Fibroids can contribute to pelvic pain, pelvic pressure, lower abdominal fullness, back pain, painful periods, urinary frequency, constipation, and chronic pelvic symptoms that may overlap with other pain conditions.
Learn how Dr. Ahmed explains uterine fibroids, the symptoms they can cause, and personalized treatment options to help manage pain and improve quality of life.
Our team organizes conditions and treatments into related zones of expertise to make it easier to explore the care paths most relevant to your symptoms and goals.
Use the zone tags above to browse dedicated pages for each focus area, including services, providers, and what to expect during treatment.
Fibroids are noncancerous growths in the uterus, and they鈥檙e actually very common. Some people don鈥檛 feel them at all, but for others, they can cause symptoms like heavy periods, pelvic pressure, bloating, and pain.
What鈥檚 important to understand is that fibroids don鈥檛 just affect the uterus 鈥� they can also impact the pelvic floor muscles and nearby nerves. That鈥檚 why some patients continue to have pain even after treating the fibroids themselves.
You might notice symptoms like pain with sitting, low back or hip pain, urinary urgency, or pain with intimacy. In many cases, that鈥檚 a sign that there are multiple contributors to the pain, not just the fibroid.
At 91视频, we take a more complete approach. We start by understanding your full symptom picture 鈥� not just what鈥檚 happening in the uterus, but also how the muscles, nerves, and surrounding structures are involved.
From there, we work closely with your gynecologist to build a coordinated plan. This might include pelvic floor physical therapy, targeted treatments for muscle or nerve pain, and strategies to manage flares and improve daily function.
The goal isn鈥檛 just to treat the fibroid 鈥� it鈥檚 to help you feel better in your body overall.
Uterine fibroids are common noncancerous growths that develop in or on the uterus. Some fibroids cause no symptoms. Others may contribute to heavy or painful periods, pelvic pressure, lower abdominal fullness, frequent urination, constipation, back pain, pain with sex, or persistent pelvic discomfort.
The symptoms of fibroids often depend on their size, number, and location. A larger fibroid may create pressure on the bladder or bowel. A fibroid within or near the uterine lining may contribute to heavy bleeding or painful cramping. In some patients, fibroids are only one part of a broader pelvic pain pattern.
At 91视频 (MPM), evaluation focuses on fibroid-related pain and the conditions that may overlap with it. MPM does not replace gynecology, interventional radiology, or surgical fibroid care. Instead, our role is to help identify pain contributors that may coexist with fibroids, including pelvic floor dysfunction, pudendal neuralgia, abdominal wall nerve pain, sacroiliac joint dysfunction, hip-related pain, endometriosis, central pain syndromes, and chronic pelvic pain pathways.
At MPM, fibroid-related pelvic pain evaluation begins by reviewing the symptom pattern, pelvic pressure, bleeding history, bowel and bladder symptoms, pain with sex, prior imaging, prior gynecology care, medication history, and any previous fibroid procedures.
For patients looking for fibroid pain treatment in Manhattan, MPM evaluates whether fibroids, pelvic floor dysfunction, endometriosis, pudendal neuralgia, abdominal wall nerve entrapment, sacroiliac joint dysfunction, hip impingement, labral tears, hernia-related pain, constipation, central pain sensitization, EDS, hypermobility, or another pelvic pain condition may drive symptoms.
Care may include medication management, pain-focused evaluation, coordination with gynecology, and selected interventional options such as superior hypogastric plexus block when the pain pattern supports a pelvic visceral pain pathway. Fibroid diagnosis, monitoring, hormonal therapy, uterine artery embolization, myomectomy, hysterectomy, and fertility-related decisions should be coordinated with gynecology or the appropriate procedural specialist.
Fibroids can cause pelvic pressure, cramping, heavy bleeding, urinary frequency, constipation, lower abdominal fullness, and back pain. However, not every pelvic pain symptom is caused by fibroids alone.
Some patients have fibroids and another pain condition at the same time. Pelvic floor dysfunction, endometriosis, pudendal neuralgia, abdominal wall nerve pain, hip impingement, labral tears, sacroiliac joint dysfunction, hernia pain, or central pain sensitization can all overlap with fibroid-related symptoms.
MPM鈥檚 diagnosis-first approach is designed to clarify which pain generators are active. This helps determine whether the patient needs gynecology-directed fibroid care, pain medicine support, pelvic floor therapy coordination, hip or SI joint evaluation, nerve-related care, or a combination of approaches.
Fibroids fit within MPM鈥檚 Pelvic Pain Zone of Expertise because they may contribute to pelvic pressure, pelvic pain, lower abdominal discomfort, bowel symptoms, bladder symptoms, painful periods, or pain with sex.
MPM evaluates fibroid-related symptoms through a broader pelvic pain lens. This includes pelvic floor function, abdominal wall pain, pudendal nerve irritation, hip mechanics, sacroiliac joint dysfunction, endometriosis overlap, hernia-related pain, hypermobility, EDS, and central pain sensitization.
The goal is not to treat fibroids as a simple pain complaint. The goal is to identify which part of the pain is fibroid-related, which part may be coming from another pelvic pain generator, and which specialists should be involved in care.
I cannot say enough good things about 91视频. From the moment I walked in, I felt truly cared for and taken seriously. Dr. Nino Mikaberidze, Director of Rheumatology, is exceptional 鈥� knowledgeable, compassionate, and incredibly thorough. She takes the time to listen, explains every...
The best care I've received as a chronic pain patient. I traveled from out of state to visit 91视频 because I could not find knowledgeable doctors in my hometown for my hypermobility, and Ehlers-Danlos syndrome symptoms and comorbidities. Let me tell you, it was worth every travel e...
I was injured in a bicycle accident over 8 years ago. I鈥檝e suffered throughout the years since my accident with nothing seeming to work. PT, Yoga, lifestyle changes, NOTHNG! I finally made an appointment with Dr Kane and I鈥檓 feeling an improvement in my life. I no longer stay up all night in pain, a...
One of the best experiences, if not the best, I have ever had at the doctor鈥檚 office. From the front desk to the nurses to the PA assisting the doctor this was a great experience. Dr.Nino actually listened to me and came up with a game plan. Would recommend this practice to as many people as I could...
I have very unique & severe nerve pain from CRPS which has no known specific cure. Dr. Siefferman has a huge tool box, far greater than the other 23 Drs. I have seen. He saved me from jumping off a bridge and continues to help me with both treatments and advice. Dr. S. is in a different league!
After two years of searching and feeling lost and let down, I finally found real help at 91视频. With Dr. Siefferman, Adam Rosenberg, Dr. Mikaberidze, and the whole team, I feel heard, supported and understood. Every symptom is being considered and I鈥檓 finally getting answers with m...
Why is Dr Dr. Tayyaba Ahmed one of the top pevic Floor specialists - 1- She wants to know a full history of what led the patient to get to this point. 2 - She listens intensley to the patient 3- She does not rush you 4- Extremely skilled at giving pelvic floor injections 5- I thank my luck stars she...
The staff was friendly and helpful. Dr. Siefferman was thoughtful, listened, asked questions and proposed simple safe ways to come to further conclusions regarding my pain and discomfort. The office staff including Dr. Siefferman is responsive even after the initial in-person visit. Very pleased.
Dr. Siefferman is a brilliant provider. While my pain is still a work in progress, Dr Siefferman always gives me options and explains his reasoning behind things. He listens to my feedback and concerns. I never feel rushed; and am grateful he works to meet me where I am. I highly recommend him.
What a great find! They listen to me, I listen to them and the diagnosis is made and a plan developed to develop an approach to treat all of my chronic pain. I wish I could have discovered this type of treatment sooner. This doctor and group give me hope.
Fibroids are noncancerous growths that develop in or on the uterus. Some fibroids do not cause symptoms and are found during routine imaging or gynecology evaluation. Others may contribute to heavy menstrual bleeding, pelvic pressure, painful periods, lower abdominal fullness, back pain, constipation, frequent urination, difficulty emptying the bladder, or pain with sex.
Yes. Fibroids can cause pelvic pain, pelvic pressure, cramping, lower abdominal fullness, back pain, or pain with sex, depending on their size, number, and location. However, fibroids may not explain every pelvic pain symptom by themselves. MPM evaluates whether pain may also involve pelvic floor dysfunction, nerve irritation, abdominal wall pain, endometriosis, hip pain, sacroiliac joint dysfunction, or central pain sensitization.
Yes. Larger fibroids or fibroids positioned near the bladder or bowel may create pressure symptoms. This can contribute to frequent urination, difficulty emptying the bladder, constipation, rectal pressure, difficulty with bowel movements, or a sense of lower abdominal fullness. These symptoms should be evaluated with gynecology and, when appropriate, GI, urology, or pelvic floor specialists.
Determining whether pelvic pain is from fibroids requires careful evaluation of symptoms, imaging, pelvic exam findings, bleeding patterns, bowel and bladder symptoms, pain triggers, and prior treatment response. Pain may come from fibroids, but it may also come from endometriosis, pelvic floor dysfunction, pudendal neuralgia, abdominal wall nerve pain, hip impingement, labral tears, sacroiliac joint dysfunction, hernia pain, or central pain mechanisms.
Yes. Some patients continue to have pelvic pain after fibroid treatment. Persistent pain may involve pelvic floor guarding, nerve sensitization, scar tissue, endometriosis, abdominal wall pain, hip-related pain, sacroiliac joint dysfunction, or central pain sensitization. This does not mean the pain is not real. It may mean fibroids were one part of a broader pelvic pain pattern.
Treatment depends on the cause of symptoms. Fibroid-directed care may include gynecology management, hormonal medication, uterine artery embolization, myomectomy, hysterectomy, or other procedural options. From a pain medicine perspective, MPM may help with medication management, pelvic pain evaluation, care coordination, and selected procedures when the pain generator supports them.
A superior hypogastric plexus block is an interventional pain procedure that targets a nerve network involved in transmitting pain from pelvic organs and pelvic structures. It may be considered for selected chronic pelvic pain patterns when pelvic visceral pain pathways appear to be involved. It does not shrink fibroids, remove fibroids, stop bleeding, or replace gynecology-directed fibroid treatment.
Fibroids should be evaluated by a gynecologist when symptoms include heavy bleeding, bleeding between periods, anemia symptoms, fertility concerns, pregnancy-related symptoms, pelvic pressure, bladder or bowel symptoms, persistent pelvic pain, rapid symptom changes, or the need to discuss hormonal, procedural, or surgical options. MPM coordinates with gynecology when pain-focused care is needed alongside fibroid-directed treatment.
Before care begins, our team helps patients understand the practical side of treatment, including insurance verification, out-of-network benefits, cost-share estimates, self-pay options, and billing questions. We believe patients should have as much clarity as possible before moving forward.
If fibroid-related pelvic pain, pelvic pressure, abdominal fullness, back pain, constipation, urinary frequency, pain with sex, or persistent pelvic symptoms are affecting your life, MPM can help evaluate what may be contributing. Our diagnosis-first approach considers fibroids, pelvic floor dysfunction, nerve pain, abdominal wall pain, endometriosis, hip and SI joint mechanics, and central pain pathways. Request an appointment to discuss your symptoms and care options.
Fibroids are common noncancerous growths that develop in or on the uterus. Some people have fibroids and never experience symptoms. Others develop heavy menstrual bleeding, painful periods, pelvic pressure, lower abdominal fullness, frequent urination, constipation, back pain, leg pain, pain with sex, or chronic pelvic discomfort.
Fibroid symptoms often depend on the size, number, and location of the fibroids. A fibroid pressing near the bladder may contribute to urinary frequency or difficulty emptying the bladder. A fibroid pressing near the bowel may contribute to constipation, rectal pressure, or difficulty with bowel movements. Fibroids located near the uterine lining may contribute to heavy bleeding or painful cramping.
Fibroids can be an important contributor to pelvic pain, but they are not always the only explanation. Some patients have fibroids on imaging, but their pain pattern suggests additional contributors. Others undergo fibroid treatment and still have symptoms because the pain has become layered over time.
Pelvic pain may involve gynecologic, urologic, gastrointestinal, musculoskeletal, nerve-related, and centralized pain pathways. This is why MPM evaluates fibroid-related pain through a broader pelvic pain framework.
Fibroids may create pressure symptoms when they are large enough or positioned in a way that affects nearby structures. Patients may feel pelvic heaviness, lower abdominal fullness, urinary frequency, bladder pressure, constipation, rectal pressure, or difficulty with bowel movements.
These symptoms should be evaluated carefully. Bowel and bladder symptoms can come from fibroids, but they may also involve pelvic floor dysfunction, GI conditions, urologic conditions, constipation, endometriosis, nerve irritation, or pelvic floor muscle guarding.
MPM helps evaluate the pain component while coordinating with gynecology, GI, urology, or pelvic floor specialists when those systems need dedicated care.
Chronic pelvic pain or pressure can cause the pelvic floor muscles to guard, tighten, or become poorly coordinated. This may lead to sitting pain, pain with sex, bowel or bladder symptoms, rectal discomfort, tailbone pain, or pelvic pressure.
Pelvic floor dysfunction may coexist with fibroids. In some cases, pelvic floor symptoms continue even after fibroid treatment because the muscles and nervous system have adapted to ongoing pain or pressure.
MPM evaluates whether pelvic floor dysfunction may be contributing to the patient鈥檚 pain pattern and coordinates with pelvic floor physical therapy when appropriate.
Fibroids and endometriosis are different conditions, but they can overlap in the same patient. Fibroids may contribute to bleeding, pressure, cramping, or bulk symptoms. Endometriosis may contribute to pelvic pain, pain with sex, bowel or bladder pain, abdominal pain, and chronic pelvic pain mechanisms.
When both conditions are possible, pelvic pain can become difficult to interpret. MPM does not replace gynecology in diagnosing or treating these conditions. Instead, MPM helps evaluate whether persistent pain may also involve nerve, muscle, joint, abdominal wall, or central pain contributors.
Some patients with fibroids also experience nerve-like pelvic pain. This may feel burning, electric, sharp, shooting, tingling, numb, or worse with sitting. Nerve-related pain may involve pudendal neuralgia, abdominal wall nerve irritation, scar-related pain, pelvic nerve sensitization, or sympathetically mediated pelvic pain pathways.
This type of pain requires careful evaluation. Pain procedures should only be considered when the suspected pain generator, anatomy, symptoms, and prior workup support that plan.
Pelvic pain may also be influenced by the hip, sacroiliac joint, abdominal wall, or surrounding musculoskeletal structures. Hip impingement, labral tears, sacroiliac joint dysfunction, anterior pelvic tilt, piriformis syndrome, hernia-related pain, and abdominal wall nerve entrapment can all create symptoms that feel pelvic or lower abdominal.
This overlap is especially important in patients with EDS or hypermobility spectrum disorder, where joint laxity, altered mechanics, and muscle guarding may contribute to chronic pelvic or abdominal pain patterns.
MPM evaluates these contributors as part of a diagnosis-first pelvic pain workup.
Some patients continue to have pain after medication, hormonal therapy, uterine artery embolization, myomectomy, or hysterectomy. Persistent pain may involve scar tissue, pelvic floor dysfunction, nerve sensitization, abdominal wall pain, endometriosis overlap, hip pain, sacroiliac joint dysfunction, or central pain mechanisms.
Persistent pain after fibroid treatment does not mean the pain is imagined. It may mean that fibroids were one part of a broader pain picture. MPM evaluates these overlapping contributors and helps coordinate care with the appropriate specialists.
Treatment depends on what is causing the symptoms. Fibroid-directed treatment may include medication, hormonal therapy, uterine artery embolization, myomectomy, hysterectomy, or other procedures managed by gynecology or the appropriate procedural specialist.
From a pain medicine perspective, selected options may include medication management, pelvic pain evaluation, coordination with pelvic floor therapy, and interventional pain procedures when the pain generator supports them.
A superior hypogastric plexus block may be considered in selected chronic pelvic pain patterns involving pelvic visceral pain pathways. It is not a treatment that shrinks fibroids, removes fibroids, or stops fibroid-related bleeding.
Fibroids require appropriate gynecologic evaluation. Patients may need pelvic ultrasound, MRI, laboratory evaluation for anemia, hormonal treatment, uterine artery embolization consultation, myomectomy consultation, hysterectomy discussion, fertility counseling, or other fibroid-directed care depending on symptoms and goals.
MPM does not replace this care. MPM鈥檚 role is to help evaluate and manage pain contributors that may overlap with fibroids, particularly when symptoms persist, become chronic, or involve pelvic floor, nerve, abdominal wall, hip, sacroiliac, or central pain pathways.
Patients should seek urgent medical care for severe vaginal bleeding, sharp pelvic pain that comes on suddenly, fainting, severe abdominal or pelvic pain, fever, pregnancy with pelvic pain, signs of anemia such as severe weakness or shortness of breath, inability to urinate or pass stool, blood in stool or urine, or rapidly worsening symptoms.
Pain procedures should not replace appropriate gynecologic, emergency, urologic, GI, surgical, neurologic, or oncologic evaluation when those are needed.
MPM approaches fibroid-related pelvic pain through a diagnosis-first, coordinated model. The goal is to understand whether symptoms are related to fibroids, pelvic floor dysfunction, nerve irritation, abdominal wall pain, hip or SI joint mechanics, endometriosis overlap, bowel or bladder pressure, central sensitization, or other contributors.
For patients looking for fibroid pain treatment in Manhattan, MPM offers a careful pain medicine perspective focused on source-finding, symptom validation, care coordination, and treatment planning. Care is individualized and may involve medication management, pelvic pain evaluation, coordination with gynecology, and selected pain procedures only when clinically appropriate.
