Pedunculated Fibroids Explained

What Are Pedunculated Fibroids?

Pedunculated fibroids are a specific subtype of uterine fibroids characterized by their growth on a stalk or stem, known as a peduncle.

These fibroids can vary in size and shape, ranging from small nodules to larger masses, and may protrude into the uterine cavity or extend outward from the uterus.

The peduncle distinguishes them from other types of fibroids, allowing them to be mobile and move within the pelvic cavity. This mobility can sometimes lead to complications such as torsion, where the fibroid twists on its stalk, potentially causing severe pain and requiring immediate medical attention.

Pedunculated Fibroid Symptoms

Symptoms of pedunculated fibroids may vary depending on size, location, and orientation within the pelvis.

Common symptoms associated with pedunculated fibroids may include:

• Pelvic pain or discomfort
• Heavy menstrual bleeding
• Pressure or fullness in the pelvic region
• Frequent urination or difficulty emptying the bladder completely
• Pain during sexual intercourse

Pedunculated Fibroid Causes

The exact cause of pedunculated fibroids is not fully understood, but they are thought to develop from the same underlying factors as other uterine fibroids.

These factors may include:

• Hormonal imbalances
• Genetic predisposition
• Estrogen sensitivity

Are Pedunculated Fibroids Dangerous?

No, pedunculated fibroids are typically benign (non-cancerous) and do not pose a significant health risk.

It is vital to know that sometimes, they can cause complications such as severe pain, excessive bleeding, or compression of nearby organs.

In rare cases, pedunculated fibroids may twist on their stalk, leading to a condition called torsion, which requires immediate medical attention.

Can Pedunculated Fibroid Cause Infertility?

The short answer is “possibly.”

Pedunculated fibroids may contribute to infertility or pregnancy complications if they obstruct the fallopian tubes, interfere with implantation, or cause distortion of the uterine cavity.

However, the impact of pedunculated fibroids on fertility varies depending on factors such as size, location, and individual patient characteristics.

Pedunculated Fibroids Treatment

Treatment for pedunculated fibroids aims to alleviate symptoms, reduce fibroid size, and improve overall quality of life.

Here's an overview of available treatment options:

• Watchful Waiting and Medication: For small, asymptomatic pedunculated fibroids not causing complications, a "watchful waiting" approach may be adopted, involving regular monitoring of fibroid growth and symptoms. Hormonal medications can also be prescribed to manage symptoms such as heavy bleeding and pelvic pain, while potentially reducing fibroid size.
• Uterine Fibroid Embolization (UFE): a minimally invasive, non-surgical procedure that effectively treats pedunculated fibroids by blocking their blood supply, causing them to shrink over time. During UFE in Atlanta, our doctors inject tiny particles into the blood vessels supplying the fibroids, leading to their embolization and eventual resolution. UFE offers several advantages, including shorter recovery times, preservation of the uterus, and minimal scarring.
• Surgical Options: In rare instances, surgery may be necessary to eliminate fibroids. This can include hysteroscopic resection, a minimally invasive procedure that removes fibroids protruding into the uterine cavity; myomectomy, which removes fibroids while keeping the uterus intact through different surgical methods; and hysterectomy, considered as a final option for severe symptoms or complications when fertility isn't a concern, involving the removal of the uterus and potentially the cervix.

Minimally-Invasive Pedunculated Fibroid Treatment In Georgia

At Georgia Fibroids, we specialize in minimally invasive techniques for treating pedunculated fibroids. We offer advanced treatment options with shorter recovery times, minimal scarring, and reduced risk of complications.

Our experienced team of fibroid doctors in Atlanta is dedicated to providing personalized care and comprehensive treatment plans tailored to each patient's needs and preferences.

Contact us today to schedule a consultation and explore your options for minimally invasive pedunculated fibroid treatment in Georgia.