Do Only Older Women Get Fibroids? Here’s the Truth

Fibroids — also called uterine fibroids or leiomyomas — are non-cancerous growths that develop in the uterus. They are one of the most common gynaecological conditions affecting women, yet there are still many myths surrounding them. One of the biggest misconceptions is that only older women get fibroids.

In this blog, Dr. Sunita Pawar addresses this myth, explains the real risk factors, and shares what every woman should know about fibroids — no matter her age.

Best Gynecologists and Obstetricians in HSR Layout | Dr. Sunita Pawar
Best Gynecologists and Obstetricians in HSR Layout | Dr. Sunita Pawar

What Are Fibroids?

Fibroids are benign (non-cancerous) growths made up of muscle and fibrous tissue. They can vary greatly in size — from as small as a pea to as large as a melon. Some women may have a single fibroid, while others may have multiple.

Fibroids grow in different parts of the uterus:

  • Intramural fibroids – grow within the muscle wall of the uterus.
  • Subserosal fibroids – grow on the outer surface of the uterus.
  • Submucosal fibroids – grow into the inner lining of the uterus.

Who Can Get Fibroids?

It’s true that fibroids are more common in women in their 30s and 40s, often growing during the reproductive years and shrinking after menopause. However, fibroids can develop at any age after puberty.

Dr. Sunita Pawar explains that younger women, even in their 20s, can develop fibroids — especially if they have certain risk factors, such as:

  • Family history of fibroids.
  • Early onset of menstruation.
  • Obesity or higher body weight.
  • Hormonal imbalances involving oestrogen and progesterone.

Why the Myth Exists

The belief that only older women get fibroids likely comes from the fact that symptoms often become more noticeable in the late 30s or 40s, when hormonal changes make fibroids grow faster. In younger women, fibroids might be small and cause no obvious symptoms, so they often go undiagnosed until later in life.

Symptoms to Watch Out For

Fibroids don’t always cause symptoms, but when they do, they may include:

  • Heavy or prolonged menstrual bleeding.
  • Pelvic pain or pressure.
  • Frequent urination.
  • Constipation.
  • Pain during sexual intercourse.
  • Abdominal bloating.

If you notice these symptoms — regardless of your age — it’s important to see your gynaecologist.

📽 Watch the video to hear Dr.Sunita Pawar explain the facts about fibroids and why women of all ages should be aware of them.

Diagnosis and Treatment

Fibroids are usually diagnosed through pelvic examinations, ultrasound scans, or other imaging tests.

Treatment depends on factors such as the size and location of the fibroids, your symptoms, age, and whether you wish to have children in the future. Options include:

  • Watchful waiting for small, symptom-free fibroids.
  • Medications to manage symptoms or shrink fibroids.
  • Minimally invasive procedures like uterine artery embolisation.
  • Surgery such as myomectomy (fibroid removal) or hysterectomy.

The Bottom Line

Fibroids are not just a concern for older women. They can develop at any age after puberty, and younger women should be aware of the symptoms and risk factors. As Dr. Sunita Pawar advises, regular gynaecological check-ups are key for early detection and management.

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