It is recommended that women over the age of 40 who develop menstrual disorders should be investigated by means of a hysteroscopy, to ensure that nothing is missed within the uterine cavity.
Fibroids are the most common benign tumours seen in women. Three types of fibroids exist depending upon their location. Fibroids that sit on the outer surface of the uterus are called subserosal fibroids and they do not cause problems unless they are very large, in which instance they can cause pressure symptoms either on the bladder or the rectum. They are not associated with fertility problems. They also do not cause abnormal uterine bleeding.
Intramural fibroids are fibroids contained within the main body of the uterus. There is an association between the presence of intramural fibroids and sub fertility that association depending upon the size and location of the fibroids within the uterus. Large intramural fibroids can also cause pressure symptoms on the bladder and rectum.