Does the location of uterine fibroids matter?

Patient's question:

Does uterine fibroids have a significant impact? I often have irregular periods, with an unusually heavy flow, as if they've stopped, and I need to use multiple pads in a day. The examination results at the hospital showed uterine fibroids. The doctor said that uterine fibroids can be located in the endometrium or between the muscles.

Doctor's answer:

Hello, the location of uterine fibroids can affect menstrual volume. Generally, submucosal and intramural fibroids have a greater impact on menstrual volume. Subserosal fibroids, even if large, usually do not cause changes in menstruation. Therefore, the location of uterine fibroids can directly affect menstrual volume. If menstrual abnormalities are not resolved with anti-inflammatory topical medications, surgical treatment may be necessary. The treatment plan will be determined based on the location and size of your fibroids.

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