Fibroids

Uterine fibroids, also known as leiomyomas or myomas, are noncancerous growths that develop in the uterus.

What do we know about Black women and fibroids?

According to the National Center for Biotechnology Information (NCBI), Black women are more likely to have uterine fibroids, with 80% of us being diagnosed with them by age 50.

The disparities are thought to be influenced by a combination of genetic, hormonal, and environmental factors. We also know that Black women often face significant barriers to healthcare access, which can lead to delayed diagnosis and more invasive treatment options.

Research suggests that many women experience symptoms but do not recognize that they are associated with fibroids. We want you to know that heavy bleeding, painful sex, and extreme fatigue are not normal. Here at Uterine Care Collaborative, we would like for you to learn how to tune into your body, recognize when something is wrong, and seek help immediately.

What are the symptoms of fibroids?

The symptoms of uterine fibroids can vary widely depending on the size and location of the fibroids. Common symptoms include:

  • Heavy menstrual bleeding

  • Pelvic pain or pressure

  • Frequent urination

  • Backache

  • Abdominal bloating or fullness

  • Pain during sex

If you experience any of these symptoms, we encourage you to see a medical provider for evaluation as soon as possible.

What are the statistics?

  • Nearly a quarter of Black women between 18 and 30 have fibroids compared to about 6% of white women, according to some national estimates. By age 35, that number increases to 60%.

  • According to an article published by University of Michigan, despite minimally invasive options, Black women are at least twice as likely as white women to remove their uterus through a hysterectomy.

  • Black women are diagnosed with fibroids at earlier ages, are more likely to be symptomatic, and are likely to have different responses to medical treatment than white women, according to a 2013 American Journal of Obstetrics and Gynecology study. This study also noted that Black women experience larger and faster growing fibroids, and Black women are more likely to undergo surgical intervention for fibroids than other racial groups.

  • The results of a 2024 study published by JAMA Network indicated maternal history of fibroids as a risk factor for incident fibroids, especially when mothers were diagnosed at a younger age.

Questions to Ask Your Provider

Explore questions to ask your healthcare provider about uterine cancer, polycystic ovary syndrome (PCOS), fibroids, and endometriosis. Learn about diagnosis, treatment options, side effects, and support resources that help you make informed decisions.

Resources