Intramural Fibroid

Definition - What does Intramural Fibroid mean?

An intramural fibroid is a growth that develops in the muscular wall of the uterus. A common type of uterine growth, intramural fibroids rarely threaten a woman’s reproductive health, and many cause no symptoms at all. Most intrauterine fibroids require no treatment and resolve on their own.

FertilitySmarts explains Intramural Fibroid

Fibroids are non-cancerous tumors that develop in the uterus. Fibroids are usually asymptomatic, and although 4 out of 5 women will experience them at some point, many go undetected.

Intramural fibroids develop within the muscular walls of the uterus. They may grow outwards, increasing the size of the uterus, or inwards, narrowing or misshaping the uterine cavity. While most intramural fibroids produce no symptoms, some may cause vaginal bleeding or abdominal pressure. Some women with large intramural fibroids may feel the weight of the mass or notice what appears to be unexplained weight gain, caused by the size of the fibroid.

Treatment of intramural fibroids is based on the symptoms and complications caused by its presence. While many intramural fibroids will heal without medical treatment, others may require intervention. Treatment falls into two categories: medical or surgical.

Medication used to treat fibroids include:

  • Gonadotropin-releasing hormone agonists
  • Progestin

Surgical procedures used to treat fibroids include:

  • Laparoscopic myomectomy, a minimally invasive procedure to remove the fibroid that requires small incisions and reduced hospital and recovery time.
  • Open myomectomy, a traditional procedure involving a large abdominal incision to remove the fibroid. Only appropriate in specific situations due to comparative benefits of the laparoscopic method.
  • MRI guided focused ultrasound surgery (FUS), the destruction of fibroids through ultrasound heat.
  • Hysterectomy, the total removal of the uterus. This procedure is only performed if no other options are available or a woman is past the age of child bearing.
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