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Can You Pass A Uterine Fibroid During Period?

If you are experiencing pain that is more than the usual period cramps, you may have fibroids.  

Fibroids are extremely common among women of reproductive age, affecting up to 80% by the time they reach 50.   

These benign tumors can cause symptoms and complications, but one question that often arises is: Can fibroids pass during your period?   

Read on as we explore the likelihood of passing a fibroid during menstruation, potential complications, treatment options, and tips for managing fibroids during your period.   

What are fibroids?

Fibroids, or uterine leiomyomas, are non-cancerous growths in the uterus. They can differ in shape and size, ranging from small seedlings to large grapefruit-sized masses.  

These muscular tumors can be found within the walls of the uterus or protruding into the uterine cavity or outside the uterus. Furthermore, they can be solitary or multiple. The symptoms related to fibroids can vary depending on their location and size.  

Causes and symptoms of fibroids  

While the exact cause of fibroids is still not known, several factors can contribute to their development. Hormonal imbalances, particularly an excess of estrogen and progesterone, can increase the likelihood of developing fibroids. Additionally, a family history of fibroids and obesity may also play a role.  

The symptoms of fibroids can differ depending on their size and location within the uterus. In some cases, fibroids may not cause any noticeable symptoms at all, while some women may experience:   

  • Prolonged or heavy menstrual bleeding  
  • Pelvic pain or pressure  
  • Frequent urination  
  • Constipation  
  • Infertility  
passing fibroids during menstruation - Dr. Sandeep Burathoki

Understanding the Likelihood of Passing Fibroids During Menstruation

The question of whether you can pass a uterine fibroid during your period concerns many individuals experiencing fibroid symptoms. Fibroids are non-cancerous growths in the uterus that vary greatly in size, location, and impact, influencing the menstrual cycle and overall reproductive health. While passing fibroids during menstruation may seem plausible, especially given the nature of menstrual bleeding and uterine shedding, it’s essential to clarify what this process entails and its likelihood.  

Can You Pass a Uterine Fibroid?

Directly passing uterine fibroids, in the sense of expelling them entirely through the vaginal canal during menstruation, is relatively rare but not impossible. Most fibroids are embedded within the uterine wall or protrude into the uterine cavity or outside the uterus. These growths are generally not expelled naturally due to their attachment to the uterine tissue.  

However, a specific type of fibroid, known as a pedunculated submucosal fibroid, which grows on a thin stalk into the uterine cavity, can sometimes be passed if the stalk becomes twisted and the fibroid is deprived of its blood supply.   

This scenario can lead to a process akin to passing fibroids during menstruation, where the fibroid detaches and is expelled with menstrual flow. Such an event is rare and may require medical intervention to ensure complete removal and to manage potential complications like infection or heavy bleeding.  

For those questioning, “Can you pass fibroids?” It’s crucial to recognize the symptoms that may accompany the shedding or expulsion of a fibroid during your period. These symptoms can include severe abdominal pain, unusually heavy menstrual bleeding (menorrhagia), or the passage of large blood clots. If you experience these symptoms, it’s imperative to seek medical advice.   

Fibroid Management During Menstruation

Although the natural passing of fibroids during menstruation is uncommon, managing fibroid symptoms during your period is a significant concern for many. Non-surgical treatments such as hormonal medications can reduce symptoms, while surgical options are considered for larger or symptomatic fibroids. Additionally, managing pain and bleeding through over-the-counter pain relievers and iron supplements (for blood loss) can be helpful.  

While passing fibroids during menstruation can occur, especially in the case of pedunculated submucosal fibroids, it is a rare occurrence. For anyone concerned about fibroids or experiencing severe symptoms during their period, consulting with a healthcare provider is crucial. Timely diagnosis and treatment can alleviate symptoms and prevent potential complications associated with fibroids, including fertility issues.  

Can You Pass a Uterine Fibroid - Dr. Sandeep Burathoki

Potential complications of passing a fibroid during period  

Potential complications of passing a fibroid during period can differ depending on the size and location of the fibroid. While it is possible for small fibroids to pass with minimal issues, larger fibroids may cause more significant problems.  

  • One potential complication is increased pain and cramping during your period. As the fibroid passes through the cervix and out of the uterus, it can cause discomfort and intensify menstrual cramps.   
  • Another complication that may arise is heavy bleeding. Fibroids are known to cause heavy or prolonged periods, so when a fibroid passes during menstruation, it can result in even heavier bleeding.   
  • In some cases, passing large or multiple fibroids during your period could increase the risk of infection. Passing tissue through the cervix allows bacteria to enter the reproductive system, potentially causing pelvic inflammatory disease (PID) or other infections.  
  • A larger fibroid could be challenging and may require medical intervention if it gets stuck in the cervix or causes blockage within the uterus. In such cases, surgical removal might be necessary.  

Treatment options for fibroids

  • Medications for Symptom Management  

Medications can help alleviate symptoms like heavy periods and pelvic pain associated with fibroids. Hormonal treatments, including birth control pills and hormone-releasing intrauterine devices (IUDs), help regulate menstrual cycles and minimize bleeding. These options offer relief, especially for those concerned about fibroid impact during periods.  

  • Minimally Invasive Procedures  

For those seeking to preserve their uterus and potentially fertility, minimally invasive procedures offer a solution. Uterine artery embolization (UAE) targets the fibroids’ blood supply, causing them to shrink. This procedure particularly appeals to individuals looking to avoid surgery and minimize recovery time.  

  • Surgical Solutions  

When medication and less invasive methods are not viable or effective, surgery may be recommended. A myomectomy removes fibroids while maintaining the integrity of the uterus, suitable for individuals wishing to have children in the future. Alternatively, a hysterectomy, the removal of the uterus, provides a permanent solution for those not concerned with fertility preservation.  

  • Tailored Treatment Approach  

Choosing the right treatment involves considering the severity of the symptoms, the location of the fibroids and size, and future reproductive plans. Dr. Sandeep Burathoki determines the most appropriate strategy for managing fibroids and alleviating concerns related to passing fibroids during menstruation.  

Consult Dr. Sandeep Burathoki today for expert care

If you suspect that you may have fibroids or are experiencing symptoms related to fibroids during your period, it is critical to seek medical advice.  

Consulting with a knowledgeable and experienced healthcare professional like Dr. Sandeep Burathoki can provide the guidance and support needed for passing uterine fibroids.  

Whether through non-invasive options such as medication or lifestyle changes or more advanced techniques like minimally invasive surgery or uterine fibroid embolization, Dr. Sandeep will work closely with you to find the best approach for managing your fibroids.  

Remember, while passing a fibroid during your period is possible but rare, it is crucial not to self-diagnose or assume anything without a professional medical evaluation. Book your appointment today! 

Consult with Dr. Sandeep