Fibroids
Key Influences
How is Uterine Fibroids Treated?
Medication: First line treatment may involve oral contraceptive pills, either combination pills or progestin-only, in an effort to manage symptoms. If unsuccessful, further medical therapy involves the use of medication to reduce estrogens in an attempt to create a medical menopause-like situation.
Focused ultrasound surgery (FUS): This treatment is a newer option for women with fibroids, approved in October 2004 by the Food and Drug Administration. FUS uses MRI technology to guide the ablation of fibroids using high-frequency, high-energy sound waves. Unlike other fibroid treatment options, FUS is noninvasive and preserves the uterus.
Surgical Options:
Hysterectomy: Hysterectomy, or the removal of the uterus, is the only proven permanent solution for uterine fibroids. Depending on the situation, both the ovaries may be removed at the same time (oophectomy).
Myomectomy: This operation involves the removal of the fibroids, but leaves the uterus in place. Depending on the number and size of the fibroids, an open abdominal procedure may be done or the surgeon may opt for a laparoscopic procedure.
Variations of myomectomy include myolysis, where the fibroids are destroyed without actually removing them include the use of an electric current to destroy the fibroid and shrink the blood vessels that feed it, cyromyolysis, where liquid nitrogen is applied similarly and endometrial ablation, with uses heat to destroy the lining of the uterus. The safety, effectiveness and associated risk of fiboid recurrence for these treatments have yet to be determined.
Uterine Artery Embolization (UAE): Small particles are injected into the arteries supplying the uterus to cut off blood flow to the fibroids, causing them to shrink.
This information is not intended to substitute the recommendations of your healthcare providers. Women’s Health Foundation disclaims any liability for the decisions you make based on this information.
