Uterine fibroids are non-cancerous growths that develop in the uterus. Submucous fibroids are a type of fibroid that grows inside the uterine cavity and can cause abnormal uterine bleeding, pain, and infertility. The classification of submucous fibroids is important for determining the appropriate treatment. In this article, we’ll discuss the different types of submucous fibroids and their classification.

Type 0

Type 0 submucous fibroids do not distort the uterine cavity. They may be found within the endometrial lining, but they do not protrude into the cavity. Type 0 fibroids are often asymptomatic and may not require treatment.

Type 1

Type 1 submucous fibroids are less than 50% intramural and less than 50% submucous. They may protrude into the uterine cavity but do not completely fill it. Type 1 fibroids are often associated with heavy menstrual bleeding and may cause infertility. Hysteroscopic resection is the preferred treatment for type 1 fibroids.

Type 2

Type 2 submucous fibroids are more than 50% intramural and less than 50% submucous. They may protrude into the uterine cavity and can cause significant distortion of the cavity. Type 2 fibroids are associated with heavy menstrual bleeding, pain, and infertility. Hysteroscopic resection or myomectomy (removal of the fibroid) may be recommended for type 2 fibroids, depending on the size and location of the fibroid.

Type 3

Type 3 submucous fibroids are more than 50% submucous and may be completely within the uterine cavity. They can cause significant distortion of the cavity and are associated with heavy menstrual bleeding, pain, and infertility. Hysteroscopic resection or myomectomy is recommended for type 3 fibroids.

The classification of submucous fibroids is important for determining the appropriate treatment. Hysteroscopic resection is the preferred treatment for type 1 and type 2 fibroids, as it is minimally invasive and can preserve fertility. Myomectomy may be recommended for larger or more complex fibroids. In some cases, a hysterectomy (removal of the uterus) may be recommended for severe cases of submucous fibroids.

Conclusion

In conclusion, submucous fibroids are a type of uterine fibroid that can cause significant symptoms and complications. The classification of submucous fibroids into different types helps determine the appropriate treatment for each individual case. If you are experiencing symptoms of submucous fibroids, it’s important to talk to your healthcare provider about the best treatment options for you.