A pedunculated fibroid is a fibroid that is attached to the uterus by a stalk, called a peduncle. Pedunculated fibroids growing outside the uterus are called subserous pedunculated fibroids, and the ones that grow inside the uterus are called pedunculated submucosal fibroids.
They can grow massive, and one of the biggest ones I found was reported in the East African Medical journal last year. A 37 year old lady had an intestinal swelling that kept growing bigger. Her surgeons found a pedunculated fibroid about 16 centimeters long that weighed nearly one and a half kilograms.
The girl with the fibroid experienced no symptoms, except for the swelling, but other girls aren’t so fortunate with their pedunculated fibroids.
A pedunculated submucosal fibroid can stick out into the vaginal canal, causing discomfort during intercourse. The american school of Beirut hospital reported 2 women with prolapsed pedunculated sucmucosal fibroids and in one patient 12 centimeters of that fibroid had prolapsed into the vaginal canal and the remainder of it was still in the uterus.
They can cause harsh and sharp pains when the stalk is twisted, and although this doesn’t happen to all girls, the danger of these going down increases as the fibroid attached to the stalk grows.
Other kinds of pain linked with these fibroids include uterine cramps, and a feeling of force on the uterus and other organs.
Another indication of pedunculated submucosal fibroids is bleeding in between periods. This bleeding can be light spotting, or an incessant bleeding like having a light period all of the time. Ladies with continual bleeding find that the bleeding becomes heavier when their time of the month arrives.
Pedunculated fibroids can require speedy surgery if they become twisted. This is as the discomfort can be so intolerable that the lady experiencing the agony will agree to anything in order to stop it.
Another effect of the twisted peduncle is a blockage, or kink in the veins that supply the fibroid with blood and nutriments. When the supply is blocked, the fibroid will start to die, which in itself is very painful, and can increase the risk of infection.