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Risk factors

By Mayo Clinic staff

There are few known risk factors for uterine fibroids, other than being a woman of reproductive age. Other factors include:

  • Heredity. If your mother or sister had fibroids, you're at increased risk of also developing them.
  • Race. Black women are more likely to have fibroids than are women of other racial groups. In addition, black women have fibroids at younger ages, and they're also likely to have more or larger fibroids.

Areas of research
Research examining other potential risk factors continues in these areas:

  • Obesity. Some studies have suggested that obese women are at higher risk of fibroids, but other studies have not shown a link.
  • Oral contraceptives. So far, strong data exist showing that women who take oral contraceptives have a lower risk of fibroids. This is generally true for all women, except those who start oral contraceptives between ages 13 and 16.
  • Pregnancy and childbirth. Researchers have also looked at whether pregnancy and giving birth may have a protective effect, and so far pregnancy and childbirth seem to have a protective effect.
References
  1. Haney AF. Leiomyomata. In: Gibb RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:916.
  2. Baird DD, et al. High cumulative incidence of uterine leiomyoma in black and white women: Ultrasound evidence. American Journal of Obstetrics and Gynecology. 2003;188:100.
  3. Stewart EA. Epidemiology, clinical manifestations, diagnosis, and natural history of uterine leiomyomas. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  4. The American College of Obstetrics and Gynecologists. Alternatives to hysterectomy in the management of leiomyomas. Obstetrics & Gynecology. 2008;112:387.
  5. Evans P, et al. Uterine fibroid tumors: Diagnosis and treatment. American Family Physician. 2007;75:1503.
  6. Uterine fibroids: Frequently asked questions. The National Women's Health Information Center. http://womenshealth.gov/faq/uterine-fibroids.cfm. Accessed April 22, 2009.
  7. Uterine fibroids. The American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp074.cfm. Accessed April 22, 2009.
  8. Stewart EA. Pathogenesis of uterine leiomyomas. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  9. Management of uterine fibroids: An update of the evidence. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.ahrq.gov/downloads/pub/evidence/pdf/uterupdate/uterup.pdf. Accessed April 29, 2009.
  10. Stewart EA. Overview of treatment of uterine leiomyomas. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  11. Marshall LM, et al. A prospective study of reproductive factors and oral contraceptive use in relation to the risk of uterine leiomyomata. Fertility and Sterility. 1998;70:432.
  12. Faerstein E, et al. Risk factors for uterine leiomyoma: A practice-based case control study. I. African-American heritage, reproductive history, body size, and smoking. American Journal of Epidemiology. 2001;153:1.
  13. Chiaffarino F, et al. Use of oral contraceptives and uterine fibroids: Results from a case-control study. British Journal of Obstetrics and Gynaecology. 1999;106:857.
  14. Stewart EA (expert opinion). Mayo Clinic, Rochester, Minn. May 13, 2009.

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June 12, 2009

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