Key Points
- The article provides an in-depth look at fibroids, discussing their symptoms, causes, and prevention methods.
- Symptoms of fibroids range from heavy menstrual bleeding and painful periods to frequent urination and reproductive issues.
- Factors such as hormonal imbalances, genetics, ethnicity, vitamin D deficiency, and stress can cause fibroids, with African-American women and those with a family history being at a higher risk.
- Preventive measures include maintaining a healthy lifestyle, managing high blood pressure, getting enough vitamin D, reducing stress, and regular exercise.
- Treatment options are diverse, including hormonal treatments, surgical procedures, and lifestyle changes, with doctors considering a patient's symptoms, menstrual patterns, and lifestyle factors.
Possible Symptoms for Fibroids
- Heavy menstrual bleeding.[1]
- Painful menstrual periods.
- Feelings of fullness in the lower stomach area.
- Lower back pain.
- Pain during sexual intercourse.
- Frequent urination.
- Pregnancy complications.
- Problems during labor.
- Reproductive problems.
- Anemia.[2]
Top 6 Fibroids Causes
1. Hormonal Imbalances
Imbalances in estrogen, progesterone, and growth hormones have been linked to the development of fibroids.[1] Fibroids normally grow at a rapid rate when estrogen levels are high, such as during pregnancy, and will shrink or stop growing when estrogen levels decline, like during menopause.
2. Genetics
Women who have a family history of fibroids are highly likely to develop fibroids themselves. Genetic mutations in the MED12, HMGA2, COL4A5, COL4A6, or FH genes have all been linked to fibroids.[3]
3. Ethnicity
Women who are African-American are more likely to develop fibroids than women with other ethnic backgrounds.[4] African-American women are genetically predisposed to fibroids and are more prone to suffer from a vitamin D deficiency, which is also linked to the development of fibroids.
4. Deficiency in Vitamin D
Vitamin D has the ability to prevent the growth of uterine fibroids, so being deficient in this essential vitamin can increase the likelihood of developing fibroids.[5] Adequate levels of vitamin D help reduce estrogen and progesterone to keep hormones balanced.[6]
5. Stress
Major stress has been linked to a higher incidence of uterine fibroids in women of any race.[7] Loss of employment, illness, divorce, assault, and moving of residence are some factors cited as causes of the high levels of stress associated with fibroids.
6. Micronutrients
High amounts of certain micronutrients can cause fibroids to develop if the body only needs small amounts of those micronutrients in the blood.[3] Vitamin A and vitamin C have both been linked to fibroids when consumed in high amounts, such as through nutritional supplementation.[8]
8 Ways to Prevent Fibroids
1. Manage High Blood Pressure
High blood pressure is a risk factor for uterine fibroids.[9] If you have high blood pressure, work with your doctor to lower it. Normal blood pressure is a systolic pressure less than 120 and a diastolic pressure less than 80.[10] Natural ways to manage and improve high blood pressure include exercising regularly, eating a healthy diet, limiting alcohol intake, and not smoking.
2. Maintain a Healthy Weight
Obesity is a risk factor for fibroids due to the way excess weight can cause hormonal imbalances and high blood pressure.[9] If you are overweight or obese, take steps to lose excess weight and maintain a healthy weight. Eat healthy foods, stay physically active, get plenty of sleep, and manage stress—all of which can help you lose weight when practiced consistently.
3. Get Enough Vitamin D
Women who are deficient in vitamin D are more likely to develop uterine fibroids, but women who get enough of this essential vitamin face a lower risk. Increase your vitamin D intake by getting plenty of sunlight, using vitamin D supplements, or eating foods like salmon, tuna, and eggs. The recommended dietary allowance for vitamin D is 600 IU per day for women between the ages of 14 and 70, and 800 IU per day for women older than 70.[11]
4. Eat Healthy Foods
Red meats like beef and ham have been linked to fibroids, along with food additives like food coloring, MSG, and sodium nitrite.[9] Stop eating unhealthy foods that contribute to fibroids, weight gain, and high blood pressure, and start eating healthy whole foods like fruits, vegetables, and nuts—all of which offer countless nutritional benefits. Leafy greens and green vegetables like spinach, broccoli, peppers, and Bok choy are shown to protect women against fibroids.[1]
5. Maintain a Healthy Hormonal Balance
Keeping your hormones in check may help reduce your risk for developing fibroids. Take steps to prevent your estrogen levels from rising too high if you’re not pregnant. Lose excess weight, exercise regularly, eat healthy foods, and manage stress to maintain a healthy hormonal balance.
6. Avoid Dairy and Soybean Milks
Women who regularly consume dairy and soybean milk are at higher risk for developing fibroids.[12] Dairy and soy milk is shown to cause fluctuations in hormones like estrogen that contribute to fibroids. Stop drinking dairy and soy milks, and consider switching to coconut or almond milk instead.
7. Reduce and Manage Stress
Chronic stress increases the body’s production of cortisol and causes long-term fluctuations in hormones like estrogen that contribute to fibroids. Find healthy, effective ways to reduce and manage stress, such as meditation, yoga, and exercise.
8. Exercise Regularly
Women who perform vigorous exercise for at least 3 hours per week can significantly decrease their risk of developing fibroids.[13] Examples of vigorous physical activity include jogging, running, shoveling snow, carrying heavy loads upstairs, or participating in strenuous fitness classes like a spin class.[14] Make time in your daily schedule for exercise and slowly work your way toward vigorous physical exercise if you’re at a beginner’s fitness level.
Possible Fibroids Treatment Options
- Intrauterine devices (IUDs)[15]
- Birth control pills
- Iron supplements
- Tranexamic acid
- Pain reliever medicines
- Hormone shots
- Hysteroscopy
- Endometrial ablation
- Uterine artery embolization
- Myomectomy
Questions Your Doctor May Ask About Fibroids Treatment
- When did you first start experiencing symptoms?
- Have your menstrual periods been heavier than usual?
- Are your menstrual periods painful?
- How often do you urinate?
- Are you having problems trying to conceive?
- Are you pregnant?
- Do you have any known hormonal medical conditions like PCOS or endometriosis?
- Do fibroids run in your family?
- What types of foods do you eat?
- Do you consume dairy or soy milk?
- Have you recently experienced a major stressful event?
- Do you use nutritional supplements, and if so, which ones and how often?
- Do you have a history of high blood pressure?
Fibroids May Also be Known as
- Uterine fibroids
- Uterine myoma
- Leiomyoma
- Fibromyoma
- Myoma
- References
Frequently asked questions
What are the common symptoms of fibroids?
Symptoms can include heavy menstrual bleeding, painful periods, lower stomach fullness, lower back pain, pain during sexual intercourse, and frequent urination among others.What factors can cause fibroids?
Causes can include hormonal imbalances, genetics, ethnicity, vitamin D deficiency, stress, and certain micronutrients.Are there specific groups at a higher risk of developing fibroids?
Yes, African-American women and those with a family history of fibroids are at a higher risk.How can one prevent the development of fibroids?
Preventive measures include managing high blood pressure, maintaining a healthy weight, getting enough vitamin D, eating healthily, maintaining a healthy hormonal balance, reducing stress, and regular exercise.What are the treatment options for fibroids?
Treatment options include intrauterine devices (IUDs), birth control pills, iron supplements, tranexamic acid, pain relievers, hormone shots, and various surgical procedures.What factors do doctors consider when diagnosing fibroids?
Doctors may ask about the onset of symptoms, menstrual patterns, urination frequency, conception problems, hormonal conditions, diet, stress, supplement use, and blood pressure history.Can lifestyle changes help in managing fibroids?
Yes, maintaining a healthy weight, getting enough vitamin D, eating healthily, maintaining a healthy hormonal balance, avoiding certain foods, reducing stress, and regular exercise can help manage fibroids.Are there any dietary changes that can help prevent fibroids?
Yes, eating healthily, maintaining a healthy hormonal balance, avoiding dairy and soybean milks, and getting enough vitamin D can help prevent fibroids.
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