Defining Large Fibroids

What is Considered a Large Fibroid?

When it comes to uterine fibroids, size matters for classification. Large fibroids may impact your health differently than smaller ones.

Criteria for ‘Large’ Sized Fibroids

A fibroid is considered large once it exceeds 5 centimeters (cm) in diameter, which is roughly the size of an apple. Your doctor can often feel fibroids of this size (or larger) during a physical exam. The term “large” is generally applied to fibroids that cause noticeable symptoms or have the potential to impact the function of the uterus and surrounding organs due to their size if left untreated.

Common Sizes of Large Fibroids

Large fibroids can vary in size. Some can be the size of a grapefruit, approximately 10 cm or larger in diameter. In very rare cases, fibroids can reach extraordinarily large sizes, such as the size of a pumpkin or watermelon, though such giant fibroids are exceptional. Remember that these figures are general; fibroid size can vary widely from one person to another.

Uterine Fibroid Symptoms and Diagnosis

When you’re dealing with large fibroids, understanding the symptoms and undergoing proper diagnostic tests are crucial steps toward receiving the right treatment.

Recognizing Symptoms of Large Fibroids

Large uterine fibroids can be asymptomatic, meaning you may not experience any symptoms at all. However, when you do have a fibroid that causes symptoms, they can significantly impact your life. Your symptoms may include:

  • Heavy menstrual bleeding
  • Feeling of fullness or pressure in the lower abdomen
  • Frequent urination, due to pressure on the bladder
  • Pain during intercourse
  • Backache or leg pain

These symptoms and complications usually depend on the size, location, and number of fibroids. If you experience any of these symptoms, especially if they cause a significant change in your daily routine, it may be time to consult with your healthcare provider.

Diagnostic Imaging Tests

Your healthcare provider will often use imaging tests to diagnose uterine fibroids. Two primary imaging techniques include:

  • Ultrasound: This is the most common diagnostic tool for fibroids. It uses sound waves to get an image of your uterus to confirm the presence and size of fibroids.
  • MRI (Magnetic Resonance Imaging): This provides a more detailed image and can help determine the exact location and size of the fibroids, which is especially useful if you are considering surgery or other treatments.

These imaging tests help your healthcare provider assess the fibroids and craft a treatment plan suited to your specific needs. It’s important to follow through with your doctor’s recommendations for imaging, as it will guide your path to managing the effects of fibroids on your health.

Large Fibroid Effects on Reproductive Health

Large fibroids affect your reproductive system in critical ways. They may influence fertility and alter the course of pregnancy. Understanding the potential impacts allows for informed health decisions.

Impact on Fertility

Large fibroids can put pressure on or obstruct your fallopian tubes, preventing sperm from reaching and fertilizing an egg. These large fibroids can also alter the shape of your uterus, which may impact the implantation of an embryo. Additionally, large or small fibroids located inside the uterus may compete with an embryo for space and nutrients.

  • Obstruction of Fallopian Tubes: May block the passage of sperm.
  • Alteration of Uterine Shape: Can impact embryo implantation.
  • Growth within Uterine Cavity: Might lead to competition with an embryo.

Fibroids can cause hormonal imbalances, leading to reproductive issues. These imbalances might interfere with ovulation, reducing your chances of conceiving.

Complications During Pregnancy

During pregnancy, fibroids can grow large due to increased hormone levels, which might lead to complications such as:

  • Preterm Delivery: The presence of fibroids might induce labor earlier than the anticipated due date.
  • Placental Abruption: Fibroids may disrupt the normal attachment of the placenta to the uterine wall.
  • Fetal Growth Restriction: Space occupied by fibroids can limit fetal development.

It’s important to monitor fibroids closely during pregnancy under medical guidance to mitigate potential risks to you and your baby.

What are The Health Risks of Large Fibroids?

Larger fibroids come with a higher chance of health complications, including increased pressure on surrounding organs and more severe symptoms. Understanding these risks helps you seek appropriate treatment and manage symptoms effectively.

Pressure on Organs and Tissues

Large fibroids can exert significant pressure on organs and tissues in your pelvic area and may protrude from your abdominal area, which may lead to:

  • Bladder: Reduced capacity and more frequent urination.
  • Bowel: Constipation and difficulty with bowel movements.

The added pressure can cause painful symptoms, particularly during your menstrual cycle, and can affect your day-to-day activities.

Fibroid Growth and Complications

As fibroids increase in size, they can contribute to:

  • Heavy Menstrual Bleeding: Leads to anemia, causing fatigue and weakness.
  • Pelvic Pain and Pressure: Causes discomfort and a feeling of fullness in the lower abdomen.
  • Urinary Problems: Results in frequent urination or difficulty emptying the bladder.
  • Bowel Issues: Can lead to constipation or difficult bowel movements.
  • Fertility and Pregnancy Challenges: Interferes with conception and increases the risk of pregnancy complications.
  • Quality of Life: Symptoms can significantly impact physical and emotional well-being.

Rapid or unpredictable growth patterns of larger fibroids may also necessitate more aggressive forms of treatment or surgery. It’s crucial to monitor symptoms and communicate regularly with your healthcare provider to manage the risks associated with large fibroids.

Large Fibroid Treatment Options

When considering a course of action for large uterine fibroids, your overall health, desire for future pregnancy, and the size and location of the fibroids are crucial factors. Treatment options range from surgical to non-surgical methods designed to address symptoms and improve your quality of life.

Surgical Treatments


  • Total Hysterectomy: This procedure involves the complete removal of the uterus, and sometimes, the cervix. It effectively eliminates fibroids and prevents recurrence, providing a permanent solution. However, it’s not suitable if you plan to conceive.
  • Partial Hysterectomy: Only the uterus is removed, leaving the cervix intact. This option also prevents the return of fibroids and may be recommended depending on fibroid location.


  • Open Myomectomy: Removal of fibroids through an incision in your abdomen. This is ideal if fibroids are large, numerous, or deeply embedded in the uterine wall.
  • Laparoscopic Myomectomy: Minimally invasive surgery where fibroids are removed through small incisions. It offers a shorter recovery time but might not be feasible for very large or numerous fibroids.

Non-Surgical Options

Uterine Fibroid Embolization (UFE) or Artery Embolization:

  • A minimally invasive procedure that cuts off the blood supply to the fibroids, causing them to shrink and die. 


  • Aimed at managing symptoms and reducing fibroid size. Medications may target estrogen levels, as estrogen can stimulate fibroid growth. Their effectiveness often diminishes after cessation or upon reaching menopause, when estrogen levels naturally decrease.

While not all fibroids need to be removed, your treatment choice should take into account various factors such as the severity of symptoms, fibroid size, and personal health goals. Discuss with your healthcare provider to determine the most suitable approach for you.

More About Uterine Fibroid Embolization (UFE)

Uterine Fibroid Embolization (UFE) is a minimally invasive treatment specifically designed to block the blood flow to fibroids in the uterus, leading to their shrinkage and symptom relief. UFE works by blocking the blood vessels that feed the fibroid, leading to its reduction. The benefits of this non-surgical option are multiple: it’s typically done on an outpatient basis, involves less recovery time than traditional surgery, and it is effective in alleviating symptoms while preserving the uterus.

The UFE Procedure

Your UFE treatment commences with a small incision, allowing a specialized radiologist to insert a catheter into your artery. Guided by imaging technology, the catheter is threaded to the uterine arteries supplying your fibroids. Microscopic particles are then infused through the catheter into these arteries, which function to obstruct the fibroids’ blood supply. Without blood, the fibroids gradually shrink, and your symptoms should reduce over time.

Benefits and Risks of UFE

UFE presents numerous advantages. It is minimally invasive, meaning shorter recovery times and less risk than traditional surgery methods like hysterectomy. You can typically expect to return home the same day or the following day post-procedure.

However, UFE is not free from risks. Possible complications may include, but are not limited to, pelvic infections and pain. It is critical to discuss with your healthcare provider to understand if UFE aligns with your health goals, especially if fertility preservation is a priority for you.

Your Journey to Fibroid Freedom Starts Here

Uterine fibroids are noncancerous growths of the uterus that often appear during childbearing years. While they commonly remain small and symptomless, their presence can sometimes be quite noticeable and disruptive to your daily life. 

If you’re contending with fibroid symptoms that affect your quality of life, it’s essential to remember that effective treatments are available. With our proficient team, Access Vascular provides you with a solution that merges expertise with compassionate care. Your fibroids shouldn’t define your life, and with UFE, you are taking a decisive step towards reclaiming control. If uterine fibroids are impacting your life, take action now. Contact Access Vascular for a consultation and embark on a path to fibroid freedom.

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