Painful intercourse
During intercourse, patients with fibroids often report pain or discomfort because fibroids put more pressure on the uterus, especially when they are very large. Even small-sized fibroids may cause painful intercourse when they are located in the cervix or near this structure. Uncomfortable or painful intercourse is a common cause of consultation, and there are other diagnoses to rule out as well, including vaginal infections and endometriosis.