Sis, Let’s Talk About Fibroids—Because We Need To

Alright, let’s get into it. Fibroids are these little (or not-so-little) non-cancerous growths that pop up in the uterus. Think of them like those random knots you find in your favorite necklace—annoying, sometimes painful, and they just won’t go away on their own. Some are the size of a pea, others? A whole grapefruit. And here’s the kicker: Black women are way more likely to have them—often earlier in life and with more severe symptoms. By the time we hit 50, 80% of us will have had fibroids. Eighty! (source: AJOG)

So let’s get real about what’s going on, what to look for, and how to advocate for yourself. Because what we not gonna do is suffer in silence.

What Even Are Fibroids?

They’re basically muscle lumps that grow in or around your uterus. Most aren’t cancerous, but they can be a real pain—literally. Some women have no idea they have fibroids because they don’t cause symptoms. Others? Whew. Heavy bleeding, pelvic pain, bloating, and even fertility issues.

Some signs to watch for:
✅ Heavy or long periods (Soaking through pads or tampons way too fast? Pay attention.)
✅ Cramping & pain (Like, beyond the usual period cramps.)
✅ Pelvic pressure (That “Why do I always feel like I need to pee?” feeling.)
✅ Bloating (Not just after a big meal—like, all the time.)
✅ Trouble getting or staying pregnant (Fibroids can interfere with fertility, but not always.)

Why Are Fibroids So Common in Black Women?

Researchers are still piecing it together, but a mix of genetics, environment, diet, and stress (hello, racism-induced “weathering”) all play a role. Studies show we develop fibroids earlier and they tend to grow bigger. Oh, and guess what? Doctors are less likely to take our pain seriously, which means we’re often left dealing with worse symptoms for longer. (source: FertStert)

Sis, Advocate for Yourself

If you feel like something’s off, don’t let a doctor hit you with that tired “That’s just how periods are” excuse. NOPE. Demand answers. Ask for tests. Get that second opinion. And if your doctor ain’t hearing you? Find one who will.

Listen, my girl Tanya went through it with fibroids. She was dealing with heavy bleeding, bloating, and cramps so bad they had her canceling plans left and right. She thought it was just part of life—until we had a real talk. I put her on to Health In Her HUE’s platform so she could find a Black woman doctor who actually listened. I also sent her our Reproductive Health Guide so she could get the facts without all the confusing medical jargon. When she finally got a real diagnosis and a care plan that actually made sense, she was like, “Why didn’t I do this sooner?!”

So don’t wait. Here’s what you can do today to take charge of your health:

• 📚 Get educated – Check out our Reproductive Health Guide for info that actually makes sense. No gatekeeping, just facts.
• 👭🏾 Talk to your people – Fibroids ain’t just your battle. Join a support group on our platform and connect with other women who get it.
• 🩺 Find a doctor who gets you – Use the HIHH Directory to find culturally responsive doctors who won’t dismiss your pain.
• 💊 Know your treatment options – There are ways to manage fibroids, from medications that help with symptoms to procedures like myomectomy (removes fibroids but keeps your uterus) or uterine fibroid embolization (cuts off blood flow to shrink them). In more severe cases, a hysterectomy (removing the uterus) may be considered, but that’s a major decision. (source: ACOG) 🙅🏾‍♀️ Stand your ground – Your pain is real. Your concerns matter. Don’t let anybody tell you otherwise.

Real Talk: You Deserve Care That Cares About You

Fibroids aren’t life-threatening, but that doesn’t mean they don’t deserve attention. Your pain, your periods, your peace of mind—all of it matters. Don’t let anyone tell you otherwise.

So if you’ve been feeling off, don’t sit on it. Book that appointment. Ask the hard questions. Get the care you deserve. And if you don’t know where to start? We got you—tap into Health In Her HUE and let’s get you the support you need.

Sending love (and a reminder to drink your water),
Your Friend Who Cares ❤️

📖 Want to learn more about the Black women shaping reproductive health today?

Read: Breaking Barriers: Black Women’s Reproductive & Sexual Health