Dr Suzanne Wylie Explains: What Are the Warning Signs of Uterine Fibroids?

Uterine fibroids are one of the most common health issues affecting people with a uterus. In fact, studies suggest that up to 70–80% of women will develop fibroids before menopause. Yet many people don’t know what signs to look out for, or they mistake symptoms for “just bad periods.”

To help clear things up, we’ve gathered the key information; with expert insight from Dr Suzanne Wylie, who regularly advises on women’s health issues.

What Are Uterine Fibroids?

Fibroids are non-cancerous growths that develop in or around the uterus. They can be small and symptomless, or they can grow large enough to affect day-to-day life.

Dr Wylie explains: “Some women may have only one fibroid, while others may develop multiple growths. Depending on their size and location, fibroids can present differently, and symptoms may vary.”

Fibroids are influenced by hormones. As Dr Wylie notes, “Fibroids tend to grow during the reproductive years when hormone levels are at their highest and often shrink after the menopause when hormone levels decline.”

Who Is More Likely to Develop Fibroids?

Several risk factors can increase the likelihood of fibroids:

• Hormone levels like (oestrogen and progesterone).

• Family history especially if your mother or sister had fibroids, you’re at higher risk.

• Ethnicity as research shows fibroids are more common and often more severe in women of Black, African, or Caribbean descent.

• Weight if you are overweight or obese this is linked with higher fibroid risk.

The 5 Most Common Symptoms of Uterine Fibroids

While not everyone will experience symptoms, here are the most frequent signs to watch out for:

1. Heavy or Prolonged Periods: Excessive bleeding is one of the biggest red flags. You may need to change pads/tampons more often than usual or bleed for more than a week.

2. Severe Menstrual Cramps: Painful periods can be a sign that fibroids are interfering with the normal function of the uterus.

3. Pelvic Pressure or Fullness: Larger fibroids can press on nearby organs, making you feel bloated or uncomfortable.

4. Frequent Urination or Constipation: Fibroids pressing on the bladder or bowel can affect how often you go to the toilet.

5. Fertility or Pregnancy Complications: Some fibroids can affect fertility, conception, or pregnancy, depending on where they’re located.

Other possible symptoms include pain during sex, back pain, and swelling of the lower abdomen.

When to See a Doctor

If you’re experiencing heavy periods, severe cramps, or unexplained pelvic pressure, it’s worth speaking to a GP or gynaecologist. While fibroids are not cancerous, the symptoms can significantly impact quality of life and there are treatments available, from medication to surgery.

Fibroids are common and, in many cases, harmless. But for some women, they cause painful, disruptive symptoms. Understanding the signs, and knowing when to seek help really can make all the difference.

Dr Wylie’s advice underlines the importance of not ignoring symptoms: if something doesn’t feel normal for you, it’s always best to get it checked out. You can book an appointment to discuss your concerns with Dr Wylie here.