She Strengthens

Understanding Uterine Fibroids: Why Black Women Are Disproportionately Affected

Uterine fibroids, also known as leiomyomas or myomas, are noncancerous tumors that grow in or around the uterus. While they can cause painful and potentially dangerous symptoms, the exact reason why Black women are up to three times more likely to develop fibroids remains unclear.

The Connection Between Obesity and Fibroids

Research suggests that certain genetic and environmental factors contribute to the higher risk of fibroids in Black women. One significant factor is obesity, which affects approximately 4 in 5 Black women in the United States. Higher body mass index (BMI) is linked to increased estrogen levels, which may lead to fibroid growth. Additionally, limited access to nutritious foods may contribute to higher body weight and fibroids.

Vitamin D Deficiency: A Contributing Factor

Folks with darker skin tones are more likely to have a vitamin D deficiency due to melanin, which protects against ultraviolet (UV) radiation but makes it harder for the body to create vitamin D from the sun. Vitamin D may prevent uterine fibroid growth, so having low levels of this vital nutrient could increase the risk.

The Impact of Hair Care Products

Studies suggest a link between fibroids and certain hair care products, such as hair relaxers, which can expose users to hormonally active compounds that contribute to fibroid growth.

How Black Women Are Affected by Fibroids

Fibroids can affect everyone differently, but Black women are often more likely to experience severe pain and invasive surgery.

Symptom Severity and Healthcare Inequities

Black women tend to have more severe fibroid symptoms, including leg pain, constipation, pain during sex, and heavy menstrual bleeding. They are also more likely to develop anemia due to heavy bleeding. Furthermore, Black women often face more difficulty getting the right medical care, with some research suggesting they are less satisfied with their fibroid treatments and face more financial obstacles.

Treatment Options and Diagnosis

Diagnosing uterine fibroids typically involves a combination of physical exams, ultrasounds, hysteroscopies, and other imaging tests. Treatment depends on symptoms and other health factors, with options ranging from medications to surgery.

Medications and Surgery

Birth control medications can help regulate hormone levels and shrink fibroids. Over-the-counter pain relievers and anti-inflammatory meds can manage discomfort, but won’t stop new fibroids or shrink existing ones. In severe cases, surgery may be necessary, including hysterectomy or myomectomy.

Less Invasive Procedures and Home Remedies

Less invasive procedures, such as cryomyolysis, uterine artery embolization, and forced ultrasound surgery, can also help. Some people find symptom relief with natural remedies like yoga, massage, and acupuncture, but it’s essential to consult a doctor before trying these alternatives.

Takeaway and Support

Uterine fibroids are a common issue, affecting up to 70% of women, with Black women being disproportionately affected. Early intervention is crucial, and it’s essential to push for additional testing if a physical exam can’t determine the cause of pain. Remember, you’re not alone, and there are organizations like CARE About Fibroids, The Fibroid Foundation, and The White Dress Project that offer support and information to Black women with fibroids.