Overview of Fundal Uterine Fibroids

What Are Fundal Uterine Fibroids?

Fundal uterine fibroids, a prevalent category of non-cancerous growths, can have significant impacts on your reproductive health.

Defining Fundal Fibroids

Fundal fibroids, also known as leiomyomas or myomas, are a common type of uterine fibroid. This classification is made based on the fibroid’s location within your uterus. Unlike other fibroids that might be found in different parts of the uterus, fundal fibroids are distinctively situated, which affects their identification and potential treatment.

Where Are Fundal Fibroids Located?

Understanding the position of fundal fibroids is crucial as it aids in determining both the manifestation of symptoms and the appropriate course of intervention.

Location of Fundal Fibroids:

  • Fundal: Your fundal fibroids are located at the top of your uterus, commonly referred to as the fundus.
  • Classification: They are classified within a system that categorizes fibroids based on their location in or on the uterus, which can influence symptoms and treatment options.

Depending on how they grow in relation to the uterine muscle, fundal fibroids can be:

Intramural Fibroid: Growing within the muscular wall of the uterus.
Subserosal Fibroid: Projecting to the outside of the uterus.
Submucosal Fibroid: Protruding into the uterine wall.

Fundal Fibroid Causes and Growth Factors

Your understanding of fundal fibroids can be deepened by looking at their causes and the factors that promote their growth. 

Hormonal Influences

Estrogen and progesterone are your body’s key hormones that prepare the uterus for pregnancy. High levels of these hormones can:

  • Stimulate the growth of uterine fibroids.
  • Increase the blood supply to the uterus, which may contribute to fibroid development.

This hormonal effect is evident since fibroids usually shrink after menopause when hormone production decreases significantly.

Genetic Factors

Researchers have identified a genetic component to the development of uterine fibroids. Your likelihood of developing fibroids increases if you have a family history of the condition, suggesting genetics play a role.

If you have fundal fibroids, it could be due to a mix of hormonal fluctuations in your body and your genetic blueprint, with these factors together creating an environment that may stimulate the growth of fibroids in the fundal region of your uterus.

Symptoms and Diagnosis of Fibroids

Understanding the signals your body sends and knowing when to seek medical evaluation can lead to a timely diagnosis of uterine fibroids. Below are specific details to look out for.

Symptoms of Uterine Fibroids

You may notice a range of symptoms if you are experiencing uterine fibroids. The most prevalent symptom is heavy menstrual bleeding, which can be quantified as soaking through sanitary protection within one hour and may necessitate double protection. This can lead to anemia, a condition where you lack enough healthy red blood cells to carry adequate oxygen to your body’s tissues, resulting in fatigue and weakness. Beyond heavy bleeding, look for these signs:

  • Menstrual periods lasting more than a week
  • Pelvic pressure or pain
  • Frequent urination or difficulty emptying your bladder
  • Constipation
  • Backache or leg pains

Diagnostic Procedures

When you address these symptoms with a healthcare provider, they will likely recommend specific diagnostic tests. An ultrasound is commonly used for its ability to create images of your uterus non-invasively, confirming the presence of fibroids and providing details about their size and location. Additional imaging tests may include:

  • MRI (Magnetic Resonance Imaging): Offers a comprehensive picture of fibroids and can help in treatment planning.
  • Hysterosonography: Involves saline infusion into the uterus to make the uterine cavity easier to visualize.
  • Hysterosalpingography: It may be used if infertility is a concern, to check the condition of the uterus and fallopian tubes.
  • Hysteroscopy: A small scope is inserted into your uterus through the cervix, allowing your doctor to inspect the uterine cavity directly.

These procedures establish the diagnosis and are crucial in tailoring the right treatment for you.

Fundal Fibroid Treatment Options

Your treatment for fundal uterine fibroids will depend on various factors, including your symptoms, fibroid size, and your plans for pregnancy. Both medical treatments and surgical interventions are viable options, each with specific outcomes and considerations.

Medical Treatments

Hormonal Medications: Doctors may prescribe medications to regulate your hormones, which can reduce symptoms and potentially shrink fibroids. These include:

  • GnRH Agonists: Can reduce estrogen and progesterone, leading fibroids to shrink over time.
  • Birth Control Pills: May help control heavy bleeding and painful periods.

Non-Hormonal Medications: To manage symptoms, especially heavy menstrual bleeding, non-hormonal options include:

  • NSAIDs: Offer pain relief but do not shrink fibroids.
  • Tranexamic Acid: Reduces menstrual blood loss.

Be aware that medical treatments may control symptoms but typically do not eliminate fibroids permanently.

Surgical Interventions

As you navigate treatment decisions, consider how each may perform related to fibroid reduction, symptom management, and your fertility goals. Remember, fibroids may naturally shrink after menopause, therefore, if you are approaching menopause, your doctor may recommend a conservative approach. Below are common surgical treatment options:

  • Myomectomy: A procedure where your surgeon removes fibroids, preserving the uterus, making it a suitable option if you plan to have children.
  • Hysterectomy: The removal of the uterus, a definitive solution that eliminates fibroids, suitable if you do not intend to get pregnant.
  • Uterine Fibroid Embolization (UFE): A minimally invasive procedure that cuts off blood supply to fibroids, causing them to shrink. UFE may be a preferred option if you wish to avoid more invasive surgery.
  • MRI-Guided Focused Ultrasound: Utilizes high-frequency sound waves to destroy fibroid tissues. This option is non-invasive and preserves the uterus.

The Impact of Fundal Uterine Fibroids on Reproductive Health

Fundal uterine fibroids, though benign, can profoundly influence your reproductive capabilities and the course of a pregnancy. Understanding their effects is crucial in managing and anticipating potential challenges in your reproductive health journey.

Effects on Fertility

Fundal fibroids can interfere with fertility by distorting the uterine cavity. This distortion may hinder sperm movement, embryo implantation, or both, decreasing your overall fertility potential. Additionally, fibroids may impact the blood flow to the uterine cavity, which is essential for the nourishment of a fertilized egg and successful conception.

  • Embryo implantation: Fibroids can alter the shape of the uterine cavity, making it more difficult for an embryo to implant.
  • Sperm movement: The shape and contractions of the uterus are crucial for transporting sperm, and fibroids may obstruct this process.

Pregnancy and Fibroids

During pregnancy, the impact of fundal fibroids is twofold; they can both complicate the gestation process and influence delivery outcomes. Fibroids may grow in response to pregnancy hormones, which can lead to discomfort and the need for additional monitoring. Your risk for pregnancy complications such as preterm delivery and placental abruption — where the placenta detaches from the uterine wall before delivery — may also be higher.

  • Gestation: Enlargement of fibroids can cause discomfort and might necessitate medical interventions.
  • Delivery: Fibroids may complicate labor and delivery, potentially requiring a cesarean section for the safety of you and your baby.

You should consult with a healthcare provider to understand the specific risks and management strategies related to fundal fibroids during your childbearing years.

Discover a Healthier You with Access Vascular’s Fibroid Treatment

Uterine fibroids are benign tumors that develop within the muscles of the uterus, often causing a range of symptoms like heavy menstrual bleeding, pelvic discomfort, and bloating. Fundal uterine fibroids, which grow at the top of the uterus, may lead to distinct symptoms affecting your overall quality of life. However, it’s important to remember that there is hope and effective treatment available.

The team at Access Vascular comprises dedicated health professionals skilled in the art of uterine fibroid embolization (UFE) for treating uterine fibroids. We offer a high level of expertise and confidence, ensuring you receive top-notch care. The benefits of UFE with Access Vascular include a quick recovery time and reduced likelihood of hospital stay, allowing you to return to your day-to-day life with minimal interruption.

If you’re grappling with the impact of fibroids on your day-to-day well-being, contact Access Vascular today! 

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