It can develop and grow either in the uterus itself or on the outside of the uterus. Although rare, pedunculated fibroid tumors can cause extreme pain when the stalk becomes twisted.

The symptoms of perdunculated fibroids can range from very mild, to extreme, for example:

• Cramping from the uterine muscles, as the uterus attempts to get rid of the fibroid

• Diggestive problems, including nausea and vomiting – especially if the fibroid is disturbing a nearby organ such as the small intestine

• Extreme pain if the fibroid stalk twists