Fibroids Specialist


Roya Rakhshani, MD

OB-GYN & Medical Aesthetics Specialist located in Costa Mesa, CA

Most American women develop fibroids at some point in their lives. It is not uncommon to not have symptoms and not be aware of the presence of fibroids. However, those who suffer from painful fibroids spend over $2 billion every year on healthcare treatment. To get help dealing with your fibroids, call or make an appointment online today with Dr. Roya Rakhshani at OriGYN in Costa Mesa, California.

Fibroids Q&A

What are fibroids?

Fibroids are noncancerous growths found in the uteruses of women of childbearing age.  Muscle cells and other tissues that grow in and around the wall of the uterus makeup fibroids. Fibroids range in size from the size of a seed to bulky masses that distort and enlarge your uterus.

Although their cause is unknown, several factors exist including:

Genetic changes

Researchers found that many fibroids contain gene changes that differ from normal uterine muscle cells.


Your body produces two hormones that regulate your menstrual cycle. Estrogen and progesterone also appear to promote fibroid growth. However, fibroids have more hormone receptors than normal uterine muscle cells. Additionally, fibroids shrink after menopause as your hormone production decreases.

Other growth factors

Insulin-like growth factors and other substances that help your body maintain tissues also affect fibroid growth.

Risk factors for fibroids include being of African descent and being overweight.

How are fibroids diagnosed?

Many women do not suffer from any symptoms associated with fibroids. However, those who do tend to report similar ailments including:

  • Heavy or painful periods
  • Bleeding between periods
  • Full feeling in your lower abdomen
  • Frequent urination
  • Painful sex
  • Lower back pain
  • Reproductive issues including infertility, multiple miscarriages, and early labor

Dr. Rakhshani generally finds fibroids during your routine pelvic exam. There are several tests that offer her additional information, including:

  • Ultrasonography -- sound waves create a picture of your uterus and other pelvic organs
  • Hysteroscopy -- slender device inserted through the vagina and cervix permits visual observation of your uterine cavity
  • Hysterosalpingography -- special X-ray test detects abnormal changes in the size and shape of your uterus and fallopian tubes
  • Sonohysterography/Ultrasonography -- fluid gets placed in your uterus to provide a clear picture of your uterine lining.
  • Laparoscopy -- slender device inserted through a small cut just below or through your navel helps to see inside your abdomen and fibroids on the outside of your uterus

How are fibroids treated?

Treatment options for fibroids include medicine, non-invasive, or minimally invasive procedures. Dr. Rakhshani determines the best treatment option for your fibroid.

  • Medications -- help control symptoms, but don’t get rid of fibroids
  • Robotic/laparoscopic -- non or minimally invasive procedures remove or destroy fibroids