
When Daye Covington visited her doctor for a routine physical last year, she expressed concern about weight gain in her belly that she said made her look seven months pregnant. But she knew she wasn’t pregnant, and she had a healthy lifestyle. An MRI revealed that she had multiple uterine fibroids — noncancerous growths in the uterus — the size of cantaloupes.
“First, I was relieved to know that I was not pregnant because I was not trying to be pregnant,” she told NBC News, “and then I was scared, because I didn’t know much about fibroids.”
Uterine fibroids are rarely discussed, despite being a common condition, particularly for Black women. Experts say that by age 35, about half of Black women have had them, and by age 50, 80 percent of Black women have them, compared to 70 percent of white women. Black women are also more likely to have higher fibroid growth than other racial groups. While most cases require no treatment, in some instances, they can cause weight gain, heavy periods, frequent urination or pelvic pain, and they may require surgery.

Now, some Black women, like Covington, who shared her experience on YouTube, are speaking up about their struggles and are encouraging others to educate themselves about the condition, so they can identify the symptoms and seek treatment, if necessary. Former star of “The Real Housewives of Atlanta” Cynthia Bailey, 55, recently shared her experience with uterine fibroids with People, saying she endured heavy bleeding during periods, fatigue and an expanded belly, which led fans to assume she was pregnant. She also said her mental health took a toll.
“It’s very hard to be in a good space mentally when you’re bleeding all the time and when you don’t have any energy, and you’re anemic,” she told the magazine.
While all women are at risk for developing uterine fibroids, Black women are disproportionately affected, with one study showing that Black women are three times more likely to develop them than white women and that Black women are more likely to need surgical treatment.
The reasons for this disparity, however, are less clear, said Eric Hardee, a physician and co-founder of Houston Fibroids and Texas Endovascular Associates. A family history of fibroids increases a woman’s risk. Obesity, diet and environmental factors may also play a role. Hair relaxers have also been linked to increased risk of uterine fibroid development.
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SOURCE: NBC News, Claretta Bellamy