Intramural myoma: Definition, Causes, Symptoms and Available Treatments

Uterine fibroids are the most common, located within the uterus of all myomas.

These fibroids continue to expand inside the uterus, which is evident by the increase in the size of the uterus. The expanded uterus often gives the wrong idea that the woman is pregnant or has gained weight.

Intramural myomas or intramural fibrosis are the most common conditions that affect a woman’s uterine health. Being a benign tumor, intramural fibroids originate in the uterine layers. It is possible that there are not many visible symptoms of intramural myomas. Therefore, it becomes difficult to diagnose unless there are complications.

The expansion of intramural fibroids occurs from the uterus, and women who experience it often feel as if the size of the uterus has increased more than usual. Intramural fibroids in the uterus may be benign and do not tend to become cancerous.

However, these fibroids can contribute to infertility and spontaneous abortions, affecting women’s reproductive health. Therefore, having good knowledge about the causes and treatments becomes a necessity. The option of many intramural myoma treatments is available to solve the problem.

What are the causes of intramural myomas?

Intramural myomas are pretty common among women, and most may not experience any symptoms. The expansion of these myomas is gradual, and they start as small lumps and cause distortion of the uterine cavity.

The causes of intramural fibroids revolve around the fact that most women of childbearing age suffer from abnormal cell growth. Some of the reasons for intramural fibroma include


  • Changes in lifestyle
  • Hormone imbalance
  • Genetic factors

No specific cause can be attributed to the development of an intramural myoma, and this condition is formed as a collective contribution of several factors. In addition to genetic predisposition, lifestyle and hormonal health are also very important. Overeating junk food and sleeping less also contribute significantly to the cause of intramural fibrosis.

When much caffeine is consumed, the hormonal balance is altered, which leads to the development of a cyst in the uterus.

When estrogen and progesterone increase in the body, they can form bases to form fibroids. If there is a problem related to insulin, myomas can also accumulate in the uterus, growing to a devastating degree.

What are the symptoms?

While most women may not experience any symptoms of intramural fibroids, some may have specific complaints. These are some of the commonly experienced symptoms of intramural myomas.

  • The abdomen may feel heavier due to weight gain and appears to be significant.
  • The increased need to urinate more frequently is a common symptom of intramural fibroids due to constant pressure.
  • Women who suffer from intramural fibroids usually experience heavy menstrual bleeding.
  • Severe, persistent, and frequent pelvic pain is one of the most common symptoms of intramural fibroids.
  • Problems related to digestion along with constipation and bloating are other common problems.
  • Mild or severe pain during intercourse is shared, and with fibroids located in the cervix, the complication usually increases much more over time.
  • Constant pain in the back and legs.

There is no link between intramural fibroids and fertility problems in most cases, but in about 4% of cases, women may experience complications during pregnancy.

Available treatments

Intramural fibroids make it difficult for women to continue with their daily activities. These fibroids may or may not have a problem related to fertility, but if they do, they should be treated appropriately. The treatment of intramural fibroids depends on the symptoms and problems caused by fibroids.

Medications are used to treat intramural fibroids in the initial stage; however, other alternatives should be sought if they do not respond well. In some cases, hormone therapy may be required if there are additional problems.

Surgery: Surgical treatment of intramural fibroids offers three types of procedures; these include:

  • Abdominal myomectomy involves removing the fibroids by opening the abdomen through surgical procedures.
  • Uterine artery embolization: in this case, the fibroids are destroyed by injecting drops of alcohol into the polyvinyl in the uterine artery.
  • Hysterectomy: When complications increase multiple times, the only procedure left is to remove the uterus, which quickly cures patients.

Surgical treatments for intramural fibroids are considered when there are problems with fertility or complications in pregnancy. However, each case is different and is based on the symptoms of intramural fibroids and the general state of health of the woman.