SUBMUCOSAL FIBROIDS Submucosal uterine fibroids are benign growths located within the inner lining of the uterus, or endometrium. They can develop individually or in clusters. As we mentioned above,  submucosal fibroids are most likely to cause very heavy menstrual bleeding. They grow just beneath the lining if the uterus i.e the endometrium. Heavy periods can disrupt your life, but they can also be a sign of an underlying health issue. Ignoring heavy bleeding may mean ignoring another condition that could impact your fertility, reproductive health, and overall well-being. For some women, this type of excessive bleeding can lead to the development of anemia. Symptoms of anemia include fatigue, low energy, shortness of breath, and dizziness.  SYMPTONS Heavy and prolonged menstruation between or during your periods Anemia, sometimes severe Pain in your pelvis or lower back Passing frequent or large blood clots Fatigue and dizziness DIAGNOSIS 1). ULTRASONOGRAPHY- preferably a TVS( transvaginal) USG 2) DIAGNOSTIC HYSTEROSCOPY Hysteroscopy involves inserting a telescope (usually 2.7–4 mm) into the endometrial cavity - can be done as an outpatient in OPD without an anaesthetic. - some women require admission with an anesthesia 3) HSG ( hysterosalpingography) involves injecting a radioopaque dye into the uterine cavity. 4) MRI( magnetic resonance imaging) It is very precise in diagnosing submucosal fibroids, but not cost effective. To continue-----