June 22, 2022

Do Uterine Fibroids Cause Fatigue? What You Can Do About It

If you’re living through fatigue due to fibroids, there are ways to cope

A person covers their face with their hands

Uterine fibroids affect anywhere from 40% to 80% of women and people assigned female at birth (AFAB). And while these noncancerous growths on your uterus are common, they affect everyone differently. For some, symptoms might be mild or unnoticeable, while for others, they can have a major impact on your day-to-day life.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

These benign growths of the muscle and connective tissue aren’t necessarily a cause for concern on their own — especially if they don’t cause any symptoms. But some women with fibroids experience an array of issues that can cause significant discomfort. Luckily, there are ways to address these symptoms to make living with fibroids easier.

Some general symptoms fibroids cause include:

  • Excessive bleeding during your period.
  • Clots during menstruation.
  • Bleeding or spotting between your periods.
  • Low back pain.
  • Frequent urination and difficulty urinating.
  • Constipation.
  • Chronic vaginal discharge.
  • Pain during sex.

In addition to these, fatigue is a common symptom you may experience with uterine fibroids. Ob/Gyn and women’s health specialist Linda Bradley, MD, explains why uterine fibroids cause this symptom and what you can do to help manage your fatigue.

Why do uterine fibroids cause fatigue?

Fatigue is something many of us experience — but there’s a specific reason you may be feeling dizzy, nauseous or tired due to uterine fibroids. This feeling of fatigue is related to the loss of blood you may be experiencing due to heavy periods brought on by fibroids.

In most cases, it’s expected to have some heavy bleeding during your menstrual cycle. However, Dr. Bradley explains that too much excessive bleeding can become a reason for concern. It’s helpful to know your cycle and how much bleeding you can expect each month.

Some signs that you may be experiencing heavy period flow include:

  • Having to change pads or tampons every hour.
  • Doubling up on pads for extra absorption.
  • Menstrual bleeding that lasts seven days or longer.
  • Passing abnormally large blood clots.

If you’re experiencing any of the above symptoms, it’s important to meet with your healthcare provider so you can better understand how to address them. If you’re experiencing heavy menstrual bleeding from fibroids, there’s a chance you have anemia and need to see your healthcare provider.

Anemia

If the fatigue and related symptoms you’re experiencing are due to heavy blood loss, there’s a chance you may be anemic, or at risk of becoming anemic. Anemia is when you don’t have enough red blood cells to deliver enough oxygen throughout your body.

There are many different types of anemia, but a common one is iron-deficiency anemia, which happens when your iron levels are too low and your body isn’t able to make hemoglobin.

You may have iron-deficiency anemia you’re experiencing:

Advertisement
  • Tiredness.
  • Nausea.
  • Dizziness.
  • Shortness of breath
  • Headaches
  • Weakness.
  • Lightheadedness.
  • Heart palpitations.
  • Unusual nonedible food cravings.

How to manage fatigue caused by fibroids and blood loss

If the fatigue you’re feeling is physical rather than psychological in nature, it’s most likely due to anemia from blood loss. The first step to managing this fatigue is to get more iron into your system.

Eat high-iron foods

One of the best ways to prevent and relieve iron deficiency anemia is to adjust your diet. Try incorporating more foods that are high in iron into your daily meals.

“There’s a real variety of high-iron foods,” says Dr. Bradley, so the good news is you won’t be short on choices.

Foods that have high iron content include:

  • Figs.
  • Raisins.
  • Dates.
  • Chicken.
  • Beef.
  • Liver.
  • Eggs.
  • Broccoli.
  • String beans.
  • Flax seeds.
  • Almonds.

Take over-the-counter supplements

Another way you can increase your iron levels is by taking iron supplements. These supplements don’t need a prescription, can be taken before bed and are a good way to increase iron levels in your body. You can take most iron supplements daily. Dr. Bradley also recommends taking vitamin C, as this can help your body absorb iron. You can also try eating foods that are high sources of vitamin C, including lemons, strawberries, oranges and broccoli.

Receive an iron IV

Another option is receiving iron through an intravenous infusion. This may be prescribed by your healthcare provider if your anemia is more extreme. In these cases, you’ll visit your doctor’s office and receive a dose of iron through an IV. This is usually recommended if you aren’t able to take iron supplements by mouth or if it’s an extreme case of anemia.

The goal of this treatment is the same as taking iron supplements. According to Dr. Bradley, once your body starts to get the right amount of iron, your fatigue from heavy bleeding should lessen.

Consider other medical and surgical options

Adding iron to your system through diet and supplements is an excellent way to help reduce fatigue. However, in some cases, especially when your menstrual bleeding is very intense, iron alone may not be enough. Dr. Bradley points out that even so, heavy bleeding is treatable and it’s important to talk to your healthcare provider to know all of your options.

There are some medications and therapies that can lessen heavy bleeding — and some related symptoms, including fatigue.

Advertisement

Options include:

Ultimately, Dr. Bradley stresses that your chosen treatment for fibroids should always begin with the most minimally invasive option first, and will depend on various factors, including:

  • The size and location of your fibroids.
  • Your desire for pregnancy.
  • The number of fibroids you have.
  • The severity of your symptoms due to fibroids.

Also, when considering any kind of surgery, make sure to speak to a reputable surgeon who has plenty of experience in the area of uterine fibroids.

Handling mental stress

If you’re experiencing heavy bleeding due to uterine fibroids, this may also cause some mental stress that can be exhausting. For example, you may feel anxious about monitoring your heavy flow — checking for spotting frequently or regularly having to change your pad or tampon.

If so, you may want to try one of the newer menstrual products on the market such as a menstrual cup, which can hold twice the amount of a super-absorbent tampon. Or period underwear, either on its own or as a backup to your tampon, may help put your mind more at ease.

“For some women, the very quality of their lives is so stressed by the unpredictable nature of their bleeding,” says Dr. Bradley.

If you’re feeling an overwhelming amount of psychological stress due to your period, it’s important to talk to your healthcare provider about the best way to manage these feelings.

In general, when experiencing fatigue related to uterine fibroids, be assured that there are options available to help you feel more energetic and at ease. Every case of uterine fibroids is different and unique, so be sure to talk to your healthcare provider about the best solution for you.

Learn more about our editorial process.

Related Articles

Graphic of uternie fibroid tumers placed anotomically in a silhouette of a body
June 18, 2023
Do Uterine Fibroids Make You Gain Weight?

Depending on their size, these noncancerous growths can create an abdominal bulge

woman holding lower abdomen in discomfort
June 15, 2023
How Uterine Fibroids Affect Your Digestive System

Depending on size and location, they can affect your rectum, stomach, bladder and kidneys

Large head of cabbage.
November 24, 2022
Can Certain Foods Reduce Uterine Fibroids?

Eating more fruits and veggies and less red meat could help prevent or shrink fibroids

Foods with vitamin B.
November 20, 2022
Living With Uterine Fibroids

Mild symptoms may be manageable, but severe bleeding, pain and depression demand treatment

A medical professional and female patient talking
June 23, 2022
What To Know About Uterine Fibroids After Menopause

How uterine fibroids can change with your body

Woman holding positive pregnancy test stick
March 26, 2019
Can Fibroids Affect Your Chances of Getting Pregnant or Having a Healthy Pregnancy?

A fertility expert explains these common concerns

I Have Fibroids. Could I Do Nothing — and Wait for Menopause?
January 10, 2018
I Have Fibroids. Could I Do Nothing — and Wait for Menopause?

The Short Answer from an OB/Gyn

Fibroids: Are They Making Sex Painful for You?
February 21, 2017
Fibroids: Are They Making Sex Painful for You?

Treatments can help, besides a hysterectomy

Trending Topics

Person in yellow tshirt and blue jeans relaxing on green couch in living room reading texts on their phone.
Here’s How Many Calories You Naturally Burn in a Day

Your metabolism may torch 1,300 to 2,000 calories daily with no activity

person getting a sinus massage between brows
5 Sinus Massage Techniques To Relieve Pressure and Promote Drainage

A gentle touch in all the right places may help drain your sinuses

woman snacking on raisins and nuts
52 Foods High In Iron

Pump up your iron intake with foods like tuna, tofu and turkey

Ad