Uterine Fibroids vs. Ovarian Cysts: How to Spot the Difference
Are you experiencing pelvic pain? You’re not alone. About 1 in 3 women has pelvic pain or discomfort at some point in their lives, but identifying the underlying cause isn’t always easy.
In fact, both uterine fibroids and ovarian cysts are top causes of pelvic pain, yet they require very different treatments. Understanding the differences between these conditions is the first step toward getting the care you need, and Christopher Serrano, MD at Serrano OB-GYN is here to help.
The signs and symptoms of uterine fibroids
Uterine fibroids are non-cancerous growths that develop in or on the walls of your uterus. These growths are composed of muscle and fibrous tissue, and they vary in size from as small as a pea to as large as a melon.
A few common symptoms of uterine fibroids are:
- Heavy menstrual bleeding
- Pelvic pain or pressure
- Frequent urination
- Constipation
- Back or leg pain
- Difficulty emptying your bladder
Although the exact cause of fibroids is unknown, factors like genetics, hormones (particularly estrogen and progesterone), and growth factors are believed to play a role.
The signs and symptoms of ovarian cysts
Ovarian cysts are fluid-filled sacs that form on or inside your ovaries. These cysts are common during your reproductive years, and they often resolve on their own without treatment. However, some cysts can be large or painful, and sometimes, cysts can burst.
Some common symptoms of ovarian cysts are:
- Pelvic pain or discomfort
- Bloating or swelling in the abdomen
- Pain during intercourse
- Irregular menstrual periods
- Painful bowel movements
- Lower back pain
If an ovarian cyst ruptures, you can experience sudden, severe abdominal or pelvic pain, bloating, nausea, and sometimes dizziness or fainting.
Key differences between uterine fibroids and ovarian cysts
While both fibroids and cysts can cause pelvic pain and similar symptoms, there are a few distinct differences. Here’s how to spot them.
Location
Uterine fibroids grow in or on your uterus, while ovarian cysts form on or inside your ovaries.
Composition
Fibroids are solid masses composed of muscle and fibrous tissue, whereas ovarian cysts are fluid-filled sacs.
Menstrual symptoms
Heavy menstrual bleeding and prolonged periods are more characteristic of uterine fibroids, whereas irregular periods and pain during ovulation are more commonly associated with ovarian cysts.
Treatment
Many ovarian cysts go away on their own, but some large or problematic cysts may require medical intervention. However, if you have symptomatic fibroids, you will likely need medical treatment like medication or minimally invasive surgery.
What to do about pelvic pain
Although it’s common, pelvic pain isn’t normal — and it’s important to get a diagnosis so you can get a treatment plan that’s right for you.
Dr. Serrano can diagnose both uterine fibroids and ovarian cysts through pelvic examinations, ultrasounds, and other imaging tests. If necessary, he may order blood tests and MRI scans to provide more detailed information.
He will review your results with you and explain your diagnosis before discussing treatment. Whether you need medication, minimally invasive procedures, or surgical intervention, Dr. Serrano is here to provide expert care and support.
In the end, understanding the differences between uterine fibroids and ovarian cysts is the first step toward finding effective treatment and relief from your pain.
If you’re experiencing pelvic pain or other related symptoms, don’t hesitate to reach out. Contact us online or over the phone at our San Antonio, Texas location, to get started today.