Pain an Pressure in the Pelvis in Fibroids?
When a fibroid grows large, it can cause a feeling of pressure in the pelvis.
It is sometimes possible to feel a hard spot where large fibroids are present.
Large fibroids on the outer part of the womb (subserous) distort the shape of the uterus and cause it to press on other organs.
- Painful periods
Pain during your period may be due to large clots of blood pushing through your cervix.
Cramps could also be caused by the womb trying to force out a submucous fibroid that is growing on a stalk in the cavity of the womb.
- Painful sex (pain during intercourse)
Fibroids that press on the cervix or hang through the cervix into the vagina can make penetrative sex painful and can also cause bleeding during sex.
- Abdominal pain and backache
Large fibroids can make the womb big and bulky, which can lead to lower back pain or pelvic discomfort.
Occasionally, fibroids can cause sudden severe pain in the pelvic area or lower back.
This may be due to a fibroid on a stalk (pedunculated) that has become twisted.
This kinks the blood vessels in the stalk and cuts off the blood supply to the fibroid.
If you feel sudden severe pain and also have a fever or feel sick, you should see your doctor.
The fibroid may need to be removed or your doctor may recommend bed rest and painkillers until the pain stops on its own.
- Dull aches in thighs
Some women with fibroids feel a dull ache in their thighs or develop varicose veins in their legs.
This happens when fibroids become so large they press on nerves and blood vessels that extend to the legs.
- Abdominal bloating
There may be constant pressure in the abdominal area that feels like bloating or fullness.
- Bladder symptoms
o frequent need to urinate (urinary frequency)
o leaking or dribbling urine
o urgent need to urinate, often passing only a small amount (incontinence)
o difficulty or inability to pass urine
(This is very serious and you should tell your doctor as you may need urgent care.
A tube, called a catheter, will be put into your bladder to empty it.)
o cystitis caused by trapped urine that becomes infected
Rarely, fibroids can press on the ureters (which carry urine from the kidneys to the bladder) which can lead to kidney dysfunction.
- Bowel symptoms
o haemorrhoids (piles)