MANAGEMENT OF FIBROIDS (MEDICAL & SURGICAL)

Uterine fibroids, also known as leiomyomas, are non-cancerous growths in the uterus. They can vary in size and number and may cause symptoms such as heavy menstrual bleeding, pelvic pain, and fertility issues.

SYMPTOMS OF FIBROIDS

  • Heavy or prolonged menstrual periods
  • Pelvic pain or pressure
  • Frequent urination
  • Constipation
  • Pain during intercourse
  • Lower back pain
  • Difficulty getting pregnant (in some cases)

MEDICAL MANAGEMENT OF FIBROIDS

Medical treatment focuses on reducing symptoms and shrinking fibroids.

  • Heavy or prolonged menstrual periods
  • Pelvic pain or pressure
  • Frequent urination
  • Constipation
  • Pain during intercourse
  • Lower back pain
  • Difficulty getting pregnant (in some cases)

Medications to Control Symptoms

  • Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) – For pain relief
  • Iron Supplements – To treat anemia caused by heavy bleeding

Hormonal Therapies

  • Birth Control Pills & Progestin Therapy – Helps regulate bleeding
  • Gonadotropin-Releasing Hormone (GnRH) Agonists – Temporarily shrinks fibroids by inducing a menopausal-like state
  • Selective Progesterone Receptor Modulators (SPRMs) – Controls bleeding and reduces fibroid size

Non-Hormonal Medications

  • Tranexamic Acid – Helps reduce heavy menstrual bleeding
  • Aromatase Inhibitors – Lowers estrogen levels to shrink fibroids

SURGICAL MANAGEMENT OF FIBROIDS

When medical treatments are ineffective, surgical options may be recommended.

Minimally Invasive Procedures

  • Uterine Artery Embolization (UAE) – Blocks blood flow to fibroids, causing them to shrink
  • Endometrial Ablation – Destroys the uterine lining to control bleeding (not for those planning pregnancy)
  • MRI-Guided Focused Ultrasound (FUS) – Uses ultrasound waves to break down fibroids

Myomectomy (Fibroid Removal Surgery)

Preserves the uterus and is ideal for women who want to maintain fertility.

  • Hysteroscopic Myomectomy – Removes fibroids inside the uterus through the vagina
  • Laparoscopic Myomectomy – Minimally invasive surgery using small incisions
  • Open Abdominal Myomectomy – Traditional surgery for larger fibroids

Hysterectomy (Uterus Removal Surgery)

The only permanent solution for fibroids, recommended for severe cases.

  • Partial Hysterectomy – Removes the uterus but keeps the cervix
  • Total Hysterectomy – Removes the uterus and cervix

CHOOSING THE RIGHT TREATMENT

Treatment depends on:

  • Severity of symptoms
  • Size and location of fibroids
  • Desire for future pregnancies
  • Overall health condition

WHEN TO SEE A DOCTOR

If you experience heavy bleeding, severe pain, or difficulty conceiving, consult a healthcare provider for diagnosis and treatment options.

Schedule a Consultation Today!

If you need expert care for fibroid management, contact us to explore the best treatment options for you.