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Living Beyond Fibroid Pain: A Comprehensive Guide to Symptom Management

Posted on March 10, 2025

Did you know that up to 80% of Black women and up to 70% of White women will develop uterine fibroids by the age of 50?

For many, the pain and discomfort caused by uterine fibroids can feel overwhelming. Painful fibroid symptoms, like menstrual cramps, often make it difficult to complete daily tasks and can significantly reduce quality of life. In today’s post, we share tips for living with fibroids, explore what causes fibroids, discuss how to manage fibroid discomfort and outline when to seek treatment for fibroid pain relief.

Understanding Uterine Fibroids: The Basics You Need to Know

Uterine fibroids are noncancerous tumors that develop in or on the uterus. While the exact cause of fibroids remains unknown, research has identified several factors that may contribute to their growth, including:

Changes in Hormones

You are more likely to develop fibroids when your body makes too much progesterone and estrogen. High estrogen levels can make existing fibroids grow faster, which is why tumors often get larger during pregnancy. Elevated progesterone levels may also stimulate your body to produce proteins that influence fibroid growth.

Genetic Predisposition

If family members have fibroids, your risk factor is slightly higher. Emerging research suggests that certain genetic mutations could also increase your likelihood of developing uterine tumors.

Additional Risk Factors

Other factors that increase your risk for fibroid development include:

  • Age
    Women between the ages of 30 and 40 have the highest risk for fibroid tumors.
  • Race
    Black women develop fibroids at a much higher rate than women of other ethnic backgrounds.
  • Weight
    Excess weight gain can contribute to hormonal imbalances, impacting fibroid growth.

Not all fibroids cause symptoms, but when they do, the pain can manifest in various forms, such as pelvic pain, back pain, pain during sex, and more.

While coping with fibroids naturally may be possible when you have small tumors, larger tumors may require pain management through treatment options like uterine fibroid embolization, medication, or surgery.

What Are Fibroids and Why Do They Cause Pain?

What are fibroids? Fibroids are noncancerous tumors that often cause pain when they grow large enough to press on the nerves, tissues, or organs that surround the uterus.

Fibroid tumor pain can manifest during your menstrual cycle, during sexual intercourse, or at different times throughout the month. The pain may be minor or severe, chronic, or intermittent, and stabbing or constant.

Different Types of Fibroids and Their Unique Symptoms

Fibroids are categorized based on their location in or around the uterus.

  • Intramural Fibroids
    These tumors form within the uterine wall, leading to symptoms such as prolonged or heavy menstrual bleeding, pelvic pain, and difficulty with urination.
  • Subserosal Fibroids

These fibroids develop on the outer surface of the uterus. Symptoms may include abdominal pain, cramping, frequent urination, or a feeling of heaviness or fullness.

  • Pedunculated Tumors
    Growing outside the uterus, these tumors are attached by stalk-like formations. Symptoms vary depending on size and location.
  • Submucosal
    Located beneath the uterine lining, these fibroids can cause lower back pain, pelvic pain, and prolonged or heavy menstrual cycles.

Pain Management Strategies for Fibroid Relief

There are different approaches to managing fibroid pain that can help provide relief.

Dietary Approaches to Reducing Inflammation

Following an anti-inflammatory diet may help alleviate fibroid pain. Fill your plate with fruits and vegetables and limit processed foods and items high in fat or sugar.

Gentle Exercise Techniques to Alleviate Discomfort

Regular practices such as hatha, yin, or restorative yoga can help manage fibroid pain. Certain yoga positions, like child’s pose, forward fold, knees-to-chest, and cat-cow can also relieve back pain and menstrual cramps caused by uterine fibroids.

Stress Reduction Methods for Symptom Management

Chronic stress can worsen fibroid symptoms, so practicing stress management is an important part of fibroid management. In addition to yoga, other forms of exercise can help release endorphins and lower stress. Prioritizing sleep, practicing mindfulness, and improving time management can also support stress reduction for fibroid pain relief.

Medical Interventions and When to Seek Help

Larger fibroids may not respond well to lifestyle modifications. When fibroids cause serious symptoms, medical intervention may be necessary to provide pain relief and restore your quality of life.

Recognizing Serious Fibroid Symptoms

While most fibroid symptoms are not dangerous, prolonged, or heavy bleeding can lead to serious conditions like anemia. Untreated fibroids may also interfere with conception or pregnancy, making medical intervention an important consideration if you’re planning to start or expand your family.

Conversations to Have With Your Healthcare Provider

When discussing fibroid pain with your healthcare provider, be sure to mention all existing symptoms. Ask about the location and size of your tumors, and share your family-planning goals to understand how treatments might impact fertility.

You should also ask about treatment success rates, the likelihood of fibroid recurrence after treatment, and the cost of any recommended options.

Treatment Options Beyond Pain Management

Some women may find fibroid pain relief through medications like hormonal birth control. However, these options will not shrink existing tumors, meaning symptoms often return after stopping treatment.

In contrast, the following treatment options can provide longer-lasting relief.

  • Myomectomy—the surgical removal of individual tumors.
  • Uterine Fibroid Embolization (UFE)—a minimally invasive procedure that shrinks tumors by cutting off their blood supply.

Emotional Wellness and Fibroid Challenges

As you navigate potential treatment options, it’s important to manage the emotional impact of living with chronic fibroid pain. Prioritizing your mental and emotional well-being is essential to the healing process.

Coping With the Psychological Impact of Chronic Pain

According to the American Psychological Association, coping with chronic pain can be easier when you practice stress management techniques, maintain a positive mindset, and engage in activities you love.

Lifestyle Modifications for Long-Term Comfort

Making simple lifestyle changes can help you effectively cope with fibroid pain.

Clothing and Comfort Strategies

Avoid wearing clothing that’s tight or restrictive around your abdomen, as the pressure could worsen fibroid pain. Instead, opt for loose, comfortable clothing for maximum blood flow and movement.

Sleep Positioning and Pain Reduction

For fibroid pain during sleep, lay on your side and place a pillow between your knees to take pressure off your pelvis. Avoid sleeping on your stomach, as the additional pressure on your tumors could worsen fibroid discomfort.

Work and Daily Life Adaptations

Along with the coping strategies mentioned above, practicing self-care and being open about your fibroid pain can help minimize its impact on daily life.

Discuss possible accommodations with your supervisor, such as work-from-home options, especially when fibroid pain is at its worst (e.g., during your menstrual cycle). If these adaptations no longer provide sufficient relief, you can request a consultation with the Dallas Fibroid Center for treatment options that provide long-term comfort.

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