Clinical features

Asymptomatic: most fibroids

Menorrhagia or metrorrhagia (29 – 59%) with possible causes being Increased vascularity, Hyperplasia of endometrium, Increased surface area.

Pressure symptoms such as Urgency to urinate and, rarely the inability to urinate, Constipation, Feeling full in the lower abdomen, lower abdominal Pain.

On Palpation
Firm, Margins are well – defined except the lower pole which cannot be reached suggestive of pelvic in origin, surface is nodular, may be uniformly enlarged in a single fibroid, Mobility is restricted from above downwards but can be moved from side to side.

On Percussion
The swelling is dull on percussion

Pelvic examination
Bimanual examination reveals the uterus irregularly enlarged by the swelling felt per abdomen.