Escalate concerning symptoms or report language. Severe pain, fever, pregnancy-related symptoms, postmenopausal bleeding, hydronephrosis, obstruction, suspicious or atypical mass language, or emergency concerns should be discussed promptly with a clinician.
Location terms
Reports may describe fibroids as submucosal, intramural, subserosal, pedunculated, or by FIGO type. These terms describe location. They do not decide treatment on their own.
Questions to ask
- Does this fibroid touch or distort the uterine cavity?
- Could location relate to bleeding, pressure symptoms, or fertility planning?
- Would hysteroscopy, saline sonohysterography, MRI, or another evaluation clarify anything?
Other uterine findings
Adenomyosis, heterogeneous myometrium, junctional-zone wording, degeneration, calcification, vascularity, or enhancement may change what your clinician wants to discuss. Avoid turning those words into conclusions without context.
Questions to ask
- Does the report suggest adenomyosis in addition to fibroids?
- Is degeneration or vascularity expected, old/chronic, possibly related to pain, or something that needs follow-up?
- Are any imaging features atypical enough to require radiology review or more imaging?
Mass effect and obstruction terms
Enlarged uterus, mass effect, bladder or bowel compression, hydronephrosis, and ureteral obstruction are terms to ask about carefully because they may affect timing and follow-up.
Questions to ask
- Which structure is being pressed on?
- Is kidney function, urinary retention, or obstruction a concern?
- Do I need prompt follow-up, urology input, labs, or additional imaging?
Sources
ACOG uterine fibroids FAQ · RadiologyInfo UFE · NCBI Bookshelf uterine leiomyomata