Treatment FAQ

what is the treatment of fibroids of the uterus

by Maeve McKenzie DDS Published 2 years ago Updated 1 year ago
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In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place. If the fibroids are few in number, you and your doctor may opt for a laparoscopic or robotic procedure, which uses slender instruments inserted through small incisions in your abdomen to remove the fibroids from your uterus.Sep 16, 2021

Medication

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.

Procedures

  • Quick fibroid growth that can cause stomach pain
  • Post-menopausal bleeding
  • Anemia from heavy bleeding that can result in fatigue
  • Unusual findings from imaging or blood tests

What is the best treatment for fibroids?

You may lose weight immediately after fibroid removal if the fibroid is very big. Being in the hospital for several days where you will only be taking fluids after surgery and mostly home-cooked meals when you’re allowed to eat solid foods can also contribute to weight loss.

When to worry about uterine fibroids?

Yes, fibroids can cause weight gain in the abdomen especially when the fibroids grow large in size. Estrogen surges, such as those during pregnancy, or pre-menopausal hormone swings, can cause a growth spurt. Environmental influences like diet or stress may also play a part.

Will I lose weight after fibroid removal?

Do fibroids make you gain weight?

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What is the best treatment for fibroids in the uterus?

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 causes fibroids to grow in the uterus?

Hormones. Estrogen and progesterone, two hormones that stimulate development of the uterine lining during each menstrual cycle in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and progesterone receptors than typical uterine muscle cells do.

Can fibroids be removed without surgery?

While surgical fibroid removal may be the right option for some patients, UFE allows women to treat the painful symptoms of their fibroids without resorting to surgery.

Can fibroids in uterus be cured?

A hysterectomy is the only way to cure fibroids. By removing your uterus completely, the fibroids can't come back and your symptoms should go away. If your uterus alone is removed — the ovaries are left in place — you will not go into menopause after a hysterectomy.

What happens if fibroids go untreated?

Fibroids can cause bleeding that may cause anemia when left untreated. Although most fibroids are noncancerous, rarely they may lead to cancer. An untreated uterine fibroid may also cause infertility in some women, although removal of the fibroid in such women can restore fertility.

How do you stop fibroids from growing?

To help prevent more growth of the fibroid, your doctor may recommend that you stop taking birth control pills or hormone replacement therapy. But in some cases, your doctor may prescribe birth control pills to help control the bleeding and anemia from fibroids, even though the hormones may cause fibroids to grow.

What size fibroids need surgery?

Most experts believe that about 9-10 centimeters (about 4 inches) diameter is the largest size fibroid that should be removed laparoscopically.

Is there a pill to shrink fibroids?

Lupron. This medication decreases estrogen levels. It creates an artificial menopause that stops periods and shrinks fibroids. Surgeons often use Lupron to shrink fibroids before surgery or focused ultrasound therapy.

How can I treat fibroids naturally free?

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...

What foods should you avoid when you have fibroids?

What foods to avoid when you have fibroid tumors includes:Red meat.High-fat, processed meats.Any highly processed foods.Added sugar of all types.Salt.High sodium foods.Soda and other sugary drinks.Excess calories.

What is the fastest way to shrink fibroids?

Laparoscope radiofrequency ablation (RFA) is a procedure that uses heat to destroy fibroid tissue and significantly reduce its size. Small incisions are made in the abdomen so your healthcare provider can access the fibroids and protect the surrounding healthy tissues (e.g., ovaries, uterus).

What foods make fibroids worse?

Don't eat a diet full of processed foods, red meats, and high-fat dairy. Studies show that eating these foods can make your fibroids worse. The same goes for alcohol and caffeine.

What to do if you have fibroids?

To help prevent more growth of the fibroid, your doctor may recommend that you stop taking birth control pills or hormone replacement therapy. But in some cases, your doctor may prescribe birth control pills ...

How to get rid of fibroids on the outside of the uterus?

You can lie down and put a hot pack or hot water bottle on your lower belly to ease the pain. You’d need to do this several times a day.

How to remove fibroids without cutting?

A myomectomy may be abdominal surgery, or your surgeon may use a hysteroscope or laparoscope to remove the fibroids without having to make a large cut on your abdomen. There is also a newer method that uses MRI -guided intense ultrasound energy to pinpoint the fibroids and shrink or destroy them.

What is the procedure to remove fibroids?

Endometrial ablation is a procedure in which doctors destroy the lining of uterus to cut down on the bleeding linked to small fibroids. Myomectomy is a surgery to remove fibroids. If you plan to become pregnant, your doctor may recommend this over other procedures. But it may cause scarring that can lead to infertility.

Can birth control pills cause fibroids to grow?

But in some cases, your doctor may prescribe birth control pills to help control the bleeding and anemia from fibroids, even though the hormones may cause fibroids to grow. GnRH antagonists. . GnRH is a hormone your body naturally makes.

Do fibroids grow after menopause?

Not all fibroids grow. Even large ones may not cause any symptoms, and most shrink after menopause. Still, you and your doctor should check on their growth, especially if you develop symptoms like bleeding or pain. So you should at least get pelvic exams every year.

Can fibroid shrink?

There are several possibilities that you and your doctor can consider. Fibroid embolization can shrink a fibroid. Your doctor will inject polyvinyl alcohol (PVA) into the arteries that feed the fibroid. The PVA blocks the blood supply to the fibroid, which makes it shrink.

What is the best treatment for fibroids?

Hysterectomy. Hysterectomy is a commonly recommended option for women with symptomatic fibroids. Surgical removal of the uterus ends all problems with uterine fibroids. Obviously, this treatment isn’t optimal if you want children. Or would prefer to keep your uterus right where it is. A hysterectomy is major surgery.

How to remove fibroids from uterus?

Surgeries to remove fibroids from the uterus either by cutting, scraping or ablation (heating tissue to a temperature that kills it) is helpful for younger fibroid patients. Especially those who intend to become pregnant. These surgeries tend to be multiple.

What is fibroid embolization?

Fibroid embolization is a non-surgical procedure that selectively blocks blood vessels. Originally used to stop excessive bleeding during uterine surgery or during birth, embolization proved an excellent approach to fibroid treatment. Without a blood supply, fibroids shrink and fibroid-related symptoms end. Uterine health and function aren’t impaired by invasive tissue removal. Recovery is short, and you experience no surgical discomfort. Embolization is a medically recognized and approved treatment for fibroids. (Your doctor, however, may not know about it.)

How to help fibroid pain?

Medical Therapy. Fibroid issues like excessive bleeding or p elvic pain may be temporarily eased by medications to regulate your menstrual cycle. Medical therapy won’t eliminate the problem, but by lowering estrogen levels (fibroids thrive when estrogen elevates), they can soften the symptoms.

Is hysterectomy a major surgery?

A hysterectomy is major surgery. Even when done laparoscopically, (through the vagina with a small incision, rather than a larger abdominal incision), recovery time is lengthy. And often painful.

Can you ignore fibroids?

Just be sure you undergo regular exams and imaging studies. Fibroids can grow quickly and cause significant health issues. They might seem dormant, but do not ignore them.

Do fibroids keep growing?

They will keep growing. Surgical removal as a fibroid treatment or an assist in fibroid-related fertility issues is usually a short-term solution. When fibroids return, so does the need for more surgery.

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.

What are the treatments for fibroids?

Treatments for fibroids include the following: Medication-related treatments. Hysterectomy. Other treatments. This page also includes information about emotional support for living with fibroids.

Can you get pregnant with fibroids?

Whether you are pregnant now or want to get pregnant in the future. If you have uterine fibroids but have no symptoms or problems, you may not need treatment. You can ask your health care provider to continue to check the fibroids at your routine gynecological exams to see whether they have grown.

How to reduce fibroid risk?

But, by making healthy lifestyle choices, such as maintaining a normal weight and eating fruits and vegetables, you may be able to decrease your fibroid risk. Also, some research suggests that using hormonal contraceptives may be associated with a lower risk of fibroids. By Mayo Clinic Staff.

What are the three types of fibroids?

There are three major types of uterine fibroids. Intramural fibroids grow within the muscular uterine wall. Submucosal fibroids bulge into the uterine cavity. Subserosal fibro ids project to the outside of the uterus. Some submucosal or subserosal fibroids may be pedunculated — hanging from a stalk inside or outside the uterus.

What are the risk factors for uterine fibroids?

Factors that can have an impact on fibroid development include: Race. Although any woman of reproductive age can develop fibroids, black women are more likely to have fibroids than are women of other racial groups.

Why do fibroid cells shrink?

Fibroids contain more estrogen and progesterone receptors than normal uterine muscle cells do. Fibroids tend to shrink after menopause due to a decrease in hormone production. Other growth factors. Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.

Where do fibroids come from?

Doctors believe that uterine fibroids develop from a stem cell in the smooth muscular tissue of the uterus (myometrium). A single cell divides repeatedly, eventually creating a firm, rubbery mass distinct from nearby tissue.

Can fibroids cause fatigue?

Although uterine fibroids usually aren't dangerous, they can cause discomfort and may lead to complications such as a drop in red blood cells (anemia), which causes fatigue, from heavy blood loss. Rarely, a transfusion is needed due to blood loss.

Do fibroids grow during pregnancy?

Some fibroids go through growth spurts, and some may shrink on their own. Many fibroids that have been present during pregnancy sh rink or disappear after pregnancy, as the uterus goes back to a normal size.

If I have uterine fibroids, should I treat them?

Before you begin discussing treatment options with your doctor, you'll have to decide whether or not you want to treat them at all. According to Lisa Hansard, MD, board-certified reproductive endocrinologist at Texas Fertility Center, doing nothing about your uterine fibroids is "100%" an option in some cases.

Medicines for treating uterine fibroids

There aren't any medications that can "cure" uterine fibroids or make them disappear completely, Rose Chang-Jackson, MD, ob-gyn at Austin Regional Clinic in Austin, Texas, tells Health.

Surgery for treating uterine fibroids

The type of surgery you undergo for a uterine fibroid takes location, size, and fertility preservation into account; your doctor can advise you on which approach is best based on these three factors.

Other uterine fibroid procedures

If fertility isn't a concern, Dr. Hansard says other options may be on the table. These include:

What is the expected outcome after fibroid treatment?

The prognosis for fibroids depends on the type of treatment, since medication options don't remove the fibroids—they only slow their growth or reduce symptoms. In many cases, once you discontinue the medication, your symptoms return or the fibroids begin to grow again, reports UCSF Health.

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When should you consult a doctor about a uterine fibroid?

Asymptomatic fibroid must be brought to medical attention. Consulting a doctor will help you be sure that the fibroid does not coexist with another cancerous condition (fibroids themselves never become cancerous).

What happens when you have uterine fibroids in pregnancy?

Fibroids are a hormone-dependent common condition affecting about 20 percent of women of reproductive age and about 2 to 12 percent of pregnant women. The likelihood of pregnancy -related complications due to fibroids depends mainly on the size, location, and the number of fibroids.

Can medications treat uterine fibroid?

Medications may help treat uterine fibroids, especially in people who do not have any serious symptoms or large fibroids. They help relieve symptoms such as pain, pressure, cramps, or excessive menstrual bleeding. Nonsteroidal anti-inflammatory drugs (such as acetaminophen, ibuprofen, and naproxen) may help manage pain and cramps.

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