Can fibroids Cause Constipation? Yes, enlarged fibroids can cause constipation by pressing the colon from the outside.

Ask Dr. John Lipman: “Can Fibroids Cause Constipation?“

I have a lot of difficulty moving my bowels. I’ve undergone an extensive workup with a GI doctor (including colonoscopy, barium enema, and abdominal x-rays). I also have big fibroids and I am wondering if that is the cause? Can fibroids cause constipation?

At Atlanta Fibroid Center, we are frequently asked, “Do fibroids cause constipation?” While one of the lesser-known symptoms, chronic constipation can be caused by these very hard, firm fibroid tumors.

What Is The Link Between Fibroids And Constipation?

Fibroids usually begin causing trouble when they start to grow larger. The symptoms they begin to create are linked to where the fibroids are located. If a large fibroid is growing on the backside of the uterus or the woman’s uterus is enlarged with fibroids and retroverted (tilted toward the back), it can begin to exert pressure on whatever is in close proximity. Sometimes the colon becomes the unfortunate victim, and it becomes kinked, which leads to constipation or sometimes painful bowel movements.

When fibroids cause constipation, this often goes undiagnosed, as many physicians fail to make the connection between the enlarged fibroid-filled uterus and constipation. Typically, following the GI workup, the misdiagnosed patients are instructed to drink more fluids and increase their fiber content. While this may help some, the majority of patients will not find any improvement with this routine. The fibroids cause constipation by compressing the colon from the outside due to their size, proximity, or both.

The remedy to this situation is to eliminate the culprits, which are obviously the growing fibroids. Uterine Fibroid Embolization (UFE) is an outstanding, safe, and minimally invasive outpatient procedure that can shrink the fibroids and relieve constipation without any surgery. Chronic constipation is only one of the multiple, bulk-related symptoms that fibroids can cause. Others include abdominal/pelvic pain and pressure, bloating, lower back pain and sciatica, increased urinary frequency, waking at night to urinate, urinary leaking, painful sex (dyspareunia), and more.

If you have fibroids and chronic constipation, you need to know your options. UFE may be the answer for you. To make an appointment with one of the nation’s leading fibroid experts, Dr. John Lipman, please call 678-679-6669 today or book your appointment online at

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