Do Fibroids Cause Anemia- Understanding The Link

1. Do Fibroids Cause Anemia? Understanding The Link Uterine fibroids benign, noncancerous tumors that grow in the uterus are extremely common, especially among women in their reproductive years. While many fibroids are asymptomatic, they can sometimes trigger heavy or prolonged bleeding. Over time, this excessive blood loss may lead to a serious complication: anemia. According to USA Fibroid Centers, understanding how fibroids cause anemia, recognizing the symptoms, and seeking proper treatment is critical. What Is Anemia? Anemia occurs when your blood doesn’t contain enough healthy red blood cells or hemoglobin, the iron-rich protein that carries oxygen. Without sufficient hemoglobin, your body struggles to transport oxygen, leaving you feeling tired, weak, and lethargic. In the case of fibroid- related anemia, the most common culprit is iron-deficiency anemia. Do Fibroids Cause Anemia? Fibroids can disrupt the normal function of the uterine lining and blood flow, leading to abnormal bleeding in several ways: 1.Heavy Menstrual Bleeding Many women with fibroids experience heavier, longer, or more frequent periods. The tumor can distort uterine architecture, disrupting the lining’s ability to contract and stop bleeding.

2. 2.Type & Location of Fibroids Matter oSubmucosal fibroids (those that grow just underneath the uterine lining) are especially problematic. They increase the surface area of the endometrium, contributing to more bleeding. oIntramural fibroids, embedded in the muscular wall of the uterus, may expand the uterine cavity and increase blood supply, further disrupting the body’s ability to control bleeding. oSize also plays a role: as fibroids grow, the risk of heavier bleeding and hence anemia goes up. 3.Chronic Blood Loss Over time, constant blood loss diminishes the body’s iron stores. Hemoglobin production slows down when iron is lacking. Since a majority of the body’s iron is stored in hemoglobin, prolonged bleeding eventually depletes this reserve.

3. Symptoms of Anemia from Fibroids The symptoms of anemia caused by fibroids may develop slowly. At first, they can be subtle but as anemia worsens, signs become more pronounced: Persistent fatigue and weakness Dizziness or lightheadedness, especially when standing up Shortness of breath, even with mild activity Chest pain or heart palpitations Pale or sallow skin Cracks around the corners of the mouth, brittle nails, or a sore tongue Cold extremities (hands and feet) In some cases, unusual cravings for non-food items (known as pica), such as ice or dirt a hallmark of iron deficiency If left unchecked, severe anemia may even affect the heart, leading to palpitations, angina, or in extreme cases, heart failure. Diagnosing Anemia in Women with Fibroids Diagnosing anemia typically starts with a complete blood count (CBC) test, which measures hemoglobin, hematocrit, and levels of red blood cells. Doctors may also assess the mean corpuscular volume (MCV) to determine what type of anemia is present (e.g., iron-deficiency vs. other forms). Because fibroids can be the underlying cause, a pelvic exam and ultrasound may be used to check for their presence, size, and location. Treating Anemia Caused by Fibroids Addressing fibroid-related anemia typically involves two parallel strategies:

4. 1.Treat the Anemia oIron supplementation: Oral iron pills can help restore iron stores, though they may cause side effects like constipation. oIntravenous (IV) iron infusion: For more rapid or severe iron deficiency, IV therapy delivers more iron into the body. However, if bleeding continues unabated, iron stores may be quickly depleted again. oIn extreme cases, blood transfusions may be needed. Top-level anemia can pose dangerous risks if not treated. 2.Treat the Fibroids (Underlying Cause) The most effective way to eliminate fibroid-related anemia is to stop or significantly reduce the abnormal bleeding. USA Fibroid Centers recommend Uterine Fibroid Embolization (UFE) as a minimally invasive, non-surgical procedure. oDuring UFE, tiny particles are delivered through a catheter into the arteries that supply blood to the fibroids, effectively cutting off their blood flow. oOver time, the fibroids shrink, and menstrual bleeding becomes lighter. Within a few weeks of the procedure, blood loss tends to normalize. oAs heavy bleeding subsides, the body can naturally rebuild its red blood cell count. Many patients see their hemoglobin return to normal within one to two months post-UFE. oOften, once the fibroids are under control, iron supplements may no longer be necessary. Important Considerations Not all abnormal uterine bleeding is due to fibroids. Other causes include hormonal imbalances, uterine polyps, adenomyosis, endometriosis, or medication-related issues.

5. Thus, it is vital to obtain an accurate diagnosis from a qualified specialist who can evaluate your symptoms, run appropriate tests, and recommend a personalized treatment plan. Key Takeaway Yes, fibroids can cause anemia, particularly iron-deficiency anemia, through chronic, heavy menstrual bleeding. The symptoms of anemia range from fatigue and dizziness to more serious cardiovascular strain. However, it’s not just about treating the low iron you also need to address the root cause: the fibroids. Treatments like Uterine Fibroid Embolization (UFE) offer a powerful, minimally invasive solution that preserves the uterus and can help restore normal blood counts. After UFE, many patients see their bleeding normalize, their iron return to healthy levels, and their symptoms resolve. If you suspect, you have fibroid-related anemia especially if you're experiencing very heavy or prolonged periods it's a good idea to talk with a fibroid specialist. At USA Fibroid Centers, experienced fibroid experts can help you get the right diagnosis and create a personalized, minimally invasive treatment plan that's right for you.