Michael Swikehardt, MD
Start With the Symptom

Heavy bleeding and pelvic pressure are different fibroid problems.

Fibroids can cause heavy periods, anemia, pelvic pressure, bloating, pain, urinary frequency and constipation depending on size and location.

Symptoms often fall into two groups.

Bleeding

Heavy or prolonged periods can cause anemia, fatigue and reduced quality of life.

Bulk

Larger fibroids may create pressure, urinary frequency, constipation, pelvic fullness or pain.

Diagnosis first: gynecology and pelvic imaging help confirm that fibroids explain the symptoms before treatment is chosen.
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