A fibroid is a benign tumor in the muscular and fibrous tissues, which usually develops in the lining of the uterus. Subserosal fibroids develop on the outer surface of the uterus and could grow, creating a knobby appearance on the uterus. In some cases, these fibroids will be connected to the uterus with a long stalk, and these are then called pedunculated subserosal fibroids. This type of fibroids will be very difficult to distinguish from the ovarian mass. At the time of menstruation, these subserosal fibroids grow larger because of the flow of blood. The flow of the blood delivers rich oxygen to them, which in turn makes them grow larger. It can grow up to the size of a sixth-month pregnancy, causing severe pain and pressure in uterus.
Symptoms of subserosal fibroids:
There will be no symptoms seen in a majority of women. However, others may come up with the following symptoms:
- Pelvic pain
- Abdominal cramping and pain
- Back pain
- Damage to the kidneys because of compression
- Constipation and bloating
- Frequent urination
- A general feeling of pressure and heaviness
Large-sized subserosal fibroids are likely to have a negative impact on fertility and pregnancy. This is because these fibroids are present in the outer wall of the uterus and as they grow in size, the uterine wall presses on and exerts strain on the surrounding organs. In some cases, they also take blood from the surrounding organs. The compression of the uterus in turn compresses the fallopian tube, possibly causing infertility by preventing the meeting of the sperm and the egg. It also affects pregnancy. At the time of pregnancy, the uterus grows along with the baby, resulting in a jostling for space inside the cavity. This will create difficulties in both the development of the fetus and the pregnancy.
In order to get rid of this problem, the only solution is to get effective treatment. To start with the treatment, first, you should confirm the existence of subserosal fibroids. For this, some tests and diagnoses should be undertaken. The doctor might ask you to undergo several tests such as an ultrasound, imaging test, and other blood or urine test, and according to the results, the problem will be diagnosed. If it is confirmed that you are affected then, you will be asked to undergo the necessary treatment.
There are no drugs or therapies available for the total elimination of this problem; instead, surgical treatment can be done, which is the most effective treatment. For the removal of the fibroids, laparoscopic myomectomy is one of the best techniques. A laparoscope is inserted through an incision in the abdomen near the belly button. Later, the fibroids are plucked and broken up into small pieces for easy removal. However, there are always some side effects associated with surgical treatments. If the fibroids have not yet grown to problematic sizes, the patient may opt to look at natural alternatives to arrest the development of subserosal fibroids.