Uterine Fibroids

Common, benign, and very treatable — most women with fibroids can find lasting relief with the right individualised plan.

70% Of women develop fibroids during their reproductive years

1 in 4 Become symptomatic and may need treatment

Benign Most Fibroids are non-cancerous growths

Uterine fibroids (also known as myomas or leiomyomas) are benign growths of the muscle of the uterus. They are extremely common and usually harmless, but when they cause symptoms they can have a major impact on quality of life and fertility. Their size, number, and location all influence whether treatment is needed.

Symptoms

Many women with fibroids have no symptoms at all. When symptoms do occur, they vary depending on the size and location of the fibroids.

Heavy or prolonged bleeding Sometimes leading to iron deficiency anaemia

Pelvic pressure or fullness Visible abdominal distension with larger fibroids

Bladder symptoms Frequent urination or difficulty fully emptying the bladder

Pain with intercourse Discomfort or pain during sexual activity

Lower back pain Or constipation from pressure on surrounding structures

Fertility concerns Difficulty conceiving or recurrent pregnancy loss, depending on fibroid location

How fibroids are diagnosed

Pelvic examination

An enlarged or irregular uterus on examination may suggest the presence of fibroids, prompting further investigation.

Transvaginal ultrasound

The primary imaging tool — most fibroids are clearly identified by ultrasound, including their size, number, and location within the uterus.

MRI (where indicated)

Occasionally used to map fibroids in detail, particularly when surgery is being planned or fertility preservation is a priority.

Treatment options

There is no single best treatment for fibroids — the right option depends on your symptoms, fertility plans, and the size and location of the fibroids.

Watchful waiting

For fibroids that are not causing symptoms, careful monitoring is often all that is required.

Medical therapy

Tranexamic acid, the combined oral contraceptive pill, and progestogens to manage bleeding and symptoms.

Mirena IUD

Highly effective for controlling bleeding from small intramural or subserosal fibroids.

Hysteroscopic myomectomy

Removal of fibroids inside the uterine cavity without any external incisions.

Laparoscopic myomectomy

Minimally invasive removal of fibroids while preserving the uterus and fertility.

Laparoscopic hysterectomy

Where family is complete and symptoms are not controlled by other measures.

Uterine artery embolisation

A non-surgical option available by referral where appropriate for suitable candidates.

Dr Krones' Approach

Minimally invasive fibroid surgery

Dr Krones' training in advanced laparoscopic surgery means most fibroid surgery — including larger and more complex cases — can be performed using minimally invasive techniques. The benefits include smaller incisions, faster recovery, less post-operative pain and a shorter hospital stay.

Decisions about whether to preserve the uterus are made together with each patient, with careful attention to individual goals and fertility wishes.

When to see a specialist

Specialist assessment is recommended if you experience any of the following, or have been told you have fibroids and want to understand your options:

Heavy or prolonged periods affecting daily life
Pelvic pressure, fullness or abdominal bloating
Fertility concerns or recurrent pregnancy loss
Known fibroids and uncertainty about next steps

Book a consultation

Dr Krones consults at Suite 3A, North Shore Private Hospital, St Leonards, with operating privileges at North Shore Private Hospital and The Mater Hospital, Crows Nest.

A valid GP or specialist referral is required for all new appointments.

02 9053 1245