Consulting in Castle Hill and Eastwood. Delivering at The San and Norwest Private. Call (02) 9894 9225
Dr Chris SaadieObstetrician & Gynaecologist

Fibroids

Fibroids are very common and often cause no problems. When they do cause heavy bleeding, pain or pressure, there are several ways to treat them.

What is it?

Fibroids are non-cancerous growths of muscle in the wall of the uterus. They range from the size of a pea to larger than a grapefruit, and many women have them without knowing. They're most common between the ages of 30 and 50 and usually shrink after menopause.

Common symptoms

  • Heavy or long periods, sometimes with clots or flooding
  • Tiredness from iron deficiency
  • Pressure or fullness in the lower abdomen
  • Needing to pass urine often, or constipation
  • Pelvic or back pain
  • Pain during sex
  • Difficulty becoming pregnant or problems in pregnancy, depending on where the fibroid is

How it's diagnosed

Fibroids are usually found on a pelvic ultrasound. Dr Saadie will check your blood count and iron levels if your periods are heavy, and may arrange further imaging to plan treatment.

Treatment options

If fibroids aren't causing symptoms, no treatment may be needed. If they are, options include:

  • medicines to reduce bleeding and pain, including tranexamic acid, anti-inflammatories and hormonal treatments
  • a Mirena IUD for heavy bleeding when the uterus shape allows
  • hysteroscopic removal of fibroids that sit inside the uterine cavity
  • myomectomy, an operation to remove fibroids while keeping the uterus, often for women who want a future pregnancy
  • hysterectomy, which removes the uterus and is a permanent solution when you've finished having children

Dr Saadie performs myomectomy and hysterectomy and will explain the benefits, risks and recovery of each option.

When to see a doctor

See your GP if your periods are heavy enough to affect your day, you feel tired or breathless, or you notice pressure symptoms or a swelling in your lower abdomen.

To see Dr Saadie, ask your GP for a referral, then request an appointment or call (02) 9894 9225.

More information

Other conditions

General information only, not a substitute for advice about your own health. Updated November 2026.

Ready to book your first visit?

Ask your GP for a referral, then request a time at Castle Hill or Eastwood. Our team will call you to confirm.

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