If you need treatment for fibroids, there are several options available to you, depending on the symptoms you're experiencing as well as your desire to have children in the future. If your fibroids are causing no symptoms, your doctor may suggest a strategy called "watchful waiting," where you and your doctor will monitor your symptoms and only pursue treatment if problems develop. If you are experiencing pain, discomfort, or pressure related to fibroids, there are both nonsurgical and surgical treatments options to help resolve your fibroid issues.
Fibroid Treatment Options
- Watchful waiting
- Medical management. Painful symptoms can be initially treated with nonsteroidal anti-inflammatory drugs.
- Uterine fibroid embolization (UFE), a fairly simple, noninvasive procedure in which small particles are injected into the uterine
- Uterine artery occlusion
- Endometrial ablation
- Hysterectomy (abdominal, vaginal, and laparoscopic)
- Myomectomy, a surgical procedure to remove uterine fibroids. This procedure may preserve your uterus and your ability to have children. Types of myomectomy include:
- Abdominal myomectomy the most common method of
removing fibroids by making a four to six-inch "bikini" incision on the abdomen just below the pubic hairline.
- Laparoscopic myomectomy or
robotic myomectomy: four or five small, half-inch incisions are made below the pubic hairline and instruments are passed through these small incisions to perform the surgery. Because the incisions are smaller, patients can enjoy faster recovery times and smaller scars.
- Hysteroscopic myomectomy: a hysterocope (a light, flexible tube) is inserted into the vagina. An instrument is used to remove fibroids from your uterus.