Prognosis of Uterine Fibroids

The prognosis for women with uterine fibroids is good, since most require no intervention or treatment for the fibroids.

Where complications exist, the main ones are related to bleeding problems, with or without anaemia syndrome, and compressive symptoms. In fact, abnormal uterine bleeding (with myoma as one of its causes) is one of the main reasons for gynaecological consultations (50% of visits), with socioeconomic impact, decrease in labour productivity and quality of life for women of a reproductive age.

At the reproductive level, the relationship between fibroids and fertility is controversial. They should be removed in women when other causes of sterility have been ruled out and this is the only possible explanation, as well as submucous fibroids, even if they are asymptomatic.

During pregnancy, 4-5% of pregnant women are known to have uterine fibroids which do not vary in size and cause no problems for the patient. If the aforementioned problems appear, they may be associated with: pain, bleeding, pregnancy loss, prematurity, placental abruption and birth defects.