Fibroids are non-cancerous growths that develop in or on the wall of the womb (uterus). They vary in size from as small as a pea to as large as a watermelon.
On scans, they often appear as round, well-defined lumps. Some grow just beneath the uterine lining, while others bulge out of the muscle wall or hang on stalks inside the womb.
Most fibroids are harmless and cause no symptoms. However, some can grow large enough to distort the shape of your womb.
In such cases you may want to see a specialist to help you treat fibroids. Singapore is home to several skilled specialists who can help with such issues.
In rare cases, fibroids outgrow their blood supply and cause pain. Very rarely, fibroids can turn into a cancerous form called leiomyosarcoma—but this happens in less than one in 1,000 cases.
What are the Signs of Fibroids in a Woman?
Fibroids don’t always cause symptoms. However, when they do, signs can vary based on the number, size and location of the growths. Here are key signs to watch for if you suspect that you might have developed fibroids:
- Heavy or prolonged periods: Fibroids near the uterine lining can increase menstrual bleeding. You may soak through pads or tampons more quickly than before. Over time, heavy bleeding can lead to low iron and anaemia.
- Pelvic pain or pressure: Larger fibroids can press on nearby nerves or organs and cause a dull ache or sharp twinges in your lower belly. Sitting or standing for long periods can make the discomfort worse. Severe pain during your period may also point to fibroids.
- Frequent urination: Fibroids that grow towards the bladder can reduce its capacity. You may need to pass urine more often, even at night and this can interrupt your sleep and leave you tired the next day.
- Constipation or bloating: When fibroids press on your bowel, bowel movements can become harder. You may strain or feel incomplete relief after passing stool. Bloating and gas can also increase, leaving you uncomfortable.
- Pain during sex: Fibroids near the cervix or lower uterus can cause discomfort during intercourse. You may feel deep pelvic pain or pulling sensations which can affect intimacy, reduce sexual desire or cause anxiety about future encounters.
- Lower back pain: Fibroids that grow on the back of the womb can press on spinal nerves and lead to a constant ache or sharp pain in your lower back. The pain may worsen when you lift, bend or carry heavy items.
What are the Effects of Fibroids?
Now, fibroids can affect more than just your periods and pelvic region as their impact often extends into daily life, work, relationships and mental health. To begin with, heavy bleeding and anaemia can leave you constantly tired and short of breath.
Anaemia occurs when your body loses too many red blood cells during heavy periods. In severe cases, simple tasks like climbing stairs or carrying groceries can become a struggle.
Persistent fatigue can also harm your focus at work and reduce your motivation for leisure activities. What’s more, chronic pain and pressure can disrupt your social life and force you to cancel plans because of sudden cramps or a pressing need to find a bathroom.
This can lead to feelings of isolation and frustration. Over time, constant pain can increase anxiety and make it harder to relax even when your fibroid symptoms ease.
It is also worth noting that fibroids can affect your fertility and pregnancy as well. Some fibroids distort the uterine cavity and make it harder for an embryo to implant.
Others can increase the risk of miscarriage or preterm labour. During pregnancy, large fibroids may cause pain, a bump in the abdomen or complications with the baby’s position.
What is the Best Treatment for Fibroids?
If you have decided to see a specialist who can help with fibroids in Singapore, the key focus will be to get a treatment that works. So, you may want to ask; what is the best treatment for fibroids?
Now, treatment for fibroids depends on your symptoms, size of fibroids and fertility plans. Here are the most effective options in Singapore:
- Gonadotropin-releasing hormone agonists (GnRHa): Drugs like Lupron, Synarel and Zoladex temporarily block oestrogen production. This drug-induced low-oestrogen state shrinks fibroids and reduces bleeding. You may use GnRHa for three to six months before surgery or as stand-alone therapy. Common side effects mimic menopause—hot flushes, mood swings and bone loss—so doctors often limit treatment length.
- Uterine fibroid embolisation (UFE): UFE is a non-surgical procedure performed by an interventional radiologist. Tiny particles are injected into the arteries feeding the fibroids to cut off their blood supply. Without blood, fibroids shrink and symptoms improve. Recovery usually takes one to two weeks, and you avoid major surgery. This option may not suit women who wish to conceive.
- Myomectomy: This surgery removes only the fibroids and leaves the womb in place. It can be done via keyhole surgery, open surgery or hysteroscopy, depending on fibroid size and location. Myomectomy preserves fertility but carries risks of blood loss and scar tissue. Recovery can take four to six weeks, and fibroids may return over time.
- Hysterectomy: Removing the entire womb is a permanent cure for fibroids. It completely stops heavy bleeding and pain caused by fibroids. Recovery from open hysterectomy takes six to eight weeks, while keyhole hysterectomy may need four weeks. Since you lose your womb, this option is only for women who no longer wish to have children.
- Minimally invasive therapies: Techniques like MRI-guided focused ultrasound use targeted heat to destroy fibroid tissue. These treatments spare the womb and usually require only local anaesthesia. Recovery is rapid—often within days—and side effects are mild. However, not all fibroids are suitable for these newer options, and availability may be limited.
Wrapping Up
Many people who visit our clinic to consult about fibroids in Singapore frequently ask; what happens if fibroids go untreated? If fibroids are left untreated, you may experience worsening of symptoms and long-term health issues. Heavy bleeding can cause chronic anaemia and leave you fatigued and vulnerable to infections.
Large fibroids which are left untreated may continue to grow and increase pelvic pain and pressure on your bladder or bowel. This can worsen urinary or bowel symptoms and harm your quality of life.
Untreated fibroids during pregnancy can also increase the risk of miscarriage, preterm birth or complications during labour. Fibroids may also enlarge in pregnancy, to cause severe pain and increase the chance of a caesarean section.
Over years, fibroids can distort your womb’s shape, and make future treatments more difficult. If you suspect fibroids or have been diagnosed with fibroids in Singapore, our women’s health clinic offers expert care tailored to your needs. Book a consultation today and get clear answers, personalised treatment options and ongoing support. Call or visit us at;
Dr Ma Li Clinic For Women & Advanced Pelvic Surgery – Gynaecologist | Endometriosis Singapore
3 Mount Elizabeth, #09-08 Medical Centre, Singapore 228510
Phone: +65 6022 0933
