Munson Health
 
Uterine Fibroids

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by Wood D

(Fibroids; Leiomyoma; Myoma; Fibromyoma)

 

Treatment

Most women with fibroids have no symptoms and do not need treatment. Your doctor may recommend monitoring any changes on a regular basis. Treatment may be done later if needed.
Treatments include:

Pain Medication

Your doctor may recommend:
  • Over-the-counter pain relievers to ease mild symptoms
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and relieve cramping
  • Prescription pain medication—If pain cannot be managed with medications above
  • Tranexamic acid to control bleeding symptoms

Hormonal Therapy

Hormone medications may be an option if you are not trying to become pregnant. These drugs can shrink fibroids, reduce abnormal bleeding, and lessen pain. However, fibroids can return after you stop taking the drugs. These drugs may be used to make fibroids smaller just before surgery.

Procedures

Surgery may be considered if:
  • The uterus becomes extremely large
  • The fibroids are interfering with fertility
  • Symptoms are severe
Surgical procedures include:
  • Myomectomy —An incision is made in the abdomen. The fibroids are removed from the uterus.
  • Hysterectomy —The entire uterus is removed. You will be unable to have children if you have this surgery.
Other options include:
Other options include:
  • Uterine fibroid embolization—This is a minimally invasive procedure. It blocks blood flow to the fibroids. This will make the fibroids shrink.
  • Focused ultrasound therapy—Energy is centered on the fibroid to destroy it. This procedure may not be ideal for patients who are very overweight, have very large fibroids, or have extensive scars from prior abdominal surgeries.
If you are diagnosed with uterine fibroids, follow your doctor's instructions .
 

RESOURCES

The American Congress of Obstetricians and Gynecologists
http://www.acog.org

The International Council on Infertility Information Dissemination
http://www.inciid.org

 

CANADIAN RESOURCES

The Society of Obstetricians and Gynaecologists of Canada
http://www.sogc.org

Women's Health Matters
http://www.womenshealthmatters.ca

 

References


Fibroids. Healthy Women website. Available at: http://www.healthywomen.org/condition/fibroids. Updated August 9, 2011. Accessed January 7, 2014.


Uterine fibroid embolization (UFE). RadiologyInfo.org website. Available at: http://www.radiologyinfo.org/en/info.cfm?pg=ufe. Updated August 5, 2013. Accessed January 7, 2014.


Uterine fibroids. Focused Ultrasound Foundation website. Available at: http://www.fusfoundation.org/Uterine-Fibroids/uterine-fibroids. Accessed January 7, 2014.


Uterine leiomyoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/. Updated November 7, 2013. Accessed January 7, 2014.

 

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