Fibroid that grow in the uterus stalk is called pedunculated fibroid. If this fibroid grows outside the uterus it is called sub-serous fibroids and if it grows inside the uterus its called sub-mucosal fibroids.

Pedunculated fibroids can become quite large. An article in the East African Medical Journal last year reported that a 37-year-old woman presented with significant, increasing abdominal swelling. Surgeons removed a 1.5 kg pedunculated fibroid that was almost 16 cm in length.

This woman was fortunate to experience no symptoms beyond the swelling, but others are not as lucky when it comes to their experiences with pedunculated fibroids.

Occasionally pedunculated submucosal fibroids can protrude into the vaginal canal, bringing pain during sexual intercourse. The American University of Beirut Medical Center has reported two women that had prolapsed pedunculated submucosal fibroids, one of these patients fibroids had 12 centimetres of the fibroid prolapsed into the vaginal canal while the rest of it remained in the uterus.

When the stalk gets distorted it causes severe pain but very few faces this problem. It is very risk if the fibroid in the stalk grows.

These fibroids comprise uterine cramps and compressed sensation of uterus and other organs.

Yet another possible symptom brought on by pedunculated submucosal fibroids is bleeding between periods. This bleeding can range from light spotting, to constant bleeding very similar to that of a light period. Those who have constant bleeding report that the intensity of the bleeding becomes heavier at the arrival of their time of the month.

Immediate surgery has to be done to treat these Peduncualted fibroid, especially when they are warped. Due to this awful pain any woman will accept surgery to impede the pain.

A twisted peduncle can also create a blockage in the veins that deliver blood and nutrients to the growth. When the blood and nutrients are cut off, the fibroid begins to weaken. As the fibroid deteriorates, the pain increases greatly, as does the risk of infection.

If the stalk is 2 centimeters or more, a Uterine Artery Embolization is suggested. The intention is to obstruct the blood supply to the fibroids, which reduces the growth and shrinks and later dies. But the University of Toronto stated these sub-serous fibroids have failed with Uterine Artery Embolization expect in other types of fibroids.

Doctors at the Bretonneau Hospital in France have found that up to 10% of patients who undergo Uterine Artery Embolization for pedunculated fibroids encounter regrowth of their fibroids after 2 years. For this reason, they recommend that the procedure be repeated after 2 years.

Another procedure often used to treat pedunculated fibroids is a myomectomy. In this procedure, the surgeon removes the fibroid and repairs the uterus. Myomectomy is not always 100% successful. In one case reported by the University of South Dakota, an unsuccessful myomectomy was performed, leading to an emergency hysterectomy for the patient.

Before hysterectomy surgeries, it is very reasonable to sign papers as an approval, as things may go wrong or sometimes for very few women uterus has to be removed.

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