Pedunculated Fibroids

What Are Pedunculated Fibroids?

Pedunculated fibroids are uterine fibroids that grow on a stalk or peduncle and attach to the uterus. They can form outside the uterus (subserosal) or inside (submucosal) and vary widely in size and shape. While often appearing as a single growth, multiple fibroids can occur in clusters or at different uterine locations.

Depending on their size and position, these fibroids may cause various symptoms. However, some women with pedunculated fibroids may remain asymptomatic, making regular monitoring essential.

Risks and Complications

Although the exact cause of pedunculated fibroids is not fully understood, factors such as hormonal imbalances, genetic predisposition, and lifestyle influences may contribute to their development.

Elevated estrogen and progesterone levels promote fibroid growth, particularly during women’s reproductive years.

Several risk factors increase the likelihood of developing pedunculated fibroids, including the following:

• Family history of fibroids
• Early onset of menstruation
• Obesity, which can raise estrogen levels
• Ethnicity, with African American women being at higher risk
• Diets high in red meat and low in fruits and vegetables

Diagnosis of Pedunculated Fibroids

Diagnosing pedunculated fibroids typically begins with a review of medical history and a physical pelvic examination. During the exam, a lump or mass may be identified.

Diagnostic Imaging and Tests Used for Fibroid Detection

Imaging techniques confirm the presence, size, and location of pedunculated fibroids:

• Ultrasound: Commonly used to detect and assess fibroids.
• MRI: Provides detailed images of fibroids and their relationship to surrounding tissues.
• Hysterosonography (Sonohysterography): Enhances ultrasound imaging with saline to better visualize fibroids near the uterine lining.

These tools help specialists create a tailored treatment plan based on your diagnosis.

Treatment Options

Pedunculated fibroids, attached by a fibroid stalk, can often be treated with non-surgical approaches like embolization or endovascular techniques. In some cases, surgical interventions may be necessary for effective management.

Non-Surgical Treatment for Pedunculated Fibroids

For women with minimal symptoms, a “wait and watch” approach may be appropriate, involving regular monitoring to track fibroid growth and potential symptom progression.

Minimally-Invasive and Surgical Treatment Options

The most effective pedunculated fibroid treatment is uterine fibroid embolization (UFE), a minimally invasive procedure that blocks blood flow to the fibroids, causing them to shrink and die. UFE is a safe and proven option that preserves the uterus and involves minimal recovery time.

In rare cases, surgical removal may be necessary and could include one of the following procedures:

• Myomectomy: Removes fibroids while preserving the uterus, often recommended for women seeking to maintain fertility.
• Hysterectomy: Reserved for severe cases, this involves the complete removal of the uterus and eliminates fibroids permanently.

Can Pedunculated Fibroids Be Prevented?

While there’s no guaranteed way to prevent pedunculated fibroids, specific steps may help reduce your risk:

• Maintaining a healthy weight to manage estrogen levels
• Eating a balanced diet rich in fruits, vegetables, and whole grains
• Regular physical activity to support overall health

Early detection and routine monitoring are critical for managing fibroids before they cause significant symptoms.

Signs You Should See a Doctor About Pedunculated Fibroids

You should consider a visit to Texas Endovascular if you are experiencing the following symptoms:

• Persistent pelvic pain or pressure
• Unusual menstrual bleeding patterns
• Difficulty with urination or bowel movements
• Trouble conceiving or recurrent miscarriages

The Importance of Regular Check-ups for Fibroid Management

Regular check-ups can help detect fibroids early, monitor their growth, and address potential complications promptly. If you’re experiencing symptoms or have been diagnosed with pedunculated fibroids, consult a specialist to explore your treatment options.

You don’t have to live with fibroids forever.

If you have been diagnosed with pedunculated fibroids, are struggling with fertility, or are experiencing fibroid-related symptoms regularly, we can help. Contact us today to learn more and schedule your consultation at one of our convenient locations.