Uterine Fibroids are benign Uterine growths. They can be smaller than a pea up to larger than a grapefruit. They can be singular, often having several (2–4), and occasionally, multiple.

Uterine Fibroids are common, affecting around 20% of all menstruating women, being most common between the age of 35 and menopause. Often there is aggravation in the years before cessation of menstruation, followed by decline in symptoms and growth after menopause.

Cause

Pathophysiology is usually Damp/Melancholy with Qi and Blood Stasis. It may be caused after infection or chronic inflammation, Trauma or irritation. Retention of Menstruation was traditionally regarded to be a contributing factor.

In modern understanding, Hormones are recognised to have a major role, and emotions also have a pivotal role, these being the origin of Qi stagnation.

Fibroid growths are stimulated by Estrogen, but are also very sensitive to Progesterone. Another important factor is a hormone-like growth factor called bFGF which interacts with Estrogen and Progesterone to allow fibroids to grow. It becomes most active just after ovulation. It has long been recognised that Scirrhus (fibroid) tumors can occur as a result of chronic inflammation.

Symptoms

Small Fibroids usually have no symptoms. The most common presenting symptom is heavy menstrual bleeding which is seen in medium-to-large growths (over 2–3cm).

In larger tumors, a hard, painless mass may be palpated. Some women, even in advanced cases, may have no symptoms.

Treatment

Treatment aims to resolve Damp or Melancholy, move Qi and Blood and resolve Tumors.

Herbal medicine may help resolve small to medium growths (less than 3cm), and may help stop growth or reduce the size of larger growths.
Purging is generally indicated unless weak, then Bloodletting is often used.

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See also

Tumors
Polcystic Ovary Syndrome

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Strong Medicines to ‘Break’ Tumors:

1. Turmeric:  “The size, volume, and proliferative activity of Uterine Fibroids were significantly reduced when patients took 1.2 g of curcumin orally every day for 6months, with no adverse effects observed” (see here)

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Sample Combinations

1. Broom with Rue
2. Figs and Fenugreek are boiled in Barley broth.
3. Wormwood, Rue, Myrrh
4. Rhubarb, Madder, Bitter Almond, Saffron
5. Decoct Paul’s Betony with Agrimony, Fumitory and Dodder, and take with Confectio Hamech
6. Madder with Round Birthwort, Agaric, Cinnamon (as in Pills of Madder)
7. Madder with Round Birthwort, Savin, Cretan Dittany, Myrrh (as in Powder of Myrrh)
8. Myrrh with Lacca, Saffron, Costus, Madder, Licorice, Black Pepper, Rhubarb
9. Bauhinia with Myrrh, Turmeric, Saraca (Ayurveda)
10. Frankincense, Asparagus racemosus, Rose, Safflower (Ayurveda)
11. Costus, Cyperus rotundus, Madder, Agaric, Saffron
12. Citrus Zhi Ke, Citrus Qing Pi, Costus, Cyperus rotundus, Fennel, Clove (as in Xiao Leng Wan from TCM)
13. Citrus Chen Pi, Costus, Zedoary, Cyperus rotundus, Pinellia Ban Xia, Poria Fu Ling, Ginger, Atractylodes Bai Zhu, Licorice (as in Kaiyu Erchen Tang)
14. Zedoary, Sparganium, Dang Gui, Persica Tao Ren, Cyperus rotundus, Prunella Xia Ku Cao, Dipsacus Xu Duan, Laminaria (as in Gong Zheng Tang from An Illustrated Guide to Antineoplastic Chinese Herbal Medicine, 1990)
15. Black Cohosh, Blue Cohosh, Agnus Castus, Dioscorea villosa, Dandelion
16. Fomentation, White Lily with Marshmallow, Violet, Mugwort, Linseed and Fenugreek
17. Boil Oregano in wine, strain and mix with Olive oil, apply linen cloths and apply warm over the Uterus.

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Special Formula

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Research:

1. Herbal preparations for uterine fibroids (Review)
2. Chinese herbal medicine Guizhi Fuling Formula for treatment of uterine fibroids: a systematic review of randomised clinical trials.
3. Pharmacotherapeutic effects of kuei-chih-fu-ling-wan (keishi-bukuryo-gan) on human uterine myomas.
4. Effect of Unani treatment inSala’ al-Rahim(Leiomyomata): A case report
5. Evidence-Based Management of Uterine Fibroids With Botanical Drugs-A Review
6. Prescription patterns of Chinese herbal products for patients with uterine fibroid in Taiwan: A nationwide population-based study.
7. Ayurvedic intervention in the management of uterine fibroids: A Case series
8. Acupuncture for uterine fibroids.