If you’re experiencing heavy periods, pelvic pain, or unexpected bleeding, it’s natural to feel concerned. These symptoms can be linked to a range of conditions, including uterine fibroids and uterine cancer. While the two may share some warning signs, they are very different in nature—one is benign and the other potentially life-threatening.
Understanding the differences can help you ask the right questions and take charge of your health. Here’s what you need to know.
What Are Uterine Fibroids?
Uterine fibroids are non-cancerous growths that develop in or around the uterus. They are extremely common, especially in women between the ages of 30 and 50, and often grow during childbearing years. Many women have fibroids without experiencing any symptoms, but others may deal with discomfort or complications.
Common symptoms of uterine fibroids include:
- Heavy or prolonged menstrual periods
- Pelvic pain or pressure
- Frequent urination
- Constipation or bloating
- Pain during intercourse
- Lower back pain
- Difficulty conceiving or maintaining a pregnancy
If you’re noticing heavier periods or pressure in your lower abdomen, it’s a good idea to consult a specialist.
What Is Uterine Cancer?
Uterine cancer, most commonly endometrial cancer, begins in the lining of the uterus. Unlike fibroids, this condition is malignant and requires prompt medical attention. It most often occurs in women over 50, particularly those who are postmenopausal.
Common symptoms of uterine cancer include:
- Vaginal bleeding after menopause
- Bleeding between periods
- Pelvic pain or discomfort
- Unusual vaginal discharge
- Pain during intercourse
- Unexplained weight loss
- Fatigue
Any bleeding after menopause is a red flag and should be evaluated immediately.
Fibroids vs. Cancer: Spotting the Differences
While both conditions can cause pelvic pain and abnormal bleeding, knowing the difference between symptoms of uterine fibroids and cancer is important as there are some key distinctions:
These symptoms can overlap, which is why professional diagnosis is so important. Imaging studies like ultrasounds and MRIs, along with biopsies when needed, can help determine the cause of your symptoms.
When Should You See a Doctor?
If you’re noticing changes in your cycle, unusual bleeding, or ongoing discomfort, don’t brush it off. Early evaluation can rule out serious issues or help you get the right treatment as soon as possible. Schedule a visit with your gynecologist or a fibroid specialist if you experience:
- Heavy or prolonged periods
- Bleeding between periods or after menopause
- Persistent pelvic pain or bloating
- Pain during intercourse
- Any sudden change in your menstrual cycle
Taking Control of Your Health
Uterine fibroids are common and treatable, especially when diagnosed early. While uterine cancer is less common, early detection makes a significant difference in outcomes. Being aware of your body and speaking up when something feels off is the first step toward better health.
If you’re dealing with symptoms and aren’t sure where to start, talking to a women’s health provider can bring clarity and peace of mind. Whether it’s fibroids, cancer, or something else entirely, you deserve answers—and options.
