Can Fibroids Be Cancerous? Signs to Watch Out For

Understanding the Fear — and the Facts

If you’ve been diagnosed with uterine fibroids, it’s natural to wonder, Could this be something serious? For many women, the word “tumor” triggers worry about cancer. But here’s the truth: most fibroids are non-cancerous, and the chance of them turning cancerous is extremely rare.

At Dr. Richa Gangwar’s clinic in Lucknow, we help women understand their condition with clarity and compassion. Let’s explore what fibroids are, their symptoms, and the warning signs that may need extra attention.

What Are Uterine Fibroids?

Fibroids, also called leiomyomas, are non-cancerous growths of the uterus that usually appear during the reproductive years. They may vary in size — from a small seed to a bulky mass that distorts the uterus.

Fibroids are:

• Very common (affecting 1 in 3 women by age 50)

• Usually benign (non-cancerous)

• Influenced by hormones like estrogen and progesterone

• Often shrink after menopause

There are different types, depending on location:

• Intramural: Within the uterine wall

• Submucosal: Under the lining of the uterus

• Subserosal: On the outer surface

• Pedunculated: Attached by a stalk

Can Fibroids Turn into Cancer?

✅ In Most Cases: No

Over 99% of fibroids are non-cancerous. The chance of a fibroid turning into cancer — known as a leiomyosarcoma — is less than 1 in 1,000. It’s not common, and there’s no proven way to tell if a fibroid will become cancerous just by looking at it on an ultrasound.

When to Be Concerned: Signs to Watch Out For

Although fibroids are mostly harmless, certain signs require medical evaluation to rule out rare complications:

🚩 1. Rapid Growth of Fibroid in a Short Time

• A fibroid that doubles in size quickly may need further investigation

• Especially postmenopause, any new fibroid growth should be evaluated

🚩 2. Severe or Persistent Pelvic Pain

• Most fibroids cause cramping, but sharp, sudden pain could indicate degeneration or rarely, malignancy

🚩 3. Heavy or Prolonged Bleeding

• While fibroids can cause heavy periods, bleeding that:

  • Soaks pads every hour

  • Lasts more than 10 days

  • Occurs between periods
    should be assessed

🚩 4. Unexplained Weight Loss or Fatigue

• These are non-specific symptoms, but when seen with fibroids, they need evaluation for anaemia or rare malignancy

🚩 5. Postmenopausal Bleeding

• Once periods stop, any vaginal bleeding is abnormal

• Fibroid-related bleeding after menopause could suggest endometrial or other uterine issues

Diagnosis: How We Check for Fibroid Health

At Dr. Richa Gangwar’s clinic, we use a combination of:

• Pelvic ultrasound

• Transvaginal scan for detailed imaging

• MRI if fibroid structure needs better clarity

• Endometrial biopsy or hysteroscopy, if cancer is suspected

• Blood tests to monitor hemoglobin and rule out anaemia

We also monitor fibroids over time — especially if you’re nearing menopause or considering surgery.

Do All Fibroids Need Treatment?

Not always. Many fibroids cause no symptoms and are found during routine scans.

Treatment is needed if you have:

• Heavy, painful periods

• Difficulty conceiving

• Pressure on the bladder or bowel

• Rapidly growing fibroids

• Suspected complications

Safe & Supportive Fibroid Care in Lucknow

At Dr. Richa Gangwar’s clinic, we offer:

• Medication to control bleeding and shrink fibroids

• Minimally invasive surgery, if needed

• Fertility-preserving treatment options

• Regular monitoring and personalized treatment plans

We support women at every stage — from diagnosis to recovery — with honesty, compassion, and privacy.

Final Word: Don’t Panic, But Stay Informed

Most fibroids are harmless and manageable. But knowing the signs of change helps you act early and avoid complications. Regular checkups, open conversations, and trusted care can make all the difference.