Understanding Fibroids and How They Differ from PCOS: An Afro-Indigenous Midwife’s Perspective

2–3 minutes

Fibroids, known in many Afro-Indigenous healing traditions as a form of internal blockage or “womb stones,” are non-cancerous growths that develop in or around the uterus. In Western society, they tell us that “they’re often found in people of African descent” However, they fail to inform us of all the ways Western society, food, medicine and livelihood have contributed to these numbers.

Fibroids, whose growths are viewed as an imbalance or excess within the body’s reproductive system, are sometimes associated with unresolved emotional stress, poor blood flow, or stagnation in the womb. Fibroids can vary greatly in size and location, and symptoms may include heavy menstrual bleeding, pain, bloating, or fertility issues.

The traditional approaches to understanding fibroids look beyond the physical aspects, often recognising the womb as a sacred space of creativity and life force. This perspective considers how stress, diet, and ancestral experiences can contribute to fibroid development. Certain foods, like those high in processed sugars, refined flour, and animal hormones, can fuel fibroid growth, disrupting the natural rhythm of the womb. Many African and Indigenous practices recommend a plant-based diet rich in natural herbs like red clover, ginger, and burdock root to cleanse and balance the body, addressing fibroids holistically.

Fibroids vs. PCOS: Key Differences

While there are still studies being done, they are solid tissue growths within the uterus; polycystic ovary syndrome (PCOS) is a hormonal condition that causes cysts (fluid-filled sacs) to develop around the ovaries. PCOS affects the hormonal balance, often leading to irregular or absent menstrual cycles, excess hair growth, and sometimes infertility. Unlike fibroids, PCOS is deeply tied to the body’s endocrine (hormonal) system, and many with PCOS experience insulin resistance and weight gain.

An African and Indigenous approach sees PCOS as a condition where the body’s energy flow and hormonal pathways are disrupted. In our traditions, we often view it as a sign to focus on rebalancing energy within the body, using herbs like spearmint and maca root to restore hormonal harmony. Ancestrally, grounding practices like meditation, mindful eating, and connecting to the Earth’s energy through outdoor walks are seen as essential steps in restoring equilibrium and supporting reproductive health. Unlike fibroids, which are often managed by reducing excess estrogen or blockages in the womb, PCOS is managed by addressing hormone levels holistically.

In our culture, understanding these differences allows us to honour the unique needs of our bodies and the significance of our ancestral practices. Each person’s journey with fibroids or PCOS is unique, but the wisdom from our ancestors reminds us that, above all, the path to health is rooted in harmony, balance, and connection to the Earth and ourselves.

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