About 70% of women of childbearing age may be affected by fibroids at some point in their lives. An intramural fibroid is a common type of fibroid, which develops within the wall of the uterus. They start as small nodules in the wall of the uterus and will enlarge, leading to the elongation and distortion of the uterine cavity.
Symptoms of Intramural Fibroids:
There are no symptoms generally experienced but some women might come up with symptoms like:
- Heavy menstrual bleeding
- In rare cases, it may lead to uterine hemorrhage
- Pain in the pelvic area
- Pain during sexual intercourse if the fibroid is located in the cervix
- Back pain
- Pain in the back of the legs
- Abdominal distention
- Constipation and bloating
- Heaviness in the lower abdomen due to the weight of the fibroids
- Frequent urination
Normally, intramural fibroids do not affect pregnancy, but there is evidence that about 3% of women may in fact suffer from infertility due to intramural fibroids. Moreover, women who have large intramural fibroids will find difficulty getting pregnant. This is because these fibroids prevent the sperm from entering the uterine cavity, especially when they are located at the cervix.
In addition, while growing, the fibroids will expand the uterine cavity, which in turn forces the sperm to travel a longer distance in order to reach the egg. These uterine fibroids enlarge as the pregnancy progresses, and because of this, there is competition for space between the growing embryo and the growing intramural fibroids. This may lead to a miscarriage or developmental defects in the baby.
Treatment for Intramural Fibroids:
The most common treatment for intramural fibroids is abdominal myomectomy, which is highly recommended if the size of the fibroid is 5 to 7 cm. The fibroids will be removed through a surgical method that involves the insertion of a device in the abdomen.
After inserting the device, the fibroid will be cut and removed from that particular area. Another treatment is uterine artery embolization. In this technique, the blood flow to the fibroids will be impeded so that the tissues of that fibroid die.
Another common treatment which is carried out for intramural fibroids is hysterectomy. For this surgical procedure, there will be a removal of the entire uterus if the uterus is completely damaged. This treatment is also performed when the tumors inside the lining of the uterus suddenly rupture, leading to excessive bleeding.
Laparoscopy is also another treatment done to remove the fibroids which are present. Generally, it is performed by inserting a device called a laparoscope. It is only a 1-day process and it takes about one to two hours to complete the treatment. After the treatment, the recovery period will take about one to two weeks.
There are also many medications available for treating fibroids but often are not recommended by doctors because once the medications are stopped, the problem of fibroids are likely to recur. If you are not interested in surgical or medication treatments, then you may try natural alternatives such as cinnamon, yarrow, black currant buds or leaves, black cohosh, and other herbs.