What is fibroid degeneration?

Mr Mahantesh Karoshi, renowned London-based women’s health expert and consultant gynaecologist, provides an expert insight into the process of fibroid degeneration.

Fibroids, or uterine leiomyomas, are benign growths that develop within the walls of the uterus. These non-cancerous growths can vary in size and number, causing a range of symptoms and complications for women.

One fascinating aspect of fibroids is their ability to undergo degeneration, a process that can be likened to dead tree pulp at the core. This degeneration can occur due to various factors, such as the rapid growth of the fibroid, hormonal changes, or insufficient blood supply to the tumour.

Regardless of the cause, when fibroids degenerate, their internal structure undergoes significant changes. The result is a transformation within the fibroid that gives it a unique appearance.

Imagine a tree, once vibrant and full of life, now in a state of decay. The centre of the tree, once solid and alive with vital nutrients, now resembles a soft, pulpy mass. Similarly, when fibroids degenerate, the central region undergoes necrosis, leading to a breakdown of cellular structure. This necrotic tissue becomes analogous to dead tree pulp, lacking the healthy components that sustain the fibroid's growth.

During fibroid degeneration, the central portion of the tumour becomes less dense and may appear softer and more liquefied compared to the surrounding fibrous tissue. This change in consistency can be visualised through medical imaging techniques, such as magnetic resonance imaging (MRI). The resemblance to dead tree pulp is striking, as the central area loses its vitality and takes on a decaying appearance.

As fibroids degenerate, the process can cause various symptoms and clinical manifestations. Women may experience pelvic pain, which can range from mild discomfort to severe cramping. Additionally, degeneration can lead to vaginal bleeding or spotting, as well as a sensation of pressure in the pelvic region. These symptoms occur as the fibroid's degenerated centre begins to break down and potentially irritate surrounding tissues.

While fibroid degeneration can cause distressing symptoms, it is essential to note that this process does not necessarily indicate a severe health concern. In fact, degeneration can be a positive sign in some cases, as it suggests that the fibroid is outgrowing its blood supply. This occurrence can prompt the tumour to self-regulate and shrink in size, providing relief from symptoms and potentially obviating the need for invasive interventions.

Understanding fibroid degeneration as akin to dead tree pulp in the centre offers a vivid analogy that captures the essence of this fascinating phenomenon. Like a tree in decline, the core of a degenerating fibroid loses its vitality, resulting in changes in texture and composition. While this process can bring discomfort and complications, it may also herald a natural resolution to the fibroid's growth, providing hope for women grappling with these common uterine tumours.

In conclusion, fibroid degeneration is a captivating medical occurrence that parallels the decomposition of a once-thriving tree. The transformation of the central portion of a fibroid, resembling dead tree pulp, highlights the changes within these tumours as they undergo necrosis. This analogy aids in comprehending the process and its impact on women's health, emphasizing the potential for symptom relief and spontaneous resolution.

By shedding light on fibroid degeneration, we gain a deeper appreciation for the intricate nature of these uterine growths and the body's remarkable ability to adapt and heal.

If you require expert treatment for fibroids and you would like to consult your options with an expert, don’t hesitate to book an appointment with Mr Mahantesh Karoshi via his Top Doctors profile today.