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Nowadays, it is common for women in their early 20s, 30s and 40s to seek treatment for pelvic pain and heavy periods in conditions like endometriosis or fibroids. However, at this age, most women consider getting pregnant; many avoid seeking treatment, which may lead to infertility.

Some women suffering pelvic pain issues may have either endometriosis or uterine fibroids. Both these conditions share similar symptoms, but there are differences.

Both have a role in irregular periods and pelvic pain and are the leading cause of a hysterectomy (surgical removal of uterus/womb). Yet, these two are different conditions. Let’s learn more about what makes them different from the other.

What Are Uterine Fibroids?

The benign nodular neoplasm (tumor) in the uterus’s muscular layer is termed “Uterine Fibroids”. The disease is most commonly seen in women 30-45 years old. It can also be detected in women 20-30 years old. Recent data shows over 24% of women suffer from this disease worldwide.

A fibroid has a low chance of leading to cancer but can often cause miscarriage or infertility, or miscarriage. The growth of fibroids stops with the onset of menopause.

Fibroid nodes can appear as single or in a bundle. Their weight may also vary. Some fibroids overgrow and reach large sizes, causing compression of neighbouring organs resulting in severe pain; others grow slowly, remain asymptomatic and go undetected. 

Most of the time, fibroids decrease by themselves or do not increase at all, patients have no symptoms, so treatment is required. Sometimes, patients need medical attention–the effective and safest way to cure uterine fibroids is Uterine Fibroid Embolization (UFE) and myomectomy (a surgical procedure to remove fibroids).

Watch this video to see how UFE is done.

Uterine Fibroids image

What is Endometriosis?

Every month, the endometrium (muscular wall of the uterus) lining adds layers to prepare for the implantation of a fertilized egg. When the egg is fertilized, the endometrium lining helps keep the egg nourished and helps it to grow within the womb.

If fertilization does not occur, then the endometrium sheds itself with the unfertilized egg during the menstrual cycle.

In endometriosis, the endometrium detaches itself and attaches to different organs except for the uterus such as fallopian tubes, bladder, large intestine, or even the lungs.

As the body recognizes that the cells are not where they should be, the blood and scar tissue will surround those unwanted endometrium cells. Blood cysts are then formed on those organs, causing varying discomfort and pain.

Endometriosis picture

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    Difference between Uterine Fibroids and Endometriosis

    Uterine Fibroids

    Epidemiology Seen in 25% to 80% of premenopausal women. Seen in 1 to 10 premenopausal women.
    1. Heavy or prolonged periods
    2. Excessive bleeding
    3. Fatigue due to anemia
    4. Frequent urination
    5. Painful sex
    6. Constipation or bloating
    1. Pain before and during periods
    2. Fatigue
    3. Painful urination in periods
    4. Painful sex
    5. Painful bowel movements during periods
    Treatment Pain medications, Oral contraceptives, GnRH agonist, myomectomy, Uterine Fibroid Embolization, MRI guided ultrasound surgery, least invasive hysterectomy Pain medications, Oral contraceptives, GnRH (Gonadotropin-releasing hormone) agonist, hysterectomy(procedure to remove the uterus)



    Either way, if you suspect that you have uterine fibroids or endometriosis, it is extremely important that you consult with your doctor about your signs and symptoms and possible further screening test. These conditions can occur independently of one another or simultaneously. Getting the right treatment for both of these conditions is essential to your overall well-being and health.

    We at Shree IVF clinic mumbai are pioneers of the best endometriosis treatment. You can book an appointment to start your treatment today! For more information about uterine fibroids and endometriosis, get in touch with our team of specialists today!

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    Dr. Jay Mehta Fertility and IVF Specialist In Mumbai

    Dr. Jay Mehta

    Fertility and IVF Specialist


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    Dr. Jay Mehta is the Scientific Director of Shree IVF Clinic. He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology.

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