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Step 1
Your age is used as a factor. Typically fibroids are seen in women 30 to 45; doctors will consider such signs as unusually heavy menstrual cycles, abdominal discomfort, extreme pain in the area of the reproductive organs and frequent urination. Other symptoms include sudden sharp pains in the lower abdomen, this is an indication that a stalk has become twisted.
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Step 2
A pelvic exam also reveals the presence of uterine fibroids. These annual exams are recommended for women as early as age 18. During this exam, the doctor will gently press the ovaries and uterus to feel for abnormalities. A pelvic ultrasound scan may be recommended to confirm the diagnosis.
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Step 3
To further confirm the presence of uterine fibroids, some doctors order different tests including: abdominal ultrasound, trans-vaginal ultrasound, magnetic resonance imaging (MRI, computed tomography (CT Scan) or a diagnostic hysteroscopy.
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Step 4
For fibroids that are painless, your doctor may recommend watchful vigilance rather than treatment. This may include regular follow-up visits and occasional ultrasound exams to monitor the size of the fibroids. For invasive fibroids or those creating severe medical problems physicians will recommend various treatments according to the patient’s health history. Treatments range from hormone therapy to a hysterectomy removing the uterus or the uterus and ovaries.
