Porsha Williams, star of ‘The Real Housewives of Atlanta’, has bravely shared the story of her recent health scare, which culminated in an emergency partial hysterectomy due to the discovery of 21 uterine fibroids, some of which were quite extensive, including one that measured as large as a cantaloupe. The reality television personality discussed her ordeal during an interview on CBS Mornings on September 18, where she opened up about the challenges she faced and the lessons she’s learned along the way.
The 45-year-old Williams recounted how she had been considering expanding her family before her diagnosis, as she had always dreamed of having another child. “I’ve always fantasised about having a little boy, or maybe a little sister for her,” she shared, referring to her seven-year-old daughter, Pilar Jhena. This poignant aspiration was overshadowed by the medical issue she was about to confront.

The journey to her diagnosis began serendipitously when Williams accompanied a friend to a fertility consultation. Feeling compelled to get herself checked as well, she visited her fertility doctor, where she received unexpected news. During the examination, Williams sensed something was amiss when her doctor fell silent while examining her. “I looked at the screen and all I could see was black,” Williams recalled, recognising these signs from her past experiences with fibroids.

Uterine fibroids are commonplace and non-cancerous growths that tend to manifest during an individual’s reproductive years. Symptoms can vary, including excessively heavy menstrual bleeding, pelvic pain, and other discomforts. Initially, Williams attributed her signs to perimenopause—given that her monthly cycle had extended to around six weeks—and had not considered that she could be facing fibroids again.
Her previous experience with this condition had been serious, as she was first diagnosed with fibroids in her late twenties while struggling with fertility. After successfully becoming pregnant, she discovered that one of the fibroids was growing alongside her child instead of degrading during pregnancy, leading to a miscarriage. This resulted in Williams undergoing a myomectomy, a procedure aimed at removing fibroids while preserving the uterus.
When the diagnosis came through this time, Williams was shocked. She stated that her specialist acted quickly, scheduling an MRI later that same day. This imaging demonstrated the extent of the problem, forcing Williams to confront a rapid succession of events—surgery was arranged approximately two weeks later, leaving her stunned. “It all happened so fast,” she explained, admitting it didn’t fully register until she awakened post-surgery.
Despite having suffered from previous symptoms—persistent menstrual bleeding, severe fatigue, and mood swings—she hadn’t recognised the gravity of her situation. Now, after recovering from her procedure, Williams feels a strong compulsion to advocate for women’s health, encouraging them to seek medical opinions when they notice unusual changes in their bodies. “We have to stop diagnosing ourselves,” she insisted. She underscored the importance of understanding the need for proper health checks and stated, “We need to know how to advocate for ourselves.”
The Mayo Clinic recommends that individuals consult healthcare professionals for symptoms such as persistent pelvic pain, excessively heavy periods, or ongoing fatigue, as these could be indicative of underlying health issues. Williams hopes that her personal story will empower others, reminding them that timely medical evaluation is crucial.
Interestingly, discussing her hysterectomy proved to be more challenging than her past conversations about fibroids. Williams acknowledged a certain stigma associated with hysterectomies, indicating that she feels a disconnect between her comfort in discussing fibroid issues and the hesitance regarding the hysterectomy itself. She reflected on the possibility that hearing a similar story from another woman could have prompted her to seek medical advice sooner, noting, “If I would have seen somebody like me sitting here talking about fibroids, it would have clicked something for me to even ask for it.”
Having undergone significant changes in her health journey, Williams hopes her openness will spark conversations, not only about fibroids but also about women’s reproductive health in general. By sharing her experience, she hopes to inspire others to take charge of their health and not overlook symptoms that could have serious implications. Porsha Williams’ story serves as a reminder of the importance of advocacy for oneself and the critical nature of listening to one’s body.
