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January 07, 2009  
COMMUNITY: Frequently Asked Questions

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    Fibroids1: How do you explain the different types of fibroids?
    Dr. Eunice Moon: I think of the uterus as a melon. Fibroids can happen anywhere. Those just below the inside lining are submucosal fibroids. They don't have to be very big to cause large problems - one to two centimeter lesions in that area that gives you profound symptoms. Myometrial fibroids are the most common and they occur deep inside and cause enlargement of the uterus, bleeding and cramping. Sometimes, when the uterus is enlarged because of fibroids, the patient ends up having her bladder "pressed." It makes her feel the first trimester of pregnancy when the woman has to urinate all the time. Subserosal fibroids are fibroids under the skin on the outside part of the uterus. They don't cause a lot of direct bleeding but they give rectal pressure and certainly contribute to urinary frequency. I've had patients complaining of pelvic pain and shooting pain down the legs because there is a fibroid rubbing up against a nerve. All three are different and all three are painful in different ways.
    Dr. Eunice Moon

    Dr. Eunice Moon

    Dr. Eunice K. Moon, M.D. has been a full time Interventional Radiologist at the Cleveland Clinic Foundation since 2000. Her areas of expertise include fibroid
    embolization and fallopian tube recannallization. She is also the mother of two young boys, ages 2.5 and 6.

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