Fibroids are classified by their location (see figure), which effects the symptoms they
may cause and how they can be treated. Fibroids that are inside the cavity of the
uterus (intracavitary myomas) will usually cause bleeding between periods (metrorrhagia) and often cause
severe cramping. Fortunately, these fibroids can usually be easily removed by a
method called "hysteroscopic resection," which can be done through the
cervix without the need for an incision. Submucous myomas are partially in
the cavity and partially in the wall of the uterus. They too can cause heavy
menstrual periods (menorrhagia), well as bleeding between periods. Some of
these can also be removed by hysteroscopic resection.
Intramural myomas are in the wall of the uterus, and can range in size from
microscopic to larger than a grapefruit. Many of these do not cause problems unless
they become quite large. There are a number of alternatives for treating these, but
often they do not need any treatment at all. Subserous myomas are on the
outside wall of the uterus. A fibroid may even be connected to the uterus by a stalk (pedunculated
myoma.) These do not need usually treatment unless they grow large, but
they can twist and cause pain. This type of fibroid is the easiest to remove by laparoscopy.
Â©2010, Paul Indman, MD. All Rights
15195 National Avenue, Suite 201; Los Gatos, CA 95032
Telephone : 408 358-2788 ; FAX : 408 356-5526
medical information presented in this website represents the opinion of Dr.
Indman, and is based on his knowledge and experience. It is not
applicable to all patients or physicians. Anyone visiting this or other
related medical sites should discuss symptoms, findings, and alternatives with
their personal gynecologist.