Women with fibroids may have an increased amount of menstrual bleeding, although many women with fibroids do not have this problem.

When heavy menstrual bleeding persists over time, your body may not be able to make new blood cells fast enough to replace those that have been lost. Some women with fibroids find that the bleeding is so severe that even iron pills (taken with 1,000 mg of vitamin C to help the iron get absorbed into the bloodstream) cannot correct the problem, and anemia develops. Anemia can result in weakness, fatigue, fuzzy thinking and, if severe, light-headedness. If you have any of these symptoms, treatment beyond iron pills should be considered.