
Understanding Fibroid Sloughing
Fibroid sloughing, ( fibroid degeneration or necrosis), refers to a natural process where a uterine fibroid loses its blood supply and becomes necrotic(dead). The fibroid experiences cell death and is detached from the uterine wall, the fibroid tissue is expelled through the cervix and vagina. While this is not experienced by every woman it can be an important part of the healing process.
What Causes Fibroid Sloughing?
- Disruption of Blood Supply
Inadequate blood supply or blocked arteries that supply blood to the fibroid can cause ischemia. - Inflammatory Process
As the body identifies the necrotic fibroid tissue, it initiates an inflammatory response to break down and expel the tissue. - Body Healing Response
The uterus works to remove the remaining fragments of fibroid tissue, which may appear as clots or discharge. - Fibroid Location
Submucosal fibroids are closer to the uterine lining and Pedunculated fibroids can get twisted and cut off their own blood supply.
More Questions? Talk to a Fibroid Specialist Now
Signs of Fibroid Sloughing
Fibroid sloughing is primarily caused by the interruption of the fibroid’s blood supply, its location within the uterus, and the body’s natural healing mechanisms. Fibroid sloughing is often experienced as a sudden onset of intense crampy pain and an odorous vaginal discharge.
- Sudden onset of severe cramping and abdominal pain.
- Heavy vaginal bleeding.
- Passage of tissue fragments that may appear as large clots or fleshy material.
- Vaginal discharge, which may be reddish-brown due to containing blood and tissue. If the discharge us foul-smelling, consult your doctor as this could indicate an infection.
- Unusual Odor – the uterus and vagina contain natural bacteria. As necrotic fibroid tissue passes, these bacteria can interact with the tissue, contributing to the smell.
After sloughing a fibroid, there is often a noticeable reduction in uterine size and quick symptom relief. Though fibroid sloughing is generally not a cause for major concern, promptly informing the healthcare provider about such symptoms allows for proper evaluation and reassurance.
How Long Does Fibroid Sloughing Last?
The timeline for fibroid sloughing varies from person to person. For some, the process may happen shortly after the procedure, while others may experience it weeks or months later. It typically resolves on its own, but you know your body and if doesn’t seem normal you should reach out to your doctor immediately.
Fibroid Sloughing After UFE
After UFE, the blood supply to the fibroids is blocked, causing the fibroids to shrink and die over time. If a fibroid is located near the uterine lining, it may lose its attachment to the uterine wall and begin to expel itself.
The passing of dead fibroid tissue is a minor complication after UFE for some women. Approximately 5% of patients experience the shedding of necrotic (dead) fibroid fragments or even an entire fibroid in the weeks following the procedure. It often occurs in the weeks following the procedure, with some cases reported as late as 8 to 10 weeks or even longer. This is more likely when the fibroids are submucosal, and your doctor will discuss this likelihood with you during your consultation. While it can be uncomfortable, it is generally a positive sign that the treatment is working,
Questions? Our Fibroid Experts Can Help.
If you are concerned about fibroid sloughing or have any questions regarding this rare occurrence, don’t hesitate to contact USA Fibroid Centers for expert guidance and reassurance. Our specialized centers have experienced doctors who are well-versed in diagnosing and treating uterine fibroids and their potential complications
Connect with our Patient Care Coordinators by calling 855.615.2555 or complete our online scheduling form for your initial consultation.