Uterine fibroids are noncancerous growth of the uterus that frequently appears through the childbearing years. Many women often do not have any associated symptoms. In those that do, symptoms are influenced by the location, size and number of fibroids. In women who present symptoms, the most common symptoms of uterine fibroids include:

  • Heavy menstrual bleeding
  • Menstrual periods lasting more than a week
  • Pelvic pressure or pain
  • Frequent urination
  • Difficulty emptying the bladder
  • Constipation
  • Backache or leg pains

Causes of fibroid uterus

  • Genetic changes
  • Hormonal changes
  • Growth factors


  • Medications such as Gonadotropin-releasing hormone (GnRH) agonists
  • Intrauterine device (IUD)
  • Laparoscopic myomectomy
  • Hysterectomy
  • Endometrial ablation
  • Uterine artery embolization

Chronic pelvic pain

Chronic pelvic a pain is pain in the area below the umbilicus region that lasts for a period of six months or longer.


  • Endometriosis
  • Musculoskeletal problems
  • Chronic pelvic inflammatory diseases
  • Fibroids
  • Irritable bowel syndrome
  • Interstitial cystitis
  • Pelvic congestion syndrome


Usually, chronic pelvic pain is described in one or more of the following ways

  • Severe pain
  • Intermittent in nature
  • Dull aching type

In addition the patient experiences

  • Pain during the intercourse
  • Pain during bowel movement or urination
  • Pain when you sit down for prolonged periods of time


  • Pelvic examination
  • Ultrasound tests
  • Imaging tests including computerized tomography, magnetic resonance imaging
  • Laparoscopy


  • Medications including analgesics, antibiotics and antidepressants
  • Physical therapy
  • Uterine Stimulation
  • Trigger point injections
  • Psychotherapy
  • Hysterectomy