Marla Ahlgrimm R.Ph.

Marla Ahlgrimm | Retired Pharmacist | Leading Expert in Women's Health

Marla Ahlgrimm | Uterine Fibroids and Miscarriage

Marla AhlgrimmUterine fibroids are benign tumors – small clumps of tissue – inside the uterus. According to Marla Ahlgrimm, they are quite common with an estimated 20% to 50% of women experiencing known or unknown uterine fibroids at some point during adulthood.


Marla Ahlgrimm explains that most women will experience no major symptoms of uterine fibroids. However, heavy menstrual bleeding, pelvic pain, and fertility are common. Less common but more difficult to overcome are recurrent miscarriages due to uterine fibroids.

Fibroids related to miscarriage

A 2000 health study found that uterine fibroids were to blame around 5% of the time for unexplained infertility or multiple miscarriages. Marla Ahlgrimm believes that the reason has less to do with the presence of fibroids and more to do with their size, shape, and location.

As an example, a centrally located fibroids is closer in proximity to the middle of the uterus, where implantation is most common. This fibroid may interfere with the implantation process. Likewise, submucous fibroid, those which stick out into the uterus, maybe more likely to cause a miscarriage than intramural fibroids or subserosal fibroids. Large fibroid, explains Marla Ahlgrimm, may also increase the risk of miscarriage as blood flow is routed to the tumor and away from the developing fetus.


Marla Ahlgrimm reports that uterine fibroids are not difficult to diagnose. A doctor can typically determine presence of a fibroid by performing a simple pelvic exam. If more information regarding the fibroid is needed, the doctor may order a special test known as an HSG, which is a simple outpatient procedure. During an HSG test, and iodine solution is injected into the uterus and x-rays are taken.


Most uterine fibroids do not need treatment. Those that cause issues may be addressed with medications or surgical removal. The two most common surgical treatments include a uterine artery embolization and myomectomy. Marla Ahlgrimm says extreme cases may require a full hysterectomy.


Author: Marla Ahlgrimm

Pharmacist Marla Ahlgrimm revolutionized the field of women’s health in the 1970s and continues to do so today. After introducing the term “premenstrual syndrome” to the American public in the late 1970s, Marla Ahlgrimm has continued to focus her pharmacy practice over the years to successfully address hormone concerns that affect women as they age. After graduating from the University of Wisconsin in Madison, Marla Ahlgrimm co-founded Madison Pharmacy Associates, and it was there she fine tuned individualized care protocols and prescription medication to optimize a woman’s hormonal health. One of the first hormone issues that Marla tackled was Premenstrual Syndrome, or PMS. At that time, there were no diagnosis or treatment options to address the severe symptoms that many women were reporting. As a result of Marla Ahlgrimm ’s intense attention to women’s health, Madison Pharmacy Associates gained a national reputation as an innovative practice. Founded in 1982, Madison Pharmacy Associates was the first pharmacy to special in women’s health in the nation. Thanks to the expertise of Marla Ahlgrimm, Madison Pharmacy Associates became known for the management of PMS. Over the years, Madison Pharmacy Associates evolved with Marla Ahlgrimm’s careful guidance, providing the national PMS Access newsletter, as well as a toll-free line where patients could obtain referrals to physicians who had the expertise to help them manage their symptoms. Marla Ahlgrimm founded Women’s Health America, Inc. in 1993 to help women by providing individualized hormonal medications to address the complex health issues of women and also to provide practical, helpful women’s health information. Over the years, Marla Ahlgrimm’s vision has grown to include Women’s Health America, Madison Pharmacy Associates, PMS Access and Cyclin Pharmaceuticals. In addition to her accomplishments with these landmark organizations, Marla Ahlgrimm is an author, having published two watershed books, The HRT Solution and Self-Help for Premenstrual Syndrome. Marla Ahlgrimm has also been published in numerous national publications, including serving as a columnist for The American Journal of Natural Medicine. Today, the primary work of Marla Ahlgrimm centers on natural hormone therapy, an important area for the large number of women who are menopausal and postmenopausal. Marla Ahlgrimm ’s work is unique because of her focus on individualized, natural hormone therapy options. According to pharmacist, Marla Ahlgrimm, many health issues facing women today are related to hormone changes. Using an individualized approach to therapy, she reports that many women feel reenergized for the first time in years. In addition to recognition in publications and journals, Marla Ahlgrimm has been recognized with a number awards over the span of her career. Some of Marla Ahlgrimm ’s most notable awards have been the YWCA’s acknowledgment of Marla Ahlgrimm as one of its Women of Distinction and recognition by her alma mater, the University of Wisconsin, as one of its Distinguished Alumni. Above all of the awards and honors, Marla Ahlgrimm finds that helping so many women is the greatest accomplishment of all. In fact, says Marla Ahlgrimm, she still works with some of her very first patients and their doctors. These women once sought the help of Marla Ahlgrimm for PMS, she says, and today she is helping them manage symptoms of menopause and the years that follow.

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