Uterine fibroids treated with Interventional Radiology

Team of Dr. Charalambous - Nicosia, Cyprus

Uterine fibroids

Uterine fibroids are one of the most common tumor types be found in the female’s genital tract. They are also known as fibroids, and they also have some other names like fibromyoma, myoma or leiomyoma.
The fibroids are non-cancerous tumors which develop in the wall of uterus of the person. They usually do not cause any symptoms. However, there some cases when the size and location of fibroids can affect the person. The patient will experience pelvic pain, heavy bleeding and some pressure-related symptoms like high urination frequency, swelling, bloating. Fibroids can also be linked with infertility.

The uterine fibroids are very common and, sometimes, they are so small that they don’t cause any problem. Almost 20 to 40 percent women over the age of 35 may have uterine fibroids of larger size. The African-American women are the ones who are at higher risk, as 50 percent of them can have uterine fibroids of large size.
There are many sizes in fibroids as they can range from very small to so big that they can be the size of a cantaloupe melon or even larger. Sometime, they can make the uterus to so big that it may appear that the patient is having a 5-month pregnancy or more. The fibroids can be in many different parts of the uterus. There are three kind of uterine fibroids:
Submucosal fibroids
These fibroids can be found in the outside covering of the uterus and can expand through the wall, which gives the uterus a lump-like look. These fibroids usually do not affect the woman’s menstrual flow, but they can be the reason of pelvic pain, pressure on surrounding organs and back pain. Sometime, it is difficult to differentiate fibroids from the ovarian mass. For making the best diagnosis of fibroids, an ultrasound or a MRI may be required.

Intramural fibroids
These fibroid are present in the lining of the uterus and can expand from the inside of the uterus. As a result, they can increase the size of the uterus. These are most common types of fibroids. These fibroids can cause heavier menstrual bleeding than normal in patients.

Submucosal fibroids
These fibroids are located in the uterine cavity. These are the least common type of fibroids, but they create the most number of problems. Even if this type of fibroid is small, it can cause heavy bleeding and prolonged periods. They even affect the patient’s fertility.


Most of the time there are no symptoms, and only 10 to 20 % women may require treatment.

According to the size, location and number of fibroids, a woman may feel these symptoms:

Pelvic pain.

Pelvic pressure due to weight of the fibroid.

Pain in the back due to the pressure of fibroids on the nerves of legs and pelvis.

Pain during intercourse.

Constant need to urinate.

Bloating and constipation.

Abdomen has grown abnormally large.

Long periods and unusual monthly bleeding even clots.

This may cause anemia.


If you have large fibroids, they can be diagnosed through physical examination. Most of the time, fibroids are diagnosed through ultrasound. There are some cases in which MRI is used to collect the most information about the fibroid, and to see whether fibroids are responding to the treatment or not.
There are many treatments for this problem, some of them will save your uterus and some will not. The fibroids treatment will depend on the age of the patient and whether or not she wants to have a baby.
The treatments which will save your uterus involve blocking the supply of blood to uterus through a small artery hole. In some cases, the physician may even remove the fibroid surgically. There may be hormonal treatments present for the patient.
The course of treatment suitable for a patient depends on the symptoms she is experiencing and the impacts of these symptoms on the quality of life. The treatment will also depend upon whether you wish to have a baby now or you want to have baby sometime in the future .
Dr Nikolas Charalambous is named among the most prominent interventional radiologist. Get a free consultation for a minimally invasive treatment of brain, neck, and spine.
Aretaeio Hospital

Andrea Avraamidi 55-57, Strovolos 2024, Nicosia,


Email: consulting at ncir.com.cy 
Phone: +357  99 44 08 22