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What causes pelvic pain? Unfortunately, many conditions—including endometriosis and fibroids—can trigger this symptom, which is why there's now an app, called Hale, that helps you manage this chronic condition. There's also an official Pelvic Pain Awareness Month. (It falls in May, just two months after our current Endometriosis Awareness Month and two before July's Fibroid Awareness Month, a time we're devoting to help you understand how disruptive the symptoms of untreated fibroids can be.)

Equally troubling? Lots of women, especially women of color, don’t know what's causing that pelvic pain. But they don't get enough time with or information from their doctors to get to the bottom of their discomfort. And that’s why a new survey from the American Journal of Obstetrics & Gynecology reveals that some of these women are seeking answers in unexpected places. Let’s take a closer look.

What Causes Pelvic Pain? The Search for Answers what causes pelvic pain

Several different conditions can lead to chronic pelvic pain. Among the top culprits? Fibroids, endometriosis and adenomyosis. Other causes include Irritable Bowel Syndrome (IBS) and Urinary Tract Infections (UTIs). But what else do these conditions have in common? They often come with delayed diagnoses. And women who discuss their symptoms with doctors are often dismissed or ignored.

Maybe that’s why this new survey revealed that patients with chronic pelvic pain were twice as likely to use social media to understand or manage their condition than those without pain. In fact, 37.8% of women with pelvic pain sought health answers online compared to 19.7% of women living without this disruptive symptom.

The survey authors explain, “Social media is increasingly becoming a health resource for people suffering from complex and debilitating health conditions.” And that’s a problem because the internet doesn’t have all the answers.

Who’s Researching Pelvic Pain Online?

Who were the women involved in this research? Well, the study followed 517 women who presented with a new complaint of pelvic pain between February 2018 and April 2019. Each participant visited a gynecologist at either the Cleveland Clinic Florida, Legacy Health, Oregon Health & Science University, Scripps San Diego, Vanderbilt or the University of Pittsburgh Medical Center. (Each of these hospitals offers minimally invasive gynecologic treatments.)

Now, you already know that women with pelvic pain hit the internet for answers at a higher rate. But that wasn’t the survey’s only important finding. In fact, it turns out that women in the pelvic pain group were more likely to become highly engaged with social media.

First, almost 40% of women with pain used social media as a way to cope with their discomfort. They had more trust for information they found on social media. They were also motivated by interpersonal engagement when they were online, while preferring interactive elements to their searches.

Likewise, these women had more trust for other women with similar symptoms, and they were less likely to trust doctors and formal health resources. All in all, this suggests that hearing and asking questions about other women’s treatment journeys could really matter to women who want to know, what causes pelvic pain.

As interventional radiologists offering minimally invasive fibroid treatments, that last fact matters a lot. Because, we can shout about UFE from the rooftops. But we know you’ll hear it better from women who have lived through your experience. And that’s why we highlight our #WCW series whenever possible. Which, as it turns out, goes right along with what the study authors recommend.

Giving Women Answers Online and in the Office

The study revealed how hard it still is for women to answer, what causes pelvic pain? In fact, women in the pain group saw an average of just under 3 physicians before getting a diagnosis. And that means we all have more work to do.

So, what do the study authors suggest? Here’s their takeaway message. “Our study suggests that higher social media use and engagement stems from medical needs unmet by the formal health care system.” And, to close that needs gap, doctors must create “a patient care environment in which both social media and formal care can exist together.” This, they say, will lead to better patient outcomes.

Help for Pelvic Pain in Houston, TX

Luckily, this is nothing new to our Houston area fibroid experts. We want to help you find out what causes pelvic pain for you, so we meet you on Facebook and Pinterest to share medical answers alongside other women’s fibroid journey stories.

Recently, we've also come across this helpful suggestion. While you search for the cause of your pain, you certainly want to find relief. And, this 2020 survey found that 42% of women found effective pelvic and period pain relief by masturbating. In fact, 62% of the women surveyed experienced at least some form of pain relief by masturbating regularly throughout the month, not just during their periods. Some women also report that practicing yoga for period pain can be effective in relieving menstrual symptoms.

Now, that's just one option for finding pelvic pain relief. But we know you’ll still have questions, so we always invite you into the office—or onto our Telehealth platform—for a comprehensive consultation.

Reference

American Journal of Obstetrics and Gynecology. Published online November 6, 2021.

Do you need period pain relief now? Or do you want to stop period pain? You're not alone! Many women with fibroids suffer from extremely painful periods. But thanks to newly-developed hi-tech patches, special stretching techniques, plus more emerging efforts, theirs and other women’s menstrual pain may finally be a thing of the past.

Period Pain Relief: Natural Options

If you're looking for quick, non-invasive period relief, try these yoga stretches, recently recommended by Dr Alicia Jeffrey-Thomas, a pelvic floor therapist. Her top suggestions? Cycle through Child's pose, Pigeon,
Cat/cow stretches and Spinal circles, before ending with your legs up on the wall. Be sure to hold each pose
for one minute, alternating between five-second inhalations and exhalations.

Now, if you have fibroids, these stretches alone may not offer enough pain relief. But they're certainly worth a try, as are these yoga poses for fibroid relief. But if you need more help, keep reading for more tips on how to help period cramps.

Diet Changes that Bring Period Pain Relief

In some cases, adding certain foods can offer period pain relief by helping inflammation or reducing uterine muscle contractions. Adding omega-3 fatty acids can reduce the intensity of your painful period. And you can find this naturally in fish, nuts and seeds.

Next, add leafy greens since they're packed with magnesium, which can lower your prostaglandin levels to reduce cramps. Throw in some vitamin b6-rich poultry to boost your serotonin and dopamine levels. (Both neurotransmitters can help relieve pain.)

Don't forget to fight inflammation with your diet, since that can contribute to period pain. Anything with ginger can be helpful, but additional supplements that are rich in magnesium and zinc can be helpful. Not one to remember a daily vitamin? Not to worry: just grab some dark chocolate, instead. This sweet treat contains magnesium and polyphenols, which reduce inflammation in your body!

Now, make sure you've got enough iron. (Especially if you have heavy periods, since they can lower your iron levels dangerously.) Finally, check your vitamin E, since getting enough can help avoid excessive blood loss during your period.

The New TENS Machines: Hi-Tech Cramps Relief to Stop Period Pain pain from uterine fibroids

Since 1970, some women have sought period pain relief from something called a TENS machine. These are wearable devices that generate electric pulses. (Specifically, transcutaneous electrical nerve stimulation, or TENS.) In the past, devices were clunky and clearly visible to passersby. But today's mini-TENS devices may prove to be game changers.

One such devices is the Allay, an ultra-thin patch you wear on your stomach. It pulses 1,000 times a second, delivering a small electric current through a wire loop. That current then produces an undetectable magnetic field into the tissue of your abdomen. The field gets your cells to pump out any excess fluid. And that helps your body fight the bloating, swelling and pain that often accompany your period.

You can wear the patch for five full, 24-hour days before you have to remove it and recharge it's battery. For most women, that will cover the most painful part of your period, although fibroids can also make your period longer and heavier.

Still, in trials, the patch has been shown to reduce women’s pain levels by as much as 70%. That’s a big deal if period pain is dragging you down while you await fibroid treatment.

Similar Devices On the Market

Two scientists in India developed Matri, a device that attaches to your lower abdomen via two adhesive gel pads. The small device is equipped with wired and wireless connectivity, along with user-friendly buttons to control intensity of micro-pulses that blocks pain signals, providing 2–3 hours of relief. The inventors describe Matri as “a portable, rechargeable, safe, non-invasive and drug-free solution."

Similarly, the Livia is also a wearable patch that targets period pain with electrical pulses. Basically, those pulses seem to distract your central nervous system so it's distracted from pain signals. Plus, it can stimulate your endorphins, which can help fight pain. So it busts your worst cramps in two different ways.

User feedback notes that you have to charge the Livia for 12 hours before use. It can also be a little tricky to place the usable pads in the right spot. (And the $225 price stage may be steep.) But, three separate clinical trials proved it's effectiveness at fighting period pain. So it may be a good option while we wait to see what happens with Allay (see below.) Or while you explore permanent fibroid relief.

Product Awaits Further Trials

Although some women have already tested the effectiveness of Allay, more trials are currently underway. Currently, 60 women who suffer from period pain (dysmenorrhea) are participating in a two-month trial at the University of Birmingham.

The Allay reportedly reduces period pain levels by 31 per cent as soon as the first day you wear it! And 77 % of women wearing the Allay had at least some reduction in period pain. Only 14% of women who used other pain-relief methods experienced relief.

Currently Available Products

One Canadian company, Somedays, already has a full line of products designed to stop period pain. Currently, they offer four categories of relief products. There are heat and bath products to relieve cramps. And they have topical and edible products that help with muscle recovery which, according to their company's research, helped relieve period pain.

Even better? The Vancouver, Canada-based team keeps testing and trying out new products. So they expect to launch new products this fall. According to founder Lux Perry, “80% of people with periods...report having moderate to severe pain during their cycle. That’s like sitting on the sidelines for 10 entire years for some of us. If you believe that people with periods and predominantly women (because this is very much a gender equity issue) deserve to have the opportunity to actively participate in their lives then you believe in our mission.”

Well, Luz, we do believe in your mission. And we know that when your period pain is caused by fibroids, treating your tumors will offer you a more permanent solution to painful menstrual cycles. If you are ready to get started, contact our office and find out if you are a good candidate for our minimally invasive treatment options.

What causes an enlarged uterus, and why should you treat this condition? Unfortunately, changes to the size of the uterus cause fertility concerns for many women. If you have an enlarged uterus, your ability to carry a baby to term will also be severely impacted. But what causes this condition and what are your treatment options? Let's take a closer look.

Causes of Enlarged Uterus

Several different conditions can lead to an enlarged uterus, but many have overlapping symptoms in addition to changes in your womb.

Endometriosis

With endometriosis, the tissue lining your uterus develops outside the organ. This can lead to changes in uterine size, including enlargement, especially during your menstrual cycle. As a result, you may also notice heavy periods, pelvic pain, and these other signs of endometriosis. Additionally, like many women with fibroids (more on this condition below), many women with endometriosis will experience impacts on their fertility.

Fibroids

A model of an enlarged uterus

When you aren't pregnant, your uterus should be about the size of a closed fist. It grows to accommodate a developing fetus. But it can also expand when you develop fibroids, muscular growths that can form in the uterine cavity or wall. (They can also form outside of the uterus, maintaining a connection with stalk-like growths.)

When your fibroids grow large, they may also enlarge your uterus. How much expansion occurs will depend on the size and location of your fibroids.

Cancer

While far more rare, endometrial cancer can also cause uterine changes. Because of the many potential causes of this condition, it's important to seek medical attention right away when you notice changes in your body.

Enlarged Uterus: What are the Warning Signs?

While some women may notice bloating in the abdominal region, there are other symptoms of an enlarged uterus. These include long, painful and very heavy periods.  In fact, some women pass large clots during their cycle once their uterus becomes enlarged.

Other women will experience lower abdominal pain, or discomfort in their back, legs, abdomen or pelvis. For many, sex becomes painful.  Finally, women may notice other unpleasant symptoms such as constipation or incontinence as the uterus presses against the bladder and bowel.

When to Seek Treatment

Complications of an enlarged uterus depend on the underlying condition cause. No matter what, avoiding treatment can interfere with your quality of life. So, if you experience unpleasant symptoms such as pelvic pain, bloating or weight gain, or long and heavy periods, talk to your healthcare provider right away. If fibroids are the cause of your enlarged uterus, our Houston fibroid specialists can help. With offices in Houston, Sugar Land, Clear Lake, Katy and the Woodlands, we are here to help resolve your fibroids, and improve the condition of your enlarged uterus. So Click here to request an appointment!

If you're experiencing menstrual pain, your symptoms are far more common than you might think. Now, if you have heavy periods and pelvic pain, there's a good chance you have uterine fibroids. After all, according to the National Institutes of Health, 80 to 90 percent of African American women and 70 percent of Caucasian women will develop fibroids before the age of 50.

Since uterine fibroids are prevalent, can cause severe symptoms and can even lead to trouble getting or staying pregnant, it is important to know the warning signs of fibroid development.

But it's also important to recognize that uterine fibroids and endometriosis can both cause similar symptoms. So let's take a moment to explain the differences between the two.

What is Endometriosis?

Endometriosis is a condition in which tissue from your uterus, endometrium, grows in or on other parts of your body. Like women with fibroids, women with endometriosis may experience heavy, painful periods as well as bleeding between periods. They are also prone to pelvic pain.

Endometriosis vs Endometritis

Unlike endometriosis, endometritis is a type of bacterial infection that affects your uterus. Like fibroids and endometriosis, this infection can cause abdominal swelling, pelvic pain and constipation. It also causes inflammation in your uterine lining. Without intervention, this infection can become chronic, impacting your fertility among other areas of life. You may also experience uterine bleeding outside of your menstrual cycle. But, unlike other conditions with similar symptoms, you can develop a fever with endometritis. Also, you are most likely to develop this condition after giving birth or having a miscarriage; after having an STD; getting an IUD; or after having a different pelvic procedure. Keeping track of your recent health history can help you receive an accurate and timely diagnosis.

Endometriosis vs. Fibroids

Both of these conditions affect your uterus, but they do so differently.  Fibroids are made of muscular tissue; they form in your uterine cavity, within the uterine wall, or outside the uterus. Similarly, endometriosis is characterized by growths outside the uterus. But, with this condition, the trouble begins when the endometrial tissue that lines your uterus develops outside of the uterine cavity.

Endometriosis vs. Fibroids:  Symptom Differences

While there are many similarities in the symptoms you experience with each of these conditions, there are clear differences as well. When you have fibroids, you'll experience long or heavy periods, along with bleeding between periods. Many women experience pelvic pain or pressure, and a frequent need to urinate. Sex can also be painful with fibroids, and you may feel bloated or experience constipation.

But what about endometriosis? With this condition, you may experience painful periods, causing the condition to mimic many others. (As such, it takes women an average of 7-9 years to get an endo diagnosis, according to this study.)

Still, there are ways to differentiate. With endometriosis, pain can also be a problem before you menstruate. You may also deal with painful sex. Women with endometriosis can experience painful bowel movements or urination during their periods, and fatigue can be a major concern. With either fibroids or endometriosis, it may be harder to become pregnant, or deliver a full-term baby.

Clearly, there is some overlap between these conditions, and that's why the best way to diagnose the cause of your symptoms is to see your healthcare provider. But you can also narrow down the cause of your pelvic pain and heavy bleeding by better understanding your risk for developing fibroids.

Who is At Risk for Fibroid Symptoms? pain from uterine fibroids

African American women are three times more likely than caucasian women to develop fibroids; they are also more likely to develop several fibroids at a time. Other factors that could increase a woman's risk of developing fibroids include your age (being over 40) and your weight, since obesity increases your risk. You should also learn your family history of fibroids, and understand that high blood pressure, or never having a pregnancy, could also increase your risk.

Can I Lower My Fibroid Risk?

While many factors can increase your fibroid risk, there are steps you can take to lower your risk of developing these non-cancerous uterine tumors. Some measures include:

What are the Symptoms of Uterine Fibroids?

Every case is different and some women may never experience symptoms, but a majority of women with fibroids experience at least one of these three common symptoms.

Excessive Menstrual Bleeding

The most common symptom for women with fibroid tumors is excessive bleeding while menstruating. Often times, the bleeding is prolonged, causing periods to last longer than normal. This can lead to soiling of clothing and may interfere with everyday activities.

Heavy periods are most common with intramural and submucosal fibroids. You may also pass large clots when you have fibroids. Over time, this heavy bleeding can cause health complications such as anemia.

Pelvic Pain & Pressure

Women with fibroids may feel pain in their lower abdomen. As fibroids grow larger, depending on their size and location, they may cause pain by putting pressure on organs. In addition, they could cause swelling that is often mistaken as weight gain or pregnancy.

Even small fibroids can cause pressure, depending on their location. But this symptom could also indicate adenomyosis or endometriosis. So you should see your doctor at the first sign of pressure or pain in your pelvis.

Loss of Bladder Control

Fibroids can press against the bladder causing frequent urination and even loss of bladder control. Not only can this cause a great deal of pain, it can disrupt your everyday activities. In addition, fibroid growth can place pressure on the bowel, causing constipation and bloating.

Reaching a Uterine Fibroid Diagnosis

If you are experiencing any of the symptoms listed above, or these additional fibroid symptoms, schedule an immediate appointment with our fibroid specialists. Fibroids can usually be found during a simple abdominal or pelvic exam. If your doctor feels that you may have fibroids, an ultrasound or MRI may be used to confirm the diagnosis and proceed with treatment. And, if your provider rules out fibroids as the cause of your symptoms, he or she may recommend further testing to confirm or rule out an endometriosis diagnosis.

Sources: Bioidentical Hormone Health

Most women have a menstrual cycle that lasts between 24 and 38 days. Now, we measure menstrual cycle length from the first day of this month's period to the first day of the next one. While we mentioned the average menstrual cycle length range, most women's cycles last 28 days. Of course, there are ranges of cycles, especially when younger women first start menstruating. But sudden changes in menstrual cycle length, including getting a period twice a month, should not be considered "normal."

In some cases, two menstrual cycles in a 30-day period (medically referred to as polymenorrhea) simply means you have a cycle that’s on the shorter end. Or, it could be a temporary problem, related to stress, quality of sleep, nutritional changes or even the intensity of your exercise program. Typically, however, lifestyle-related concerns lead to fluctuating hormones and missed periods, not shorter cycles.

Instead, some conditions can affect your cycle, meaning you might get your period twice a month. So, if you’re wondering, “why did I get my period twice in one month,” the answer could be more complex. (In fact, it could be a lesser-known sign of uterine fibroids, one we need to highlight during Fibroid Awareness Month. And all year round) So, to help you figure out what’s causing your irregular period, here are four conditions that could trigger two or more monthly menstrual cycles.

Getting a Period Twice a Month with Uterine Fibroids

period twice a month

Uterine fibroids are non-cancerous tumors that grow in or on your uterus. Still, these growths can cause several unpleasant symptoms, including painful, heavy periods or bleeding between cycles. For that reason, if you get your period twice a month, but also have pelvic pain, heavy cycles or these other fibroid symptoms, uterine growths could be responsible for getting a period twice in one month.

Why Do I Get my Period Twice a Month? Endometriosis

Endometriosis can also cause changes in your menstrual cycle. Sometimes, it’s hard to tell the difference between endometriosis and fibroids, because they cause similar symptoms. But, with endometriosis, your pain develops when uterine tissue forms in other parts of your body. Then, you may notice stomach pain, pelvic pain, heavy periods and bleeding between periods. At that point, it may seem like you’re menstruating more than once a month.

As we mentioned, diagnosis endometriosis is difficult. While your doctor may notice endometrial tissue on an ultrasound, you’ll need a small surgical procedure to get an accurate diagnosis.

Pre-Menopausal Cycle Changes

When a woman enters menopause, that means she hasn’t had a period for one full year. But, in the months or years leading up to menopause, called perimenopause, your cycle goes through many changes. Some months, you may not have a period at all. (Or your flow could be very light.) At other times, your cycle may shorten, so it seems like you’re menstruating more than once in a 30 day period.

Hormonal Changes

If your thyroid isn’t working properly, this could impact your menstrual cycle. After all, the thyroid gland regulates hormone levels in your body. So, if it’s under or overactive, your hormones will fluctuate and your cycle may change soon afterward.

Similarly, if you suddenly gain weight, your cycle may change. And that’s because weight gain can contribute to changes in your estrogen levels, which could alter when and how your period shows up.

Stress

As many women learned during the COVID 19 pandemic, stress and changes in your sleep cycle impact your menstrual cycle. During that time, many women got their period twice a month—or even more often. Fortunately, when stress is a trigger, your body will usually reset once you can relax or adjust to your new normal.

Recently, we learned of another surprising why the pandemic may have affected women's periods. A study in The British Medical Journal revealed that getting vaccinated for COVID can affect your period timing. Specifically, they learned that women's periods started about one day late, on average, after receiving the first dose of a COVID vaccine. Then, if the women received two doses within one menstrual cycle?

Well, the changes magnified. In this case, women's periods began four days late on average. But 13 percent of the women in the study experienced period delays of eight or more days. Meaning, the following month, those women may have experienced a period twice a month, since the delays appeared to be temporary, and most women's cycles returned to normal after one month. Additionally, many women reported having heavier periods after their COVID vaccines, but this study did not examine that reported effect.

As you can tell, so many things can make your period come twice a month. Sometimes, it’s hard to tell what’s causing the trouble on your own. So, how can you know when to worry?

Here’s the deal: you’re the person who best understands your body. For that reason, any cycle change that seems unusual to you is worth mentioning to your doctor. Are you concerned that fibroids could be give you a period twice a month? Reach out to our Houston area fibroid specialists and request an appointment. We’re here to discuss your symptoms and review all your fibroid treatment options.

When it comes to your health, it's important to know your risk factors for fibroids--plus what it means for your health if you get this diagnosis. Many women have heard about fibroids (benign tumors that develop in or on a woman's uterus) but don't know much more than the name. Here is our quick cheat sheet for really understanding these tumors:

What are Your Risk Factors for Fibroids?

Before we get started, we have to be clear: we still don't the exact reason why women get fibroids. However, we do know that, by the age of 50, 70% of women will develop these tumors. And, of those women, between 20-25% will experience disruptive fibroid symptoms. Plus now, thanks to recent studies, we also have a clearer picture of what raises women's fibroid risk.

First, we know that race plays a major role in your fibroid risk. While any woman can develop fibroids, the ones at highest risk: have a family history, are Black or Hispanic, and/or have a higher Body Mass Index (BMI). In fact, according to a recent study in the BJOG Journal, black women have a two-threefold higher fibroid risk. That's why about 70% of black women develop fibroids, according to the study. (The Society for Interventional Radiology estimates 80% of black women will develop fibroids by the time they turn 50.) And it may be why European women have a lower fibroid risk than women in the U.S.: the racial mix in populations is very different.

Still, as more Caucasian women present with elevated BMIs, their fibroid risk has also increased. And we know, thanks to this study, 11 other factors that increase your fibroid risk. These include your age (risk decreases as you get older), premenopausal state, hypertension, family history and the time since your last birth. (Having more full-term pregnancies seems to decreases your fibroid risk. Breastfeeding could also impact your fibroid risk. That's because your ovarian hormones decrease when you nurse. ) Smoking or consuming certain food additives or soybean milk may also increase your chances of getting fibroids.

In some cases, the use of oral contraceptives or the injectable contraceptive depot medroxyprogesterone acetate increased your fibroid risk. That's not necessarily surprising, since we know that two things make fibroids grow: hormones, especially estrogen, and blood supply.

But, while some forms of birth control increase your fibroid risk, we can also often control fibroid growth with birth control pills. And, we can shrink the tumors by cutting off their blood supply using a procedure called UFE (uterine fibroid embolization.)

Environmental Risk Factors for Fibroids' Growth

Recently, we've learned something about fibroid risk and your environment from this study in Fertility and Sterility. When pregnant women expecting daughters were exposed to endocrine-disrupting chemicals, the babies seemed to have a higher rate of developing fibroids. While researchers aren't sure why, it seems that these hormones change the developing uterus in ways that make fibroid growth more likely.

What are endocrine-disrupting chemicals (EDCs)? Well, they can be man-made or natural. Either way, these are chemicals that interfere with your endocrine system. As a result, they can harm your developmental reproductive, neurological and immune health. BPA and phthalates are some of the best-known EDCs.

In fact, reviews in 2017 and 2019 found that exposure to phthalates at any point in your life increases your risk for fibroids. In the first study, researchers in China discovered that having more of the phthalate DEHP in your urine (it's often added to plastic to make it flexible) translated to a higher risk for fibroids. And in the second study, Black women with higher phthalate levels in their urine had both larger fibroids and enlarged uteruses.

Now, these are just the risks associated with one kind of EDC. But many others exist. And now we can say that any exposure ups your fibroid risk, as does having diabetes; being obese; suffering from cardiovascular disease or reproductive tract disorders; being over the age of 40; having no children; or having neurodevelopmental disorders.

Genetic Fibroid Risks

We are constantly discovering other fibroid risk factors, and recently, scientists from the University of Helsinki uncovered a genetic link. After monitoring 728 women with 2263 tumors, researchers grouped their fibroids by genetic variants.

For most women, these fibroids fell neatly into one of three. But a number of the fibroids didn't fit into previously identified categories. Instead, they showed variations that cells' histone activity. (Histones help shape and control genes.activity.)

After seeing this variation, the researchers discovered an inherited fibroid risk. Women with certain genetic mutations have a higher risk of developing tumors.  As a result, with more research, women with these mutations could receive counseling and regular fibroid screening. In that way, it could be easier to detect and diagnose any developing growths in their earliest stages.

New Genetic Test for Fibroids: If My Mother Had Fibroids Will I Get Them?

A new study in Human Genetics identified certain gene combinations that point towards your risk factors for fibroids. After identifying these genes, they can assign screened women a uterine fibroid polygenic risk score (PRS). The idea? The higher your PRS, the more likely you are to develop fibroids. Now, doctors can screen patients for these genes and determine each woman's PRS score. After receiving an elevated PRS score, women could place their symptoms in context if they appear. Then, they could avoid delaying a fibroid diagnosis. So that women wouldn't have to suffer for years without relief.

After studying the test results of almost 500 women with fibroids, researchers compared their genetic markers to women without these growths. Here's what they found. There are 30 specific genetic chromosomal locations that can be linked to an increased fibroid development risk. Now that we know their connection, if your mother or grandmother had fibroids, you can ask doctors to screen you for these markers. Then, if you have any, you may reach a fibroid diagnosis faster if you start displaying any symptoms.

How Can I Confirm my Fibroid Diagnosis? heavy periods change your life

If you are experiencing fibroid symptoms like heavy periods, pelvic pain, incontinence or constipation, your doctor may check you for fibroids. Unfortunately, many women will face physicians who dismiss their pain, so you may have to self-advocate or see several doctors to be taken seriously. We hope that's not the case, but you should be prepared...and persistent.

Once you find a doctor who listens, you'll usually receive a pelvic exam and a pelvic sonogram; together, they should deliver a fibroids diagnosis. Still, you may need a transvaginal sonogram to determine if the fibroid has affected your uterine lining.

As soon as you've been diagnosed, you'll need to consider your treatment options. And remember that you do have options: not all fibroid diagnoses will end in surgery. In fact, there are minimally invasive fibroid treatments that can help you find relief. But the option you choose will largely depend on the type of symptoms you're currently experiencing.

How will Fibroids Impact my Life?

Once you know you have fibroids, you have lots of options. If you aren't bothered by symptoms, you may just monitor the tumor(s). With fibroids that are small, birth control, diet and exercise may keep them from causing you pain. However, fibroids can lead to hypertension when you have fibroids in your 40s, and that can take a greater toll on your overall health. Plus, if pregnancy is important to you, the location of your fibroids will also be important. Fibroids that grow in the uterine cavity or block the fallopian tubes may affect your fertility.

If symptoms or infertility send you in search of relief, it's important to research all your treatment options. While some doctors may recommend surgery (myomectomy or hysterectomy), we like to explore less invasive options. To learn more about non-surgical fibroid treatments schedule a consult today with our Houston area fibroid experts.

Sources: International Journal of Fertility and SterilityBJOG: An International Journal of Obstetrics and Gynecology 

One of the worst parts of your monthly cycle is painful period cramps. For many women, the arrival of your period means the start of painful cramping. (Caused by uterine contractions that help shed its lining.) For many women, those cramps are localized in their pelvis and abdomen. But for others, cramping in the anal region and rectum (called proctalgia fugax) can cause that period pain in your buttocks as well, amplifying the problem.

But how bad can it be, really? Well, cramp severity can vary by month, based on your underlying health conditions as well as levels of prostaglandins in your body. (Those are the hormones that tighten and relax your uterus during your cycle.) And, with these fluctuations, sometimes the cramps are so intrusive, they keep you from going through your daily activities. (Don't believe us dudes? Check out these male morning show hosts experience a menstrual cramp simulator on YouTube.) Now, that's just a reflection of the simulated pain. But in real life, it can be much worse. In fact, according to an Australian survey, 3 out of 10 girls skip at least one class a month because of period pain.

(If that’s your situation, and your period is also very heavy, you may have uterine fibroids. Be sure and talk to your healthcare provider.) And, we also want you to remember this fact. No matter what’s causing your menstrual cramps, relief may be available sooner (and easier) than you’d think. Try our top five tips for getting rid of period cramps!

Medical and Lifestyle Interventions That Can Help Manage Period Cramps

Depending on how bad your period pain is, one or more of these tips can help you feel better:

1.       Heat therapy. Try putting a heating pad on your lower abdomen. If that’s not an option, relax into a warm bath. Both these options should help relax your uterine muscles, easing those cramps and alleviating much of your discomfort.

2.       Get your sweat on. When you exercise, your body releases endorphins—hormones that naturally make you feel good and can help battle pain. If you’re able to get to the gym for a few 45 min- 1 hour sessions in the initial days of your periods, your cramping discomfort will likely calm down. But remember, if you have fibroids, you may need to change your workout a bit. Here are the best ways to exercise with fibroids. So you can get period relief and fibroid relief while you explore your treatment options!

3.       Self-care. Though not helpful for everyone, many women find relief from menstrual pain through massage and acupuncture. And, while we can’t attest to scientific evidence that these treatments help, if they work for you then there’s no harm in trying! Another form of self-care is practicing yoga. Some women have reported that practicing yoga for period pain has helped to relieve their menstrual symptoms.

4.       OTC (over-the-counter) meds. If your period pain is strong (but not debilitating) you may find relief from drugs like:
Ibuprofen (Advil, Motrin)
Naproxen (Aleve)
Acetaminophen (Tylenol)

5.       Treat your fibroids. If non-cancerous uterine tumors are causing your painful periods, treatment should give you a permanent solution to your cramps. At our office, we offer a minimally-invasive option known as Uterine Fibroid Embolization (UFE.) Talk to your healthcare provider, or click here to request an appointment with our Houston fibroid specialists, to see if UFE is right for you!

Sources: The Conversation

There's a lot of focus on black hair relaxers when it comes to understanding why women get fibroids. You see, uterine fibroids are just worse for black women than for any other group. African Americans develop these tumors three times as often as women of other races. Plus, their fibroids develop earlier--often in their twenties. In comparison, most white women don't get fibroids until their 30s.

But that's not all. With fibroids, black women are more likely to develop anemia with fibroids. They also have a higher risk for fibroids symptoms such as painful sex, severe pelvic pain and heavy periods.

Of course, those are scary statistics. But what's worse? We don't have concrete explanations for the disparities. What we do have, however, are theories. And one of those theories has to do with hair styling.

Could Black Hair Relaxers Impact Fibroids?

Hair products--can't live without 'em, right? Well, as it turns out, it also may not be wise to live with them. 

According to the Silent Spring Institute, many of the hair products marketed to black women are full of harmful chemicals. Ever wondered why they smell so bad? It's basically the poisons inside them. They're just revealing their nature.

Early research

In fact, there is some science to back up this claim. A 2017 Rutgers University study linked breast cancer and Black women's use of hair relaxers. A 2012 study in the American Journal of Epidemiology associated fibroid risk with the use of hair relaxers. Shirley McDonald of the Hair and Scalp Clinic says, "We now know that many hair products contain chemicals that are considered carcinogenic and/or hormone disrupters, leading to increased risk of medical issues such as fibroids (non-cancerous tumors that grow in the uterus, potentially damaging fertility and leading to a host of other complications). Trichologists see lots of conditions that are likely to be triggered by hair products, particularly central centrifugal cicatricial alopecia, a type of permanent hair loss to the crown area of the scalp."

New Developments

More recently, the National Institutes of Health spent eight years studying over 46,000 women of all races between the ages of 35–74. They were looking for links between chemical hair relaxers and breast cancer. And, they discovered African American women's breast cancer risk increased risk by 45%.

Breast cancer and other reproductive issues, including, fibroid development, are often connected. So this study suggests there are even more reasons to steer clear of black hair relaxers.

Plus, there's a new study from the American Journal of Epidemiology that further confirms this link. In their group of 23,000 menstruating Black American women, these participants displayed two to three times higher uterine fibroid incidences.  And, especially for the younger women, the researcher said that had a lot to do with exposure to the chemicals in black hair relaxers.

And it just gets worse from there. According to new findings from the Sister Study,  led by the National Institute of Environmental Health Sciences (NIEHS) these products also increase uterine cancer risk. In fact, according to NIEHS head Alexandra White, who was lead author on the study, “We estimated that 1.64% of women who never used hair straighteners would go on to develop uterine cancer by the age of 70. But for frequent users, that risk goes up to 4.05%. This doubling rate is concerning."

Luckily, women aren't taking these findings sitting down. Instead, strong women like California resident Rugieyatu Bhonopha are calling out the manufacturers of these dangerous hair straightening products. Recently, our #WCW filed a lawsuit in the Northern of California alleging that chemicals found in various L’Oreal hair straightening contributed to her fibroids diagnosis. We hope she won't be the last. But as the brave first, we salute Ms. Bhonopha as our Woman Crush of the Week!

Even better? The FDA is now taking notice of these troubling developments. And they're preparing to take action. In fact, reports reveal that the FDA has proposed a ban--effective April of 2024--on any products containing formaldehyde due to their links to increased cancer risks and other health complications.

Chemicals in Black Women's Hair Products

Among the many dangerous substances in black women's hair products? Cyclosiloxanes, nonylphenols (also found in certain detergents), and phthalates (also found in plastics, they are the main reason people are working to ban plastics from food containers.) They may also contain formaldehyde, Di-2-ethylhexylphthalate (DEHP), parabens and volatile organic compounds (VOCs).

Besides their toxicity, each of these chemicals share a common bond--they have all been linked to hormone disruption as well as an increased risk of developing fibroids, asthma, infertility, and even cancer. That's a hefty price to pay for shinier hair.

Throwing Flames on the Fire

Being exposed to these chemicals is particularly troubling for black women, as they already have a higher risk of developing fibroids than other populations of women. Family history plays a part in that risk. And some people suggest that higher obesity rates may also be at issue.

But, more and more, certain hair products are also starting to shoulder the blame. According to the Silent Spring study mentioned earlier, 80% of Black hair products they tested contained "endocrine-disrupting and asthma-causing chemicals." Products examined included by the study included relaxers, hot oil treatments, leave-in conditioners, and anti-frizz balms. The scariest statistic? Hair relaxers that specifically targeted children had the highest levels of chemicals; many of those chemicals have already been banned in the EU.

New Evidence Links Relaxers to Female Cancers two friends talking together

Of course, fibroids are a major problem. But hair relaxers are linked to so many other health problems. In fact, that National Institutes of Health (NIH) study that followed over 46,000 women of all races between the ages of 35–74? It also found a link between chemical hair relaxers and breast cancer. Perhaps not surprisingly, African American women had a 45 percent increased risk of breast cancer as compared to women of other races.

Furthermore, Boston University's Black Women's Health study confirmed the increased risk of uterine cancer with hair relaxer use. After following 55,000 self-identified black women for 25 years, the researchers noted that women were 30% more likely to develop breast cancer if they used hair relaxers at least 7 times a year.

Today, real women are speaking out about becoming part of these statistics. In Georgia, Kiara Burroughs and three other black women filed law suits against L'Oreal and Strength of Nature, claiming their hair relaxers led to fibroid development and other serious health issues. And, while we await decisions in their court cases, there are steps you can take at home to protect yourself from complications.

Taking Action

While you can't do anything about your family history, being selective about the hair products you choose can certainly go a long way towards protecting your health. To help you do so, try checking what's in your products in the Skin Deep database. This should point out any concerning chemicals in your relaxers or other beauty products. Or download the ThinkDirty app, which highlights known health concerns linked to every ingredient included in your beauty products. Finally, check the Detox Me app for tips on buying safer beauty products. And for help learning the buzz words manufacturers use to hide dangerous ingredients.

To find out more about dangerous hair care products and your individual fibroid risk, please contact our Houston fibroid specialists office for a consultation with Dr. Fox or Dr. Hardee.

Sources: VoxNY Times parenting, Silent Spring Institute, NIH

Many women wonder if fibroids and bloating go hand in hand. And they want to know if treating their uterine fibroids will resolve that bloating. Are you dealing with this same concern? Here’s everything you need to know about fibroids causing stomach swelling. But first, let's get in a quick refresher on these growths that form in and around the uterus.

What are uterine fibroids?

These common growths are non-cancerous tumors composed of fibrous muscle tissue. There’s not one reason why women might develop fibroids, but family history, race, exposure to certain chemicals, and even hormonal imbalances can all increase your risk.

On their own, these growths don’t pose a threat to your health. However, they can leave you experiencing many unwanted symptoms including long or heavy periods; back pain; pelvic pain; enlargement of the uterus; and—you may have guessed it—bloating!

Fibroids and Bloating: The Less-Discussed Fibroid Symptoms a woman with bloating

When we talk about fibroid symptoms, doctors usually mention pelvic pain and heavy periods, or even bleeding between cycles. With large fibroids, pressure on your bladder or rectum could even change your bowel movements or urination habits.

But how are fibroids and bloating related? Many women experience bloating, whether or not they have fibroids. In fact, this symptom is a common side effect of everything from irritable bowel syndrome, excessive air swallowing, or changes in the gut’s bacteria levels.

So, how can fibroids contribute to bloating and gas? This side effect is most likely to develop when your fibroids are quite large. Due to their sheer size, they create the feeling of pressure, and can enlarge the uterus enough to make you look bloated. In some cases, that distension is extreme enough to make women look pregnant. In fact, Entertainment Tonight host Nischelle Turner recently posted on X (formerly Twitter): "When I was suffering from fibroids a few months ago my stomach swelled and so many people kept saying oh you’re pregnant or asking if I was…they didn’t know I had tumors, but it was also none of their business. Mind ya tongue…"

Now, we couldn't agree more. But stomach swelling isn't the only way fibroids contribute to bloat. Larger fibroids can also press on your rectum, as we mentioned earlier. In such cases, passing bowel movements may be more difficult, leading to constipation. And, since bloating, gas and constipation often go hand in hand, fibroids could once again be the source of the problem.

Relief for Fibroids Bloating

Fibroid symptoms such as bloating and gas can make every day uncomfortable. But you don’t have to live with them forever—and you don’t need surgery to find relief. Here in Houston, our fibroid specialists are providers of UFE, a minimally invasive fibroid treatment that shrinks your tumors, relieving symptoms such as bloating, without surgery or overnight hospital stays. Want to learn if you’re a UFE candidate? Contact our office and schedule a consultation!

So many people are too shy or embarrassed to talk about their period problems, and that’s a big problem.  If you don’t speak up, you may worry needlessly or you may never identify symptoms that indicate a bigger medical problem. In order to help you navigate this sensitive subject, we’re breaking down what’s normal and what’s not when it comes to your monthly visitor. Keep in mind, however, that every woman’s cycle is different, so it’s worth mentioning any major changes to your OBGYN, even if they are seemingly within the normal range.

Unfortunately, too many women have grown up in a culture of silence. They learned from parents not to talk about women's problems. And that's troubling, since changes in your period are often a warning sign of uterine fibroids.

That was the case for three-time Olympian Magdalena Moshi, from Tanzania. Growing up in Africa, she said it was taboo to talk about her cycle. As such, she never knew that fibroids ran in her family. Ultimately, that meant she avoided treating these growths...until she needed emergency surgery to remove four kilograms of fibroids from her uterus. Now, she wants other women to avoid this fate. So, listen to her story here. And keep reading to learn more about your period, and why it's a key health indicator for many women.

What is your period?

A period is the shedding of your uterine lining. This lining builds up over the course of the month in preparation for pregnancy. “If you don’t get pregnant, your hormone levels drop, and the lining separates from your uterus. That’s when you experience the bleeding known as your period.

Pain with your Cycle

Normal: Stomach pain or cramps that start in your stomach but may spread to your thighs or back. A sharp stomach pain or dull ache may also be a problem. Typically, normal period pain lasts about three days, and resolves once your flow lightens.

Not Normal: Experiencing mild to severe pain, or a dull ache in your pelvis or lower abdomen.  While the pain may intensify during your period, it can impact you at any time of the month.

Period Problems: Bleeding

Normal: Women’s periods are typically heavier at the start of their cycle, and gradually become lighter.

Not Normal: If you have to change your pad or tampon more than every few hours; if you are bleeding through protection or having to get up at night to change your protection so you avoid stained sheets; or if you are passing large clots, you may be experiencing abnormal bleeding. Of course, excess bleeding is its own problem because of anemia risks. But it could also be a sign of underlying problems like fibroids, certain cancers or other medical concerns.

That was the case for Kym Lee, a celebrity makeup artist who received a fibroids diagnosis after reporting symptoms such as heavy periods and painful cramps. Unfortunately, she didn't receive treatment counseling at the time. And so, she didn't seek treatment until, one day, she bled so heavily that she passed out in her garage. At that point, she needed an emergency hysterectomy. But, had she sought treatment earlier, she could have availed herself of less invasive treatment options.

Is Clotting a Sign of Period Problems?

Normal: When you’re flowing regularly, you may notice some smaller blood clumps (or clots), especially on your heaviest days.

Not Normal: If you’re passing larger clots—anything bigger than the size of a quarter—that’s a sign of possible problems. Even if your clots are smaller, but you see them frequently, it’s worth discussing with your healthcare provider.

When is Timing an Issue?

Normal: Again, all women are unique, but ‘normal; cycles range from 21 to 35 days between the first day of one period to the first day of the next. The bleeding typically lasts between three and eight days, according to their website.

Not normal: Once you’re out of adolescence and have established your normal cycle range, any major timing changes could be problematic. Missing a few cycles when you aren’t pregnant? That’s something to discuss with your doctor. Bleeding outside of your regular period, or during sex? Another issue to discuss with a medical caregiver. Getting two periods in a month? Talk about it! Because changes in your cycle often indicate that your body is under stress. Figure out what's causing stress before you develop other problems.

Pain

Normal: Mild discomfort during your period is normal, and should be easily managed with OTC medications. Standard cramps or period-related discomfort shouldn’t affect your day to day life.

Not normal: Pain that can’t be managed with drugstore medications is a sign of a problem. Pain that causes nausea and vomiting, should also be cause for concern, especially of the pain begins to radiate down your legs. Excessive pain could be an indication of endometriosis or adenomyosis, conditions that are difficult to diagnose if women aren’t forthcoming about their symptoms.

Pelvic pain experienced outside of your period is also not ‘normal’ and should be investigated further, as it is a potential indication of fibroids, non-cancerous tumors that develop in and around your uterus.

Lifestyle Changes

Normal: You may slow down or rest a bit more while on your period, but it's your choice. You easily keep up with your regular routine and everyday demands.

Not normal: Your period leaves you exhausted and barely able to make it through your day, let alone add on extras like time with friends or bonus sweat sessions (which is a shame, since exercise can help combat menstrual cramps.) Sometimes, your period is so intrusive, you have to call in sick to work or skip school. These are signs that you may have anemia because of excessive blood loss. Which certainly means you need to talk to your doctor about abnormal periods!

Thankfully, treatment is available for almost all the conditions that make your period “not normal.” And we can diagnose and address many women's health concerns remotely on the Doxy health platform, or in person when you schedule a consultation with our Houston area fibroid specialists. But the only way to receive help is to speak up, so discuss any menstrual cycle changes with your doctor as soon as you identify an issue!

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