Treatment FAQ

how to choose fibroid treatment

by Dr. Ken Hamill Sr. Published 2 years ago Updated 2 years ago
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What is the best treatment for fibroids?

What is the best treatment for fibroids? In most cases, symptomatic fibroids are treated with hormonal medications, ultrasound therapy, surgery, and other treatment. Medications help to shrink fibroids or ease symptoms. Surgery may involve removing just the fibroids or your entire uterus.

How to cure fibroids naturally?

  • Protects against cancer
  • Boosts immunity
  • Lowers blood cholesterol
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  • Maintains blood sugar levels
  • Good for skin burns
  • Lightens dark spots

Should you go for fibroid treatment?

You might want to choose surgery if fibroids are making it hard for you to get pregnant or if you have other symptoms that affect your quality of life, and other treatments have not worked for you. There are two surgical treatments for fibroids: taking fibroids out of the uterus (myomectomy) and removing the uterus (hysterectomy).

Which is the best treatment for fibroid in uterus?

  • Hormone therapy. To help prevent more growth of the fibroid, your doctor may recommend that you stop taking birth control pills or hormone replacement therapy. ...
  • GnRH antagonists. .GnRH is a hormone your body naturally makes. ...
  • GnRH agonists. Your doctor may prescribe one to shrink fibroids and reduce anemia. ...
  • SERMs. ...

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What is the best medicine to shrink fibroids?

The most effective medications for the treatment of fibroids are gonadotropin releasing hormone agonists (GnRHa), (including Lupron, Synarel, Zoladex). GnRH agonists cause a low-estrogen (menopause-like) state which causes reduction size of the tumor and uterus.

What size of fibroid should be operated?

A myomectomy can be performed through an open incision, or in some cases, laparoscopically. Most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically.

What are the different treatments for fibroids?

They include:Uterine artery embolization. Small particles (embolic agents) are injected into the arteries supplying the uterus, cutting off blood flow to fibroids, causing them to shrink and die. ... Radiofrequency ablation. ... Laparoscopic or robotic myomectomy. ... Hysteroscopic myomectomy. ... Endometrial ablation.

What is the fastest way to cure fibroids?

Try these tips:Avoid added salt. ... Limit high-sodium processed and packaged foods.Check your blood pressure daily with a home monitor.Exercise regularly.Lose weight, especially around the waist.Avoid or limit alcohol.Increase potassium by eating a majority of plants at each meal.More items...

When should a fibroid be removed?

At the same time, we can do a surgical procedure to remove the fibroids if they're just inside the uterine cavity. If a woman has severe symptoms, and if the fibroids are in the muscle or outside of the uterus, surgery may be the best option. In that case, robotic-assisted laparoscopic myomectomy is more common.

Should a 5 cm fibroid be removed?

Prophylactic myomectomy of large fibroids (largest diameter > 5 cm) to decrease delivery complications is not recommended because it confers worse outcomes at delivery versus women with these large fibroids in situ.

What is the safest treatment for fibroids?

Myomectomy. A myomectomy is an operation to remove fibroids while preserving the uterus. For women who have fibroid symptoms and want to have children in the future, myomectomy is the best treatment option.

How big is a 7 cm fibroid?

Small Fibroids can be less than 1 cm to 5 cm, the size of a seed to a cherry. Medium Fibroids range from 5 cm to 10 cm, the size of a plum to an orange. Large Fibroids can be 10 cm or more, ranging from the size of a grapefruit to a watermelon.

Can vitamin C shrink fibroids?

This may be due to the similarity in the racial population of the study participants. Vitamin C is well known for its antioxidant properties and some recent epidemiological studies suggest a reduction in levels of antioxidants in uterine fibroids [18,19].

Can ginger heal fibroids?

Conclusion: Ginger has fibroid-preventing and fibroid-reducing properties at the level of the pituitary gland. The results of this study may contribute greatly to knowledge and may offer a non-invasive therapy of treating women with fibroids.

What foods dissolve fibroids?

A recent study found that eating plenty of fruits like apples and tomatoes, and cruciferous vegetables like broccoli and cabbage, could lower the risk of developing fibroids. And, eating healthier choices like organic fruits and vegetables and whole-grain foods could help improve your symptoms.

What is ultrasound surgery?

During focused ultrasound surgery, high-frequency, high-energy sound waves are used to target and destroy uterine fibroids. The procedure is performed while you're inside an MRI scanner. The equipment allows your doctor to visualize your uterus, locate any fibroids and destroy the fibroid tissue without making any incisions.

How does a laparoscopic camera work?

Using the laparoscopic camera and a laparoscopic ultrasound tool, your doctor locates fibroids to be treated. After locating a fibroid, your doctor uses a specialized device to deploy several small needles into the fibroid. The needles heat up the fibroid tissue, destroying it.

What is a saline infusion sonogram?

Hysterosonography. Hysterosonography (his-tur-o-suh-NOG-ruh-fee), also called a saline infusion sonogram, uses sterile saline to expand the uterine cavity, making it easier to get images of submucosal fibroids and the lining of the uterus in women attempting pregnancy or who have heavy menstrual bleeding.

How long does it take for a fibroid to shrink after a hysterectomy?

Most women who have the procedure get back to regular activities after 5 to 7 days of recovery.

What is the difference between a laparoscopic camera and a laparoscopic ultrasound wand?

One is a laparoscopic camera positioned above the uterus, and the other is a laparoscopic ultrasound wand that sits directly on the uterus. Using both instruments provides your doctor with two views of a uterine fibroid, allowing for more-thorough treatment than would be possible with just one view.

How are embolic agents injected into the uterine artery?

Small particles (embolic agents) are injected into the uterine artery through a small catheter. The embolic agents then flow to the fibroids and lodge in the arteries that feed them. This cuts off blood flow to starve the tumors.

What test can be done to check for uterine fibroids?

If you have symptoms of uterine fibroids, your doctor may order these tests: Ultrasound. If confirmation is needed, your doctor may order an ultrasound. It uses sound waves to get a picture of your uterus to confirm the diagnosis and to map ...

What is the procedure called when fibroids are removed from the uterus?

It may be performed inside the uterus (called a hysteroscopic myomectomy), or through the abdomen as a laparoscopic surgery, a robotic surgery, or a laparotomy (where a larger incision is used to make the uterus more accessible. Robotic surgery has certain benefits to the surgeon, but typically the quality of the surgery is not better than either a laparoscopic surgery or surgery by laparotomy.

How does a fibroid probe work?

A probe is placed into the fibroid either during a surgical procedure or using local anesthesia and going through the normal skin. The tip of the probe is then heated up to destroy normal myometrial tissue. While the tip is monitored, potential damage to surrounding tissues may be difficult to detect and prevent.

What is a progesterone receptor modulator?

Progesterone receptor modulators are drugs that bind to the progesterone receptor modifying the uterine tissue response to progesterone. By modifying the response of the uterine muscle (called myometrium) these drugs help decrease fibroid size and heavy menstrual bleeding.

How does X-ray help with fibroids?

Under X-ray guidance, a small tube is placed near the fibroid, and small beads are released into the nearby blood vessels to block blood flow to the fibroids. This causes the fibroids to shrink, and improves symptoms. However, surrounding tissue may be impacted, and as a result this option may not be best for women who want to have children in the future.²

What are the two types of medications that block the impact of hormones on fibroids?

There are two types of medicines that block the impact of hormones on fibroids: gonadotrophin-releasing hormone (GnRH) agonists and antagonists. In the United States, currently only GnRH-agonists and antagonists are available for fibroid treatment. These therapies may decrease fibroid size and heavy menstrual bleeding. Currently, the approved treatment timeframe for a GnRH agonist is 3-6 months which is used prior to fibroid surgery. The approved treatment timeframe for a GnRH antagonist is up to 2 years. Consult with your health care provider to determine which medical therapy is best for you.

Is hysterectomy the last option?

Given the wide array of alternatives, hysterectomy should be the last option once all other options are either not right for you or have failed.

Can birth control pills cause bleeding?

Birth control pills are often prescribed for women who have heavy periods in order to decrease the amount of bleeding associated with their periods. While this therapy does decrease normal menstrual bleeding, unfortunately it does not treat the fibroids, and symptoms may start to worsen over time despite using birth control pills. This therapy does not treat the fibroids, so they may continue to grow, and any pain or pressure that you feel will not be treated either.

Myomectomy

Myomectomy is a surgical procedure to remove fibroids while keeping the uterus in place.

Uterine Fibroid Embolization (UFE)

UFE shrinks fibroids by blocking some of the blood supply to the uterus.

Which Treatment Is Right for Me?

Talk to your gynecologist about what procedures and treatments may be right for you and your fibroids.

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Diagnosis

Treatment

  • There's no single best approach to uterine fibroid treatment — many treatment options exist. If you have symptoms, talk with your doctor about options for symptom relief.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Alternative Medicine

  • Some websites and consumer health books promote alternative treatments, such as specific dietary recommendations, magnet therapy, black cohosh, herbal preparations or homeopathy. So far, there's no scientific evidence to support the effectiveness of these techniques.
See more on mayoclinic.org

Preparing For Your Appointment

  • Your first appointment will likely be with either your primary care provider or a gynecologist. Because appointments can be brief, it's a good idea to prepare for your appointment.
See more on mayoclinic.org

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