Fibroids, cysts, and PCOS are three of the most common gynecological concerns women face, often leading to questions, confusion, and sometimes unnecessary anxiety. While they share overlapping symptoms such as irregular periods, pelvic pain, or difficulty conceiving, they are very different conditions that require different management.
One of the most reliable and non-invasive ways doctors confirm whether a woman has fibroids or PCOS is through an ultrasound scan. At Koshikaa, we see many women walk in with doubts and leave with clarity after a simple scan.
In this blog, we will explain how ultrasound works in detecting these conditions, explore fibroids causes, discuss fibroids in the uterus and fibroids in pregnancy, and explain why a pelvic ultrasound scan is often the first step in diagnosis. We will also share what you need to know if you are considering an ultrasound scan in Bangalore for these concerns.
1. Understanding Fibroids and PCOS: The Basics
Before diving into ultrasound, let’s first understand the difference.
- Fibroids are non-cancerous growths in the uterus, often called fibroids in the uterus, that can vary in size from tiny nodules to large masses.
- PCOS (Polycystic Ovary Syndrome) is a hormonal disorder where multiple small cysts form in the ovaries due to hormonal imbalance.
Tip: If you experience heavy bleeding, prolonged cycles, or difficulty conceiving, it’s important to check whether it’s due to fibroids, PCOS, or another condition; only a scan can clarify.
2. Fibroid Causes: Why Do They Happen?
The exact fibroid causes aren’t fully known, but research points to several factors:
| Possible Cause | Explanation |
|---|---|
| Hormones | Estrogen and progesterone stimulate fibroid growth. |
| Genetics | If your mother or sister had fibroids, you may have a higher chance. |
| Lifestyle | Obesity and a poor diet may increase risk. |
| Age | Most common in women aged 30–50. |
3. PCOS and Fibroids: Are They Related?
Women often confuse fibroids and PCOS as one condition. They are different but can sometimes occur together.
- PCOS affects the ovaries (hormonal imbalance, multiple cysts).
- Fibroids affect the uterus (solid growths in muscle tissue).
Example: A woman may come in with irregular cycles. An ultrasound shows small ovarian cysts consistent with PCOS and also a fibroid in the uterus. Treatment may then address both conditions separately.
4. Can Ultrasound Confirm Fibroids and PCOS?
Yes, absolutely. A pelvic ultrasound scan is the most widely used tool to confirm both conditions.
- For fibroids in the uterus, ultrasound can detect size, number, and exact location.
- For PCOS, ultrasound shows enlarged ovaries with multiple tiny cysts.
Tip: Sometimes fibroids or PCOS are discovered incidentally during an ultrasound for another reason, like abdominal pain or pregnancy care.
5. Fibroids in Pregnancy: Why They Matter
Fibroids in pregnancy can sometimes complicate things, depending on their size and location. They may:
- Causes abdominal discomfort.
- Lead to early contractions in rare cases.
- Interfere with the baby’s position if very large.
That’s why doctors always recommend an ultrasound scan during pregnancy, to monitor not only the baby but also conditions like fibroids.
6. Fibroid Cysts vs Ovarian Cyst in PCOS
Many women ask whether a fibroid cyst is the same as an ovarian cyst.
| Fibroids Cyst | Ovarian Cyst (PCOS) |
|---|---|
| Found in the uterus muscle | Found in the ovaries |
| Solid growth | Fluid-filled sac |
| Caused by hormone and muscle tissue changes | Caused by hormonal imbalance (testosterone, insulin resistance) |
| May cause heavy bleeding | Often linked to irregular periods, acne, and hair growth |
7. How a Pelvic Ultrasound Scan Works
A pelvic ultrasound scan uses high-frequency sound waves to create images of the uterus and ovaries.
There are two methods:
- Abdominal ultrasound (through lower belly).
- Transvaginal ultrasound (through the vagina for clearer details).
Doctors decide what is needed depending on your symptoms.
8. Ultrasound Scan in Bangalore: What to Expect
If you are planning for an ultrasound scan in Bangalore, here’s what you can expect:
- Quick procedure – Usually 15–30 minutes.
- No pain – just some pressure from the probe.
- Preparation – You may be asked to have a full bladder or fast briefly.
- Clarity – A trained radiologist interprets the results and guides the next steps.
At Koshikaa, we focus on comfort and accurate reporting, helping women get clear answers without stress.
9. Real-Life Example
A 32-year-old woman visited with complaints of heavy bleeding and irregular cycles. She suspected PCOS.
- Ultrasound showed both multiple ovarian cysts (PCOS) and a small fibroid in the uterus.
- Early detection helped her begin lifestyle modifications for PCOS and medication to manage fibroid symptoms.
10. Tips for Women Suspecting Fibroids or PCOS
- Track your menstrual cycle regularly.
- Note down symptoms like pelvic pain or unusual bleeding.
- Don’t ignore the difficulty in conceiving.
- Get a pelvic ultrasound scan if symptoms persist.
- Discuss family history with your doctor.
11. FAQs About Ultrasound, Fibroids, and PCOS
Q1: Can ultrasound alone confirm fibroids?
Yes, in most cases, an ultrasound is enough to confirm fibroids. It clearly shows their size, location, and number within the uterus. However, in some rare cases where fibroids are very large or located deep within the tissue, doctors may suggest an MRI for more detail. For most women, though, an ultrasound scan provides the clarity needed for diagnosis.
Q2: Can an ultrasound confirm PCOS?
Ultrasound is one of the key tools to confirm PCOS because it shows the presence of multiple small cysts in the ovaries. These often appear in a pattern known as the “string of pearls”. However, PCOS is more than just ovarian cysts; it is also a hormonal disorder. That’s why doctors may combine ultrasound results with blood tests and symptoms before giving a final diagnosis.
Q3: Do fibroids always cause symptoms?
No, not all fibroids cause noticeable symptoms. Some women have small fibroids in their uterus that remain silent and are only detected during a pelvic ultrasound scan done for another reason. When fibroids do cause symptoms, they often lead to heavy menstrual bleeding, pelvic pain, or pressure in the lower abdomen. Regular scans help in monitoring them even if they are symptomless.
Q4: Are fibroids dangerous during pregnancy?
Most fibroids in pregnancy are not dangerous, and many women go on to have healthy pregnancies. However, their size and location matter; a large fibroid may sometimes cause discomfort, affect the baby’s position, or rarely lead to preterm labour. This is why pregnancy ultrasound scans are so important, as they allow doctors to monitor both the baby and the fibroids closely. With regular care, most women manage well throughout pregnancy.
Q5: Can PCOS and fibroids occur together?
Yes, it is possible to have both PCOS and fibroids, though they are separate conditions. PCOS is linked to hormonal imbalance and cysts in the ovaries, while fibroids are growths in the uterus. When they occur together, symptoms like irregular cycles, pain, or difficulty conceiving may become more complex. An ultrasound helps in identifying both conditions clearly so doctors can create a personalized treatment plan that addresses each issue.
12. Conclusion
Fibroids, cysts and PCOS may look similar on the surface but are very different conditions. Thanks to modern imaging, a pelvic ultrasound scan makes it possible to confirm whether it’s fibroids, PCOS, fibroids in the uterus, or ovarian cysts due to PCOS. This clarity ensures the right treatment path.
At Koshikaa, we see how timely scans reduce anxiety, provide answers, and empower women to take control of their health. If you are considering an ultrasound scan in Bangalore, remember it’s not just about diagnosis but about peace of mind and a healthier future.