Uterine fibroids, also known as leiomyomas, are non-cancerous growths in the uterus. While they often don’t cause symptoms, they can lead to heavy bleeding, pelvic pain, and fertility issues in some women. Understanding the available treatment options is crucial for making informed decisions about your health.

Understanding Your Options

The best treatment for fibroids depends on various factors, including the size, location, and number of fibroids, as well as your age, symptoms, and desire to preserve fertility. Here’s an overview of common treatment options:

Watchful Waiting

For women with small, asymptomatic fibroids, watchful waiting may be recommended. Regular check-ups to monitor fibroid growth are essential in this approach.

Medications

Hormonal treatments can help manage symptoms associated with fibroids, such as heavy bleeding. Options include:

• Birth control pills: Can help regulate menstrual cycles and reduce bleeding.
• Progestins: Synthetic progesterone can help manage heavy bleeding.
• Gonadotropin-releasing hormone (GnRH) agonists: Temporarily shrink fibroids but have side effects like menopausal symptoms.
• Uterine fibroid embolisation (UFE): This non-surgical procedure involves blocking blood flow to the fibroids, causing them to shrink.

Minimally Invasive Procedures

These procedures offer less invasive alternatives to traditional surgery:

• Myomectomy: This surgical procedure removes fibroids while preserving the uterus, making it an option for women who desire to preserve fertility.
• Uterine fibroid embolization (UFE): As mentioned earlier, UFE is a minimally invasive procedure that blocks blood flow to the fibroids.
• Endometrial ablation: This procedure destroys the lining of the uterus, reducing heavy bleeding caused by fibroids.
• Laparoscopic or robotic myomectomy: These minimally invasive techniques allow for precise removal of fibroids through small incisions.

Hysterectomy

In cases of severe symptoms or large fibroids that don’t respond to other treatments, a hysterectomy may be considered.This surgical procedure involves removing the uterus.

Choosing the Right Treatment

Selecting the best treatment for fibroids requires careful consideration of several factors. Consult with a gynecologist to discuss your options and weigh the potential benefits and risks of each treatment.

I have specialised in this field for over 20 years and offer expertise in diagnosing and treating fibroids. With advanced skills and a personalised approach, you can trust my team and I to guide you through the treatment process and help you find the best solution for your individual needs.

Remember, open communication with your healthcare provider is essential. Discuss your concerns, symptoms, and treatment preferences to make informed decisions about your health.