that can impact your daily life. The most common fibroid symptoms of fundal, posterior, and anterior intramural fibroids are pelvic pain, lower back pain, heavy periods, or bleeding in between periods. Excess menstrual bleeding can result in another problem: anemia. Anemia can cause fatigue. Anemia may even increase the risk for heart problems if left untreated.

Also, depending on the size, these kinds of fibroids can harm the bladder and bowels by putting extreme and even uncomfortable pressure on them. Uterine fibroids cause uncomfortable and even painful symptoms. These symptoms include frequent urination, difficulty emptying the bladder, and constipation.

Another common complaint with intramural fibroids is that they make the uterus feel larger or heavier.

If the intramural fibroid grows large enough, women may notice a protruding abdomen, often mistaken for pregnancy or weight gain.

Fertility Concerns And Large Intramural Fibroids During Pregnancy

Also, both intramural and submucosal fibroids can affect fertility and the ability to conceive. In some cases, intramural fibroids can interfere with a woman’s ability to maintain a pregnancy. Fortunately, fibroids are treatable, and most women experience complete relief from their symptoms.

During pregnancy, It’s important to understand that fibroids can affect each trimester.

The symptoms of fibroids can make you worry that you’re suffering a miscarriage, with bleeding, pelvic pain, and cramps.

Learn More About Intramural Fibroids

Do Intramural Fibroids Cause Pain?

While many women don’t realize they have fibroids because there are no obvious signs, intramural intramural fibroids can cause pain. Like any other type of fibroid, they can cause severe cramping and pelvic pain. You can also feel pain in your back or pain during sex. Pain often worsens as the fibroids grow because they can press on other organs.

Diagnosing Intramural Fibroids

Your doctor may diagnose fibroids during a pelvic exam. However, they may want to do imaging tests to confirm their initial diagnosis. They may order one of the following:

Ultrasound, which creates a picture using sound waves
MRI or magnetic resonance imaging which uses radio waves and magnets to create a picture of your uterus
CT scan or computed tomography scan, which takes X-ray images to create a detailed look at the uterus
HSG or hysterosalpingogram, which uses an X-ray dye to take X-rays of the uterus

Some doctors use a laparoscopy or hysteroscopy to look at your internal organs. A laparoscopy uses a tiny instrument with a camera inserted into an incision in the abdomen to view the organs. A hysteroscopy uses an instrument inserted into the vagina to see the uterus.

Additional Types of Fibroids

While anterior, posterior, and fundal intramural fibroids are the most typical kind of uterine fibroids, there are other types of fibroids that you should know about as well:

Subserosal fibroids: These grow on the outside of the uterus and often come with an enlarged uterus. Because the subserosal fibroid is not located in the uterus, it has a lot of room to grow and may become as large as a grapefruit before symptoms appear.

Submucousal fibroids: These tend to be more uncommon than other uterine fibroids, and they can develop in both the uterine wall and the uterus. Women who suffer from submucosal fibroids experience heavy bleeding during and in between their menstrual periods.

Pedunculated fibroids: Subserosal fibroids can grow what looks like stalks that connect the fibroid to the uterus, and those stalks are called pedunculated fibroids. This fibroid type can be very painful if the stalk becomes twisted.

Treating Intramural Fibroids

At USA Fibroid Centers, our fibroid specialists offer a non-surgical treatment for uterine fibroids called Uterine Fibroid Embolization (UFE). This proven procedure is performed by an interventional radiologist in our outpatient clinics, without the need for a hospital stay or a lengthy recovery period. Patients receive a light sedative, and the procedure begins with a small incision in the groin area. An ultrasound is then used to guide a catheter through the incision and into the uterine artery supplying blood to the fibroids. Once the artery has been located, tiny particles flow through the catheter and block the blood supply to the fibroid. This causes the fibroid to shrink and eventually die.

The UFE procedure is attractive to many women because it does not involve surgery, allowing women to keep their uterus intact. Many of our patients can expect to start seeing results within the first month following treatment — fibroid pain and symptoms should decrease, and women may experience a shorter menstrual cycle.

Contact USA Fibroid Centers to find relief for your intramural uterine fibroids today. Give us a call at (855) 615-2555 or schedule an appointment online by clicking the button below.

Schedule An Appointment

Uterine fibroids

Myoma is one of the most common benign tumors of the muscular layer of the uterus in women. Myoma nodes do not become malignant, at the same time, in 2% of cases there is a combination of fibroids and endometrial cancer, and in 3% – sarcoma (malignant tumor) of the uterus.

Myomatous nodes are located more often in the thickness of the uterine wall, however, they can grow both outward (toward the abdominal cavity) and into the uterine cavity. In most cases, there is a combination of nodes of different types.

Most often, the symptoms are due to one or another type of growth of myomatous nodes. Abundant, prolonged menstruation, acyclic bleeding, leading to a decrease in the level of hemoglobin in the blood, weakness, fatigue, disability – symptoms of submucosal growth of the node (growing into the uterine cavity).

Drawing pains, heaviness in the lower abdomen, discomfort with little filling of the bladder, enlargement of the abdomen in size – signs of nodes of considerable size, growing towards the abdominal cavity (subserous nodes).

Intramural nodes (located in the wall of the uterus) small in size (up to 3 cm) may not cause complaints. As they grow, menstrual irregularities, pain and other symptoms appear.

You cannot decide on the need for treatment and choose the method on your own!

Observation and treatment cannot be standardized and must be carried out by a competent specialist with extensive experience in both outpatient and operative gynecology.

In the department of gynecology of the MCSC , all types of surgical interventions necessary for uterine myoma are performed. The choice of treatment method depends on the age of the patient, her reproductive plans, the size, number and type of growth of nodes, the combination of uterine fibroids with other pathologies of the uterus and appendages, and the severity of clinical manifestations.

Treatment options:

– intrauterine node removal (hysteroresectoscopy)

– laparoscopic removal (through three incisions 5 mm, one 10 mm)

– robot-assisted operation (operated by the surgeon with the help of a robot assistant)

– laparotomy operation (incision above the womb) – extremely rarely, in exceptional cases.

Only a doctor selects the method of treatment!

You can consult with the specialists of the gynecology laboratory of the Moscow Scientific Center about the need for surgery and jointly choose the method of treatment of uterine fibroids that is right for you by pre-appointing a consultation by calling the call center 8 (495) 304-30-39, 8 (495) 304-30-40

Consultation can also be signed by e-mail [email protected], [email protected] .

Treatment is carried out FREE OF CHARGE for citizens of the Russian Federation in the presence of CHI policy.

Consultation is FREE if there is a referral from the polyclinic form 057-U.

Uterine fibroids. What to do? | Articles 100med

Uterine fibroids is a benign formation, represented by smooth muscle tissue, which is collected in a bizarre glomerulus or nodule and grows in completely different ways.

This node can grow on top of the uterus, and can also grow right into the uterine wall itself, and then it does not create any special problems if it does not grow to a large size, and can grow into the lumen into the uterine cavity. Hence there will be various clinical manifestations.

Often, uterine fibroids are an accidental finding during an examination by a gynecologist in a antenatal clinic, on an armchair, when he sees if a woman is slender – an enlarged and tuberous uterus through the anterior abdominal wall and diagnoses MYOMA.

If this is the location of the uterine nodes in the uterine cavity, then there, as a rule, a woman complains of heavy menstruation up to bleeding, which leads to a decrease in hemoglobin. The woman becomes pale and easily tired. Hair begins to fall due to the fact that iron levels are falling. These bleedings are usually painless.

In terms of diagnosis, large uterine fibroids can be seen on the chair when examined by hand, as well as by ultrasound.

In the 100med clinic of a high expert level, there are ultrasound machines that allow you to see this, either with an external sensor, that is, through the anterior abdominal wall with a filled bladder, or with a vaginal sensor, then filling the bladder will not be required.

If the patient is not sexually active, then in addition to the external abdominal sensor, we can use rectal ones, that is, conduct an examination through the rectum. This, too, will not require filling the bladder.

One of the diagnostic and therapeutic methods is hysteroscopy, or rather hysteroresectoscopy is a diagnostic manipulation that is performed under anesthesia. It is the introduction of a special instrument equipped with a camera into the uterine cavity. With a camera, we can see where the myomatous node is located and with a special loop, using an electric current, we cut it off under the root. Thus, it is possible to remove small myoma nodes that grow in the uterine cavity.

If these are nodes that grow along the periphery outside the uterus, then they can be removed by laparoscopy.

Laparoscopy is the introduction of special optics under anesthesia through the navel. Another tool is introduced at the bottom of the “panty” area. Two small holes are made there (one and a half centimeters). Subsequently, they will not be visible. That is, you can perfectly sunbathe in open bathing suits after this operation, and laparoscopically, the uterine wall is excised and the myomatous nodes are removed. The place that has formed (an empty place) after the removal of the node is necessarily sutured with absorbable threads, heals perfectly.

A woman after such an operation can save the uterus and retain the ability to become pregnant and carry a pregnancy. Careful laparoscopic surgery for the excision of myomatous nodes can be, as through the natural birth canal, that is, the woman gives birth herself, with wealthy scars on the uterus. So they can pass by caesarean section.