Women with uterine fibroids wait more than three years on average before seeking treatment, even though symptoms often interfere with their everyday lives, a new survey finds.
These benign tumors affect up to 80 percent of women before the age of 50, and are the leading cause of hysterectomy — surgical removal of the uterus — in the United States.
Nearly 1,000 women with fibroids responded to the Harris Interactive survey, and close to one-third of those with jobs said they missed work because of symptoms, including heavy or prolonged menstrual bleeding, cramping and fatigue.
Many of the women expressed concern about fibroid treatment. More than three-quarters said they would prefer noninvasive approaches, more than half wanted to preserve their uterus, and younger women were often focused on preserving their fertility.
“I was impressed by how strongly women felt about uterine preservation,” said study author Dr. Elizabeth Stewart, a professor of obstetrics and gynecology at the Mayo Clinic in Rochester, Minn. “For many women, even if they don’t want fertility, preservation of their uterus is an important goal.”
Fortunately, fibroids won’t necessarily require a hysterectomy, especially if women get medical care early, she said.
The 968 women surveyed were aged 29 to 59 and had reported fibroid symptoms. Fibroids often present no symptoms, but one-quarter of women with fibroids say their day-to-day life is affected by the growths.
Among the other findings: 24 percent of the working women said fibroid symptoms kept them from reaching their career potential, and 41 percent of women saw two or more health care providers before getting a diagnosis.
A sub-study found that black women are more likely than whites to have severe symptoms, and 32 percent of black women waited more than five years before seeking medical treatment compared to 17 percent of whites.
Experts weren’t surprised by the findings.
“Fibroids affect the quality of your life,” said N. Edward Dourron, a reproductive endocrinologist at Hoag Memorial Hospital Presbyterian in Newport Beach, Calif. The survey results mirror what he sees and hears in real life, he said.
It’s no surprise that women often see more than one doctor, said Dr. William Parker, a gynecologist at the University of California Los Angeles Medical Center, Santa Monica. “Patients get told they need a hysterectomy, and they see another doctor,” he said. “And they see another doctor.”
The national survey was funded by Fibroid Relief, a program of the Focused Ultrasound Foundation in Charlottesville, Va. The foundation, which promotes ultrasound treatment for fibroids, is funded by ultrasound device manufacturers such as InSightec and others, as well as private donations.
The results are published in October in the American Journal of Obstetrics and Gynecology and the Journal of Women’s Health.