Materiały źródłowe

• #1 Uterine Fibroids: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9130-uterine-fibroids

  Uterine fibroids can cause a variety of symptoms like pain and heavy, irregular vaginal bleeding. Treatment for fibroids typically depends on your symptoms. […] Treatment for uterine fibroids can vary depending on the size, number and location of the fibroids, as well as what symptoms they’re causing. If you aren’t experiencing any symptoms from your fibroids, you may not need treatment. […] If you’re experiencing symptoms from your fibroids including anemia from excess bleeding, moderate to severe pain or urinary tract and bowel problems you’ll need treatment to help. Your treatment plan will depend on a few factors, including: […] Treatment options for uterine fibroids can include: […] Medications can have side effects and some may not be a good fit for you. […] There are several factors to consider when talking about the different types of surgery for fibroid removal.

• #1 Uterine Fibroids: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0115/p100.html

  Uterine fibroids are common benign neoplasms, with a higher prevalence in older women and in those of African descent. […] Expectant management is recommended for asymptomatic patients because most fibroids decrease in size during menopause. Management should be tailored to the size and location of fibroids; the patient’s age, symptoms, desire to maintain fertility, and access to treatment; and the experience of the physician. Medical therapy to reduce heavy menstrual bleeding includes hormonal contraceptives, tranexamic acid, and nonsteroidal anti-inflammatory drugs. […] Surgical treatment includes hysterectomy, myomectomy, uterine artery embolization, and magnetic resonance-guided focused ultrasound surgery. […] Treatment of uterine fibroids should be tailored to the size and location of the tumors; the patient’s age, symptoms, desire to maintain fertility, and access to treatment; and the physician’s experience.

• #1 Currently Available Treatment Modalities for Uterine Fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11205795/

  Treatment of fibroids must be individualized based on the presence and severity of symptoms and the patients desire for definitive treatment or fertility preservation. […] Treatment options for uterine fibroids include medicamentous, interventional radiology and surgical options. Generally, it is suggested that the treatment of fibroids begins with medicamentous and minimally invasive treatments before surgery. […] The medicamentous management of fibroids is typically reserved for patients with heavy menstrual bleeding and/or pelvic pain who wish to preserve their fertility. […] Medicamentous therapy yields effective results, and symptoms usually improve after one year of treatment. […] The levonorgestrel-releasing intrauterine system is a contraceptive method that is also ideal for the treatment of heavy menstrual bleeding in patients who have contraindications for COCs.

• #1

  https://www.nhs.uk/conditions/fibroids/treatment/

  Treatment may not be necessary if you have fibroids but do not have any symptoms, or if you only have minor symptoms that are not significantly affecting your everyday activities. […] If you have fibroids that need treatment, a GP may recommend medicine to help relieve your symptoms. […] But you may need to see a gynaecologist (a specialist in the female reproductive system) for further medicine or surgery if these are ineffective. […] Medicines are available that can be used to reduce heavy periods, but they can be less effective the larger your fibroids are. […] If LNG-IUS is unsuitable (for example, if contraception is not desired) tranexamic acid tablets may be considered. […] Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and mefenamic acid, can be taken 3 times a day from the first day of your period until bleeding stops or reduces to manageable levels.

• #1 Get Uterine Fibroid Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/uterine-fibroids-treatment

  Uterine Fibroids Treatment […] You have a range of options when it comes to uterine fibroid treatment. Before creating a treatment plan, we take the time to listen to your needs. We review your symptoms and discuss your goals for fertility preservation. […] […] We offer a wide range of medications to reduce pelvic pain, relieve heavy bleeding during periods and prevent anemia (a lack of iron in the blood). We may recommend: […] Birth control pills: Estrogen helps shorten periods and reduce heavy bleeding. […] Progestin-releasing intrauterine device (IUD): This hormone can reduce blood flow during periods, though an IUD may not be recommended for women with bulk fibroids. […] Tranexamic acid (Lysteda): We give this nonhormonal medication during your period to reduce blood loss. We may recommend it for women who cant have hormonal therapy.

• #1

  https://www.nhs.uk/conditions/fibroids/treatment/

  The contraceptive pill is a popular method of contraception that stops an egg being released from the ovaries to prevent pregnancy. […] Oral progestogen is synthetic (man-made) progesterone (one of the female sex hormones) that can help reduce heavy periods. […] Progestogen is also available as an injection to treat heavy periods. […] If you’re still experiencing symptoms related to fibroids despite treatment with the above medicines, a GP can refer you to a gynaecologist. […] They may prescribe medicine called gonadotropin releasing hormone analogues (GnRHas) to help shrink your fibroids. […] GnRHas stop your menstrual cycle (period), but are not a form of contraception. […] Surgery to remove your fibroids may be considered if your symptoms are particularly severe and medicine has been ineffective.

• #1 Fibroid Treatment Options – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/infertility-reproductive-surgery/cysts-and-fibroids/non-surgical-fibroid-treatment

  Medicines can help control fibroid-related symptoms. 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. Uterine size has been shown to decrease approximately 50 percent after three months of therapy with these medications. […] Unfortunately, long term use of GnRH agonists can lead to bone loss, however when GnRH agonist treatment is stopped it is followed by a rapid regrowth of the fibroids and of the uterus to pre-treatment volume. Therefore the use of GnRH agonists alone for treatment of fibroids is usually limited to a short one to three month preoperative course to shrink the uterus in preparation for surgery or to improve anemia before surgery.

• #1 Get Uterine Fibroid Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/uterine-fibroids-treatment

  Elagolix (Oriahnn): This pill lowers estrogen levels in the body. It reduces heavy bleeding and may stop your periods completely while used, up to 24 months. […] Leuprolide acetate (Lupron Depot): This medication is administered as a shot and lowers estrogen levels in the body. It reduces heavy bleeding and may stop your periods completely. […] Relugolix, Estradiol, Norethindrone acetate (Myfembree): This pill contains a combination of medications that can help decrease heavy bleeding due to fibroids and minimize side effects. […] […] Sometimes fibroid surgery is necessary. Well choose a procedure that fits your fertility goals and personal preferences. Be sure to let us know whats important to you. We offer bloodless surgery for women who dont want a blood transfusion or blood products during surgery.

• #1 Currently Available Treatment Modalities for Uterine Fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11205795/

  Selective Progesterone Receptor Modulators (SPRM) have been shown to diminish uterine fibroid volume by 17-57% and to reduce uterine mass by 95-93%. […] Myomectomy is a surgical treatment in which the fibroids are removed and the uterus is then reconstructed. […] Myomectomy improves symptoms in up to 80% of cases but is associated with about a 27% risk of recurrence if one fibroid is removed and a risk level greater than 50% in the case of multiple fibroids. […] A hysterectomy is the last treatment option for symptomatic fibroids. A hysterectomy is a definitive surgical treatment option that eliminates the risk of future recurrence. […] Symptomatic uterine fibroids require surgical and/or medical therapy according to the FIGO classification, severity of symptoms, patients age, infertility and wish to preserve fertility. Currently, the usual treatment for fibroids is surgical intervention, such as hysterectomy and/or fertility-sparing myomectomy performed via hysteroscopy, laparoscopy or laparotomy.

• #1 Current medical treatment of uterine fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5854898/

  SPRMs have tissue-specific effects at PRs, and they can have either a complete PR agonist or antagonist profile or a mixed agonist/antagonist profile. […] Many clinical studies have evaluated the efficacy of UPA in the treatment of symptomatic uterine fibroids; however, the most widely cited studies investigating UPA include the European phase III studies, PGL4001 Efficacy Assessment in Reduction of Symptoms Due to Uterine Leiomyomata (PEARL), which demonstrate UPA’s safety and efficacy. […] Uterine fibroids are highly prevalent in reproductive-aged women, and as women continue to delay childbearing, an increasing number of patients will require fertility-preserving treatment options. Medical management of uterine fibroids may provide symptomatic relief of the uterine fibroid-related symptoms along with the opportunity to maintain fertility.

• #1 Uterine Fibroids: Diagnosis and Treatment | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0115/p100.html

  The ideal treatment satisfies four goals: relief of signs and symptoms, sustained reduction of the size of fibroids, maintenance of fertility (if desired), and avoidance of harm. […] Hysterectomy provides a definitive cure for women with symptomatic fibroids who do not wish to preserve fertility, resulting in complete resolution of symptoms and improved quality of life. […] Hysteroscopic myomectomy is the preferred surgical procedure for women with submucosal fibroids who wish to preserve their uterus or fertility. […] Uterine artery embolization is an option for women who wish to preserve their uterus or avoid surgery because of medical comorbidities or personal preference. […] Myolysis is a minimally invasive procedure targeting the destruction of fibroids via a focused energy delivery system such as heat, laser, or more recently, magnetic resonance-guided focused ultrasound surgery.

• #1 Uterine fibroids

  https://womenshealth.gov/a-z-topics/uterine-fibroids

  Most women with fibroids do not have any symptoms. For women who do have symptoms, there are treatments that can help. Talk with your doctor about the best way to treat your fibroids. She or he will consider many things before helping you choose a treatment. Some of these things include: […] If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them. Here are the options: […] Surgery to remove fibroids without taking out the healthy tissue of the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. […] Surgery to remove the uterus. This surgery is the only sure way to cure uterine fibroids. […] The lining of the uterus is removed or destroyed to control very heavy bleeding.

• #1 Uterine fibroids – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/diagnosis-treatment/drc-20354294

  In a myomectomy, your surgeon removes the fibroids and leaves the uterus in place. […] This surgery removes the uterus. It remains the only proven permanent solution for uterine fibroids. […] With any procedure that doesn’t remove the uterus, there’s a risk that new fibroids could grow and cause symptoms. […] If fibroid treatment is needed and you want to preserve your fertility myomectomy is often the treatment of choice. But all treatments have risks and benefits. Talk about these with your doctor.

• #1 Get Uterine Fibroid Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/uterine-fibroids-treatment

  Less blood loss. […] Quicker recovery. […] Reduced pain after surgery. […] Smaller incision. […] Laparoscopic hysterectomy: By the age of 60, one in three women will have had a hysterectomy (a surgery to remove the uterus). The majority of hysterectomies are done to treat fibroids. […] Many women assume theyll need an open hysterectomy (laparotomy), which would involve a large incision and an extensive recovery. However, we can almost always perform a vaginal or laparoscopic hysterectomy, which only requires small incisions in the abdomen. […] Its important to note that we typically dont remove the ovaries during a hysterectomy if you are premenopausal. This means you wont go into early menopause or need hormone therapy after the procedure. Most women can go home the same day as their surgery. The typical recovery period is two to four weeks.

• #1 Management of Uterine Fibroids | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0301/p330.html

  There was moderate strength of evidence that mifepristone, ulipristal, and UAE improve quality of life, and there was low strength of evidence that GnRH agonists, myomectomy, and hysterectomy improve quality of life. […] There are four main goals in the treatment of uterine fibroids: improving symptoms, reducing fibroid size and sustaining the decreased size, preserving fertility if desired, and avoiding harm. […] The 2008 American College of Obstetricians and Gynecologists guidelines address alternatives to hysterectomy for fibroids and emphasize individualizing treatment based on patient goals. […] Adverse effects of nonsurgical therapies vary. GnRH agonists are expensive and may cause bone loss. Selective progesterone receptor modulators can cause headaches and breast tenderness. UAE increases the risk of amenorrhea and pregnancy complications.

• #1 Uterine Fibroid Treatment | The University of Kansas Health System

  https://www.kansashealthsystem.com/care/conditions/fibroids

  Fibroids are benign tumors in the uterus. […] While some women are not bothered by their fibroids, the location and size of fibroid tumors can cause symptoms that can affect a womans quality of life, including impacting fertility. However, there are treatment options that can help. The physicians at The University of Kansas Health System specialize in diagnosing and treating uterine fibroids with the most advanced and least invasive treatment options. […] Fibroids that dont cause symptoms may not require any treatment other than watchful waiting. Many women use over-the-counter pain medications to manage the painful symptoms of uterine fibroids. […] Other possible fibroid treatment options include: Endometrial ablation is a procedure that destroys the endometrium (uterine lining) with the goal of reducing menstrual flow. In some women, menstrual flow may stop completely. Women with fibroids should only consider endometrial ablation as a treatment option if they have small (less than 1 inch in diameter) submucosal fibroids.

• #1

  https://www.nhs.uk/conditions/fibroids/treatment/

  A hysterectomy may be recommended if you have large fibroids or severe bleeding and do not wish to have any more children. […] A myomectomy is surgery to remove the fibroids from the wall of your womb. […] A hysteroscopic resection of fibroids is a procedure where a thin telescope (hysteroscope) and small surgical instruments are used to remove fibroids. […] Uterine artery embolisation (UAE) is an alternative procedure to a hysterectomy or myomectomy for treating fibroids. […] Endometrial ablation is a relatively minor procedure that involves removing the lining of the womb. […] Transcervical ultrasound-guided radiofrequency ablation is a new procedure that uses heat to shrink fibroids.

• #1 Uterine Fibroid Treatments, UFE, MRgFUS

  https://www.radiologyinfo.org/en/info/uterine-fibroid-treatment

  Uterine fibroids are abnormal, benign growths in the uterus. These non-cancerous lesions, also known as myomas, arise from the muscular wall of the uterus. It is extremely rare for fibroid tumors to become cancerous. […] Minimally invasive uterine fibroid treatments include: Uterine fibroid embolization (UFE) and Magnetic resonance-guided focused ultrasound (MRgFUS). […] Uterine fibroid embolization (UFE) (also known as UAE or Uterine Artery Embolization) shrinks uterine fibroids by depriving them of a blood supply using small particles called embolic agents. […] In UFE, the doctor uses fluoroscopy to inject the agents through a catheter and into the arteries that supply blood to the fibroids. The small particles block blood flow to the fibroids and cause them to shrink. Nearly 90 percent of patients with fibroids who undergo UFE experience relief from their symptoms.

• #1 Fibroid Treatment Options – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/infertility-reproductive-surgery/cysts-and-fibroids/non-surgical-fibroid-treatment

  Uterine fibroid embolization (UFE), also known as uterine artery embolization(UAE) is an alternative to surgery that involves placing a catheter through a small incision in the groin into an artery in the leg and guiding the catheter via x-ray pictures to the arteries of the uterus. Once there, the catheter is used to deliver agents that block off the blood vessels that feed the uterine fibroids. Total radiation exposure during this procedure is comparable to that in one to two CT scans. UAE does not remove uterine fibroids, but causes them to shrink by 30 to 50 percent. […] MRI-guided focused ultrasound (FUS) is a noninvasive treatment option for uterine fibroids that destroys fibroids while preserving the normal uterus. Focused high-frequency, high-energy sound waves are used to target the proteins in fibroids, until they are destroyed. Used in combination with MRI, FUS allows physicians to precisely target and monitor therapy. A single treatment session lasts approximately 3 hours. Although fibroids are treated and ultimately decrease in size, they are not removed. Women are able to resume normal activity within a day of the procedure, however the long-term effectiveness of this treatment is not known and it is not recommended for women who want to preserve their fertility.

• #1 Best Treatment For Uterine Fibroids in Denver & Pueblo Colorado | Uterine Artery Embolization | ECCO Medical

  https://eccomedical.com/conditions/uterine-fibroid-treatment/

  UFE has large volumes of data showing it is as effective as surgery, and more effective than myomectomy in some cases. There is also significantly less risk and shorter recovery time than surgical options. An added bonus is that it doesnt need to be done in a hospital. It is up to patients to review these treatment options and determine what the best treatment option is for their fibroids. Those in their childbearing years should strongly consider non-surgical options, and those that would rather not undergo the risks of surgery should strongly consider UFE. […] UFE is performed at ECCO Medicals endovascular clinics in Pueblo and Denver. It is done as an outpatient. Patients do not need general anesthesia for this procedure. We use moderate sedation to keep patients comfortable throughout the treatment. It typically takes about 1-1.5 hours, with an hour of recovery afterwards.

• #1 Uterine Fibroid Treatments, UFE, MRgFUS

  https://www.radiologyinfo.org/en/info/uterine-fibroid-treatment

  Follow-up studies have shown that nearly 90 percent of patients who have their fibroids treated by UFE experience either significant or complete resolution of their fibroid-related symptoms. […] MRgFUS may provide rapid improvement of symptoms associated with uterine fibroids without invasive surgery. […] The procedure has a low risk of complications. […] MRgFUS preserves the uterus. A number of patients have had successful pregnancies after MRgFUS treatment for uterine fibroids. […] UFE should not be performed in patients who have no symptoms from their fibroid tumors, when cancer is a possibility, or when there is inflammation or infection in the pelvis. […] MRgFUS may not be a good choice for some patients, including pregnant patients, patients with multiple abdominal scars, patients with many fibroids or very large fibroids.

• #1 Get Uterine Fibroid Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/uterine-fibroids-treatment

  Radiofrequency ablation (RFA): This minimally invasive procedure applies heat directly into the fibroids. This causes the fibroids to shrink over time and reduces symptoms. RFA may be done vaginally or laparoscopically depending on the size, number and location of the fibroids. […] Whether its miserable periods or pain, fibroids can pull you away from your active life. The good news? You can work with our team of experts to create a treatment plan thatll work for you. With treatment, comes relief from symptoms that get in the way of the life you want to live.

• #1 Uterine fibroids

  https://womenshealth.gov/a-z-topics/uterine-fibroids

  A needle is inserted into the fibroids, usually guided by laparoscopy, and electric current or freezing is used to destroy the fibroids. […] A thin tube is thread into the blood vessels that supply blood to the fibroid. Then, tiny plastic or gel particles are injected into the blood vessels. This blocks the blood supply to the fibroid, causing it to shrink. […] The following methods are not yet standard treatments, so your doctor may not offer them or health insurance may not cover them. […] Radiofrequency ablation uses heat to destroy fibroid tissue without harming surrounding normal uterine tissue. The fibroids remain inside the uterus but shrink in size. Most women go home the same day and can return to normal activities within a few days. […] Anti-hormonal drugs may provide symptom relief without bone-thinning side effects.

• #1 Uterine Fibroids | Wide Range of Treatment Options :: Minnesota Women’s Care OBGYN and Urogynecology

  https://mnwcare.com/our-services/gynecology/fibroids-treatments

  Laparoscopic radiofrequency fibroid ablation (Lap-RFA, brand name Acessa) is a minimally invasive, energy-based treatment that reduces fibroid-related symptoms by reducing fibroid volume. This procedure is laparoscopic, meaning performed through several small incisions in the abdomen, and is performed on an outpatient basis with quick recovery. […] After one year, the size of the fibroid decreases by up to 66%, resulting in a significant reduction in pelvic pain, heavy periods, and bulk. […] Pregnancy data on Lap-RFA is limited, as it is a newer technology and most studies have excluded patients planning for pregnancy. For this reason, should be used with caution if pregnancy is desired.

• #1 Uterine fibroids – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/diagnosis-treatment/drc-20354294

  There’s no single best treatment for uterine fibroids. Many treatment choices exist. If you have symptoms, talk with your care team about ways to get relief. […] Many people with uterine fibroids have no symptoms. Or they have mildly annoying symptoms that they can live with. If that’s the case for you, watchful waiting could be the best option. […] Medicines for uterine fibroids target hormones that control the menstrual cycle. They treat symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t get rid of fibroids, but they may shrink them. […] 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. […] During laparoscopic radiofrequency ablation, the doctor sees inside the abdomen using two special instruments.

• #1 Uterine Fibroids – Focused Ultrasound Foundation

  https://www.fusfoundation.org/diseases-and-conditions/uterine-fibroids/

  Focused ultrasound treatment for uterine fibroids has been available to women in the U.S. since a treatment system was approved by the Food and Drug Administration (FDA) in 2004. […] Focused ultrasound is a noninvasive way to treat uterine fibroids. Using this treatment method in conjunction with image guidance, the physician directs a focused beam of energy through the patients skin, superficial fat layer, and abdominal muscles to heat and destroy the fibroid tissue without damaging nearby tissue or the tissues that the beam passes through on its way to the target. […] It is a noninvasive treatment with a short recovery time and a quick return to work and activities of normal life (usually the next day). […] It offers rapid and durable resolution of fibroid symptoms (sometimes within days of treatment).

• #1 No “best” treatment for common uterine fibroids – Harvard Health

  https://www.health.harvard.edu/blog/no-best-treatment-for-common-uterine-fibroids-201504237918

  I consider the severity of symptoms and the impact of those symptoms on a womans quality of life to be the foundation of treatment decision making, says Dr. Aaron Styer, an obstetrician-gynecologist at Harvard-affiliated Massachusetts General Hospital. For example, is the woman missing work, requiring frequent hospitalizations, or missing out on normal, daily life? If so, that information will guide the treatment I recommend. […] Whether a woman would like to have children, her age, and how close she is to menopause can also influence the treatment decision. Once a woman enters menopause, fibroids often shrink or even disappear. But until menopause, they may continue to form or reappear after they are removed. […] Hysterectomy, hold the power morcellation […] Removal of the uterus (hysterectomy) is a popular option for women who are done having children. With the uterus gone, new fibroids cant form. But traditional hysterectomy, in which a surgeon makes a large incision in the abdomen, is major surgery.

• #1

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=tv7259

  It’s possible but not likely for you to get pregnant while taking GnRH-a. If you don’t want to get pregnant, ask your doctor about birth control. […] GnRH-a therapy is not usually used to relieve pain and bleeding only, because fibroids grow back fairly quickly after you stop taking GnRH-a. But it is sometimes used to shrink large fibroids before fibroid surgery or to stop heavy bleeding from fibroids. […] For people who are close to menopause (when fibroids will shrink on their own), short-term relief from GnRH-a therapy can be a good choice. […] You have severe bleeding from uterine fibroids and need treatment right away. […] Other treatments for fibroids haven’t helped your symptoms, and you’re planning surgery later. […] You’re close to menopause, when fibroids will get smaller or go away. […] You’re planning to have surgery to take out large fibroids. […] You’re not planning on getting pregnant soon.

• #1 Best Treatment For Uterine Fibroids in Denver & Pueblo Colorado | Uterine Artery Embolization | ECCO Medical

  https://eccomedical.com/conditions/uterine-fibroid-treatment/

  Yes! We can perform UFE regardless of the size or number of fibroids present. This procedure has been successfully used to treat fibroids of all sizes, from small to very large, and in cases where multiple fibroids are present. In fact, UFE is often preferred for women with large or multiple fibroids, since it is less invasive and because of the shorter recovery time.

• #1 Boston Fibroid Treatment Options – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/resources/fibroid-treatment

  Fibroid treatment is highly personalized and depends on a number of factors, including severity of symptoms, size of the fibroids, and desire for fertility preservation. Asymptomatic fibroids may not require any treatment. On the other hand, fibroids that cause infertility or debilitating symptoms may be treated with a range of options. Here are a few examples of fibroid treatments: […] The latest surgical treatments for fibroids include minimally invasive (laparoscopic and robotic) surgical techniques, which offer smaller incisions and faster recovery than open surgical techniques. These procedures should be performed by a gynecologic surgeon who is experienced in minimally invasive techniques. Examples of surgical treatments for fibroids include: […] Myomectomy Fibroids that interfere with fertility in women who want to become pregnant are often surgically removed in a procedure called a myomectomy. Some women that have completed childbearing may also want to preserve their uterus intact and opt for this conservative option.

• #1 Management of Uterine Fibroids | AAFP

  https://www.aafp.org/pubs/afp/issues/2019/0301/p330.html

  What are the comparative effectiveness and harms of treatments for uterine fibroids, and what is the risk of finding unexpected leiomyosarcoma in women with fibroids? […] Medical therapy (gonadotropin-releasing hormone [GnRH] agonists, mifepristone, ulipristal) or uterine artery embolization (UAE) reduces fibroid size (Strength of Recommendation [SOR]: C, based on disease-oriented evidence), reduces bleeding (SOR: A, based on consistent, good-quality patient-oriented evidence), and improves fibroid-related quality of life (SOR: A, based on consistent, good-quality patient-oriented evidence). […] The review found consistent evidence that UAE is effective for reducing fibroid size and uterine volume. […] There was moderate strength of evidence that GnRH agonists, mifepristone, and ulipristal also reduce fibroid size.

• #1 Current medical treatment of uterine fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5854898/

  Uterine fibroids (leiomyomas or myomas), benign monoclonal tumors, are the most common benign tumors in women. […] Although curative treatment of this tumor relies on surgical therapies, medical treatments are considered the first-line treatment to preserve fertility and avoid or delay surgery. […] Treatment options for symptomatic uterine fibroids include medical, surgical, and radiologically guided interventions. Various medical therapies are now available for women with uterine fibroids, although each therapy has its own advantages and disadvantages. Currently, gonadotrophin-releasing hormone (GnRH) agonists and selective progesterone receptor modulators (SPRMs) are the most effective medical therapies, with the most evidence to support their reduction of fibroid volume and symptomatic improvement in menstrual bleeding.

• #1 Current medical treatment of uterine fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5854898/

  Hysterectomy was considered the only curative solution for fibroids; however, alternate medical treatments that preserve fertility and avoid invasive surgery, with high efficacy, and a desirable side effect profile are now available. […] The cyclic use of progestins for bleeding control has been used in cases of non-organic abnormal uterine bleeding, such as perimenopausal bleeding and endometrial hyperplasia-related bleeding. […] In 2009, the Food and Drug Administration (FDA) approved the LNG-IUS to treat heavy menstrual bleeding in women who opt for an intrauterine device for contraception. […] GnRH agonists have been most extensively studied for the treatment of symptomatic uterine fibroids, especially adjuvant preoperative medical therapy. […] Despite FDA approval, menopausal symptoms, such as hot flashes and atrophic vaginitis, and a decrease in bone mineral density (BMD) after long-term use limit GnRH agonists to short-term adjuvant therapy in most patients.

• #1 Leading-Edge Fibroid Diagnostic Services and Treatment Options

  https://www.upmc.com/services/womens-health/services/obgyn/gynecology/fibroid-treatment

  Myomectomy can cause large blood loss during surgery and scar tissue development in the muscle of your uterus and other places in your abdomen. […] If youre having a procedure or surgery to remove your fibroids, your doctor will talk to you about how to prepare. […] Your recovery will also depend on the type of treatment you received, the size and location of your fibroids, and your health history. Its normal to experience some pain for a few days after surgery. Your doctor will give you medications to ease the pain.

• #1 No “best” treatment for common uterine fibroids – Harvard Health

  https://www.health.harvard.edu/blog/no-best-treatment-for-common-uterine-fibroids-201504237918

  In laparascopic hysterectomy, the surgeon removes the uterus through three or four small incisions in the wall of the abdomen. Recovery is quicker and there are usually fewer complications than with a traditional hysterectomy. […] Laparoscopic hysterectomy has historically been accompanied by a procedure called power morcellation. It uses a device to cut the uterus into fragments so it can be removed through the small incisions. But the FDA recently recommended limiting the use of power morcellation because of the small chance that a woman having surgery to remove fibroids may have undiagnosed uterine cancer. If power morcellation is performed in these women, there is a risk that the procedure will spread the cancer throughout the abdomen and pelvis. […] Treatment options for heavy bleeding

• #1 Uterine Fibroids: What Treatments Are Available > News > Yale Medicine

  https://www.yalemedicine.org/news/uterine-fibroids-treatments

  Women can also choose to have uterine artery embolization, which is noninvasive and offers a faster recovery than surgery, says Hamid Mojibian, MD, a Yale Medicine interventional radiologist. […] Yale also offers a new uterine fibroid treatment method called laparoscopic radiofrequency ablation, in which heat is used to significantly shrink the fibroid. […] At Yale, our interventional radiologists, gynecologists, and primary care physicians all work together to help make the best treatment plan for our patients, Dr. Mojibian says.

• #1 Treatment for uterine fibroids often depend on patient preferences

  https://www.uabmedicine.org/news/treatment-options-for-uterine-fibroids-often-depend-on-patient-preferences/

  In addition to hysterectomy, three of the most common treatments include: Myomectomy: Performed by an OB/GYN, this is a surgical option for removing fibroids, usually when they are larger and small in number. […] Radiofrequency ablation: With this minimally invasive procedure, doctors use heat from radiofrequency waves to destroy fibroid tissue. […] Uterine fibroid embolization (UFE): Performed by an interventional radiologist, this minimally invasive procedure involves starving the fibroids of the blood flow they need to survive. […] We have the advantage of being able to counsel our patients on all options, which we offer in house, whether they come in through a UAB OB/GYN, a referral from UAB Interventional Radiology, from another physician, or self-referral, Dr. Caridi said.

• #1 Treatment for uterine fibroids often depend on patient preferences

  https://www.uabmedicine.org/news/treatment-options-for-uterine-fibroids-often-depend-on-patient-preferences/

  Treatment for fibroids can be complex. It may require you to communicate with multiple specialists to determine the best course of action, according to Todd Jenkins, M.D., an OB/GYN physician at UAB Medicine. […] Many women are only offered a hysterectomy removing the entire uterus as treatment for their uterine fibroids, Dr. Jenkins said. A hysterectomy can eliminate fibroids permanently, and it is an effective treatment option. But for many women, it may not be their only solution or their best option based on their personal situation or goals. […] At UAB Medicine, we have several effective treatment options for uterine fibroids. Unfortunately, many women are not aware of all of their options. […] We have several viable options for fibroids beyond hysterectomy, Dr. Jenkins said. Choosing among these requires clear patient communication and discussions with our radiology colleagues.

• #1 Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids – UChicago Medicine

  https://www.uchicagomedicine.org/conditions-services/obgyn/uterine-fibroids

  At the Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids, we dont subscribe to a one size fits all approach to fibroid treatment. Well build a customized treatment plan that is tailored to your unique needs and designed to improve your quality of life. Our main goal is to support you in managing your fibroids, so your fibroids dont manage you. […] Our team of experts at the University of Chicago Medicine have a history of exceptional outcomes even for fibroids that are the most challenging to remove, shrink or treat. We work with you to discuss all your treatment options and will help champion the option that allows you to achieve your lifestyle goals. […] Choosing the right treatment option is a personal decision. Well discuss your short-term and long-term health goals and help you understand the benefits and risks as you consider your options.

• #1 Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids – UChicago Medicine

  https://www.uchicagomedicine.org/conditions-services/obgyn/uterine-fibroids

  At the CATeR Fibroid Center, our team diagnoses and treats fibroids with the highest level of training and experience. From oral medication and alternative management options to minimally invasive surgery, we have the skill and expertise to personalize an effective care plan for you. […] You dont have to choose between getting treatment and having a family. Our gynecology, fertility and high-risk pregnancy specialists help patients who are pregnant, trying to become pregnant or wanting to preserve their fertility achieve their family building goals. […] In addition to providing the best care possible today, our physician scientists are exploring ways to improve fibroid treatment options for generations to come.

• #1 Engineering Smart Therapeutics: Innovative Uterine Fibroid Treatment | Duke Department of Obstetrics and Gynecology

  https://obgyn.duke.edu/blog/engineering-smart-therapeutics-innovative-uterine-fibroid-treatment

  A collaboration by researchers at Duke and North Carolina Central University (NCCU) aims to offer a more convenient, less invasive treatment for uterine fibroids, one of the most common and under-studied issues in women’s health. […] Dr. Jayes has long been fascinated with this problem and is involved in developing a new therapeutic treatment using a drug capable of breaking fibroids down inside the body. Since the tumors are collagen-based, the key ingredient in this intervention is collagenase, an enzyme that digests collagen. […] The combination of LiquoGel and the collagenase drug, by contrast, could be administered in a doctor’s office and would act only on the tumor itself. […] The team has secured follow-on funding from North Carolina Biotechnology Center to conduct scale-up production of LiquoGel and time-course studies, as well as other essential research to facilitate the process of enabling clinical trials and ultimately seeking FDA authorization.

• #1 Shrink Them, Zap Them, Starve Them: Newer, Minimally Invasive Fibroid Treatments Offer Hysterectomy Alternative | NYU Langone News

  https://nyulangone.org/news/shrink-them-zap-them-starve-them-newer-minimally-invasive-fibroid-treatments-offer-hysterectomy-alternative

  Two U.S. Food and Drug Administration (FDA)approved fibroid medications: Oriahnn and Myfembree, have been shown to significantly reduce heavy menstrual bleeding associated with uterine fibroids. […] Uterine fibroid embolization is a minimally invasive outpatient procedure performed by an interventional radiologist. […] One of the most common fibroid procedures, myomectomy is a minimally invasive surgery that removes fibroids through the abdomen with tiny, thumb-size incisions. […] Transcervical fibroid ablation, often performed using the Sonata System, is one of the newest tools in fibroid treatment. […] After the procedure, I felt a little cramping, but that was it. […] The Center for Fibroid Care is actively involved in research to improve fibroid management. […] Ultimately, we hope to better understand if LIFE can modify fibroid recurrence, says Dr. Shirazian.

• #1 No “best” treatment for common uterine fibroids – Harvard Health

  https://www.health.harvard.edu/blog/no-best-treatment-for-common-uterine-fibroids-201504237918

  Which treatment is right for you? […] While there are many treatment options for uterine fibroids, there is no clear winner. That means you and your doctor can choose a treatment based on your preferences and reproductive plans along with other medical considerations. […] There may be no best treatment for uterine fibroids. But there is a best treatment for you.

• #2 Uterine fibroids – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/diagnosis-treatment/drc-20354294

  There’s no single best treatment for uterine fibroids. Many treatment choices exist. If you have symptoms, talk with your care team about ways to get relief. […] Many people with uterine fibroids have no symptoms. Or they have mildly annoying symptoms that they can live with. If that’s the case for you, watchful waiting could be the best option. […] Medicines for uterine fibroids target hormones that control the menstrual cycle. They treat symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t get rid of fibroids, but they may shrink them. […] 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. […] During laparoscopic radiofrequency ablation, the doctor sees inside the abdomen using two special instruments.

• #2 Currently Available Treatment Modalities for Uterine Fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11205795/

  Treatment of fibroids must be individualized based on the presence and severity of symptoms and the patients desire for definitive treatment or fertility preservation. […] Treatment options for uterine fibroids include medicamentous, interventional radiology and surgical options. Generally, it is suggested that the treatment of fibroids begins with medicamentous and minimally invasive treatments before surgery. […] The medicamentous management of fibroids is typically reserved for patients with heavy menstrual bleeding and/or pelvic pain who wish to preserve their fertility. […] Medicamentous therapy yields effective results, and symptoms usually improve after one year of treatment. […] The levonorgestrel-releasing intrauterine system is a contraceptive method that is also ideal for the treatment of heavy menstrual bleeding in patients who have contraindications for COCs.

• #2 Patient education: Uterine fibroids (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/uterine-fibroids-beyond-the-basics/print

  Fibroids are very common. Approximately 80 percent of females will have fibroids in their lifetime, although not everyone has bothersome symptoms. Treatments are available for fibroid-related problems like heavy menstrual bleeding, pain or pressure in the pelvis, or problems with pregnancy or infertility. […] If your fibroids are not causing bothersome symptoms, you can choose not to have treatment. If you do have symptoms, your options include observation, medication, or surgical treatment. The best treatment depends on which symptom(s) is most bothersome to you. The size, number, and locations of fibroids, as well as whether or not you might want to get pregnant in the future, also factor into most treatment decisions. […] Most medications aim to reduce the heavy menstrual bleeding that is common in people with fibroids. A few also shrink the fibroid, and some are focused on reducing pain or correcting anemia. Medications are often recommended before surgical treatments.

• #2 Get Uterine Fibroid Treatment | Cleveland Clinic

  https://my.clevelandclinic.org/services/uterine-fibroids-treatment

  Uterine Fibroids Treatment […] You have a range of options when it comes to uterine fibroid treatment. Before creating a treatment plan, we take the time to listen to your needs. We review your symptoms and discuss your goals for fertility preservation. […] […] We offer a wide range of medications to reduce pelvic pain, relieve heavy bleeding during periods and prevent anemia (a lack of iron in the blood). We may recommend: […] Birth control pills: Estrogen helps shorten periods and reduce heavy bleeding. […] Progestin-releasing intrauterine device (IUD): This hormone can reduce blood flow during periods, though an IUD may not be recommended for women with bulk fibroids. […] Tranexamic acid (Lysteda): We give this nonhormonal medication during your period to reduce blood loss. We may recommend it for women who cant have hormonal therapy.

• #2

  https://www.nhs.uk/conditions/fibroids/treatment/

  The contraceptive pill is a popular method of contraception that stops an egg being released from the ovaries to prevent pregnancy. […] Oral progestogen is synthetic (man-made) progesterone (one of the female sex hormones) that can help reduce heavy periods. […] Progestogen is also available as an injection to treat heavy periods. […] If you’re still experiencing symptoms related to fibroids despite treatment with the above medicines, a GP can refer you to a gynaecologist. […] They may prescribe medicine called gonadotropin releasing hormone analogues (GnRHas) to help shrink your fibroids. […] GnRHas stop your menstrual cycle (period), but are not a form of contraception. […] Surgery to remove your fibroids may be considered if your symptoms are particularly severe and medicine has been ineffective.

• #2 Current medical treatment of uterine fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5854898/

  Hysterectomy was considered the only curative solution for fibroids; however, alternate medical treatments that preserve fertility and avoid invasive surgery, with high efficacy, and a desirable side effect profile are now available. […] The cyclic use of progestins for bleeding control has been used in cases of non-organic abnormal uterine bleeding, such as perimenopausal bleeding and endometrial hyperplasia-related bleeding. […] In 2009, the Food and Drug Administration (FDA) approved the LNG-IUS to treat heavy menstrual bleeding in women who opt for an intrauterine device for contraception. […] GnRH agonists have been most extensively studied for the treatment of symptomatic uterine fibroids, especially adjuvant preoperative medical therapy. […] Despite FDA approval, menopausal symptoms, such as hot flashes and atrophic vaginitis, and a decrease in bone mineral density (BMD) after long-term use limit GnRH agonists to short-term adjuvant therapy in most patients.

• #2 Uterine Fibroids Treatments: 9 Options to Treat Uterine Fibroids

  https://www.webmd.com/women/uterine-fibroids/understanding-uterine-fibroids-treatment

  If you have uterine fibroids, you may or may not need treatment. It depends on whether they cause you any problems. […] You cant cure fibroids on your own. But you can do things that help you feel better. […] If you and your doctor decide you need to take something for your fibroids, you may want to consider these other options: […] To help prevent more growth of the fibroid, your doctor may recommend that you stop taking birth control pills or using hormone replacement therapy. […] GnRH antagonists put you into menopause for as long as you take them by suppressing estrogen, which stimulates fibroid growth. […] These work in a similar way to GnRH antagonists, but you get them as a shot. […] An IUD is a birth control device. Some also release the hormone progestin, which can help control the heavy bleeding and cramping that fibroids may cause.

• #2 Current medical treatment of uterine fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5854898/

  SPRMs have tissue-specific effects at PRs, and they can have either a complete PR agonist or antagonist profile or a mixed agonist/antagonist profile. […] Many clinical studies have evaluated the efficacy of UPA in the treatment of symptomatic uterine fibroids; however, the most widely cited studies investigating UPA include the European phase III studies, PGL4001 Efficacy Assessment in Reduction of Symptoms Due to Uterine Leiomyomata (PEARL), which demonstrate UPA’s safety and efficacy. […] Uterine fibroids are highly prevalent in reproductive-aged women, and as women continue to delay childbearing, an increasing number of patients will require fertility-preserving treatment options. Medical management of uterine fibroids may provide symptomatic relief of the uterine fibroid-related symptoms along with the opportunity to maintain fertility.

• #2 Uterine Fibroids: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/9130-uterine-fibroids

  Myomectomy is a procedure that allows your provider to remove the fibroids. […] If you aren’t planning future pregnancies, there are additional options your healthcare provider may recommend. […] Hysterectomy is the only way to cure fibroids. […] Uterine fibroid embolization: An interventional radiologist performs this procedure with the help of your gynecologist. […] Radiofrequency ablation (RFA): This is a safe and effective treatment that uses microwave (RF) energy to treat uterine fibroids. […] Talk to your healthcare provider if you experience any kind of discomfort or pain. Fibroids are treatable.

• #2 Uterine Fibroid Treatments, UFE, MRgFUS

  https://www.radiologyinfo.org/en/info/uterine-fibroid-treatment

  Doctors use UFE and MRgFUS to treat symptomatic fibroids in the uterus. These procedures are non-surgical alternatives to hysterectomy and myomectomy. […] MRgFUS helps preserve the uterus and the patient’s ability to become pregnant. […] UFE typically uses one or two x-ray tubes, a catheter, embolic agents, and a video monitor. […] UFE uses fluoroscopy to insert a catheter through the groin and guide it to the uterine arteries. Once the catheter is in place, the doctor will inject the embolic agents through the catheter and into the arteries to block the fibroids blood supply. […] The interventional radiologist performs UFE in a catheterization lab or occasionally in the operating room. This is may be an inpatient or outpatient procedure. […] Uterine fibroid embolization with local anesthesia is much less invasive than open or laparoscopic surgery to remove individual uterine fibroids (myomectomy) or the whole uterus (hysterectomy).

• #2 Patient education: Uterine fibroids (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/uterine-fibroids-beyond-the-basics/print

  Magnetic resonance-guided focused ultrasound surgery (MRgFUS or FUS) is also a fibroid treatment option. This noninvasive treatment takes place in an MRI machine, which guides the treatment. […] Endometrial ablation destroys the lining of the uterus. The treatment does not shrink the fibroid(s) but can help to decrease heavy menstrual bleeding caused by fibroids. […] Hysterectomy is a surgery that removes the uterus. The ovaries and cervix may be left in place when the hysterectomy is for uterine fibroids. Hysterectomy is a permanent treatment that cures heavy menstrual bleeding and the bulk of related symptoms of fibroids. However, it is major surgery, and you will need up to six weeks to fully recover.

• #2 Uterine Fibroids: What Treatments Are Available > News > Yale Medicine

  https://www.yalemedicine.org/news/uterine-fibroids-treatments

  Women can also choose to have uterine artery embolization, which is noninvasive and offers a faster recovery than surgery, says Hamid Mojibian, MD, a Yale Medicine interventional radiologist. […] Yale also offers a new uterine fibroid treatment method called laparoscopic radiofrequency ablation, in which heat is used to significantly shrink the fibroid. […] At Yale, our interventional radiologists, gynecologists, and primary care physicians all work together to help make the best treatment plan for our patients, Dr. Mojibian says.

• #2 Best Treatment For Uterine Fibroids in Denver & Pueblo Colorado | Uterine Artery Embolization | ECCO Medical

  https://eccomedical.com/conditions/uterine-fibroid-treatment/

  Uterine fibroids are smooth, muscular tumors that form on the interior walls of the uterus. These growths appear during womens childbearing years, and are so common that 30% of all women develop them by age 35, and as many as 70% to 80% of women develop them by age 50. Fortunately, these fibroids are non-cancerous, and do not increase a womans chances of developing uterine cancer. […] In the past, traditional treatment of uterine fibroids has involved hysterectomy (surgical removal of the uterus) or other forms of treatment that left the women incapable of becoming pregnant. At ECCO, we prefer a safer, gentler, minimally-invasive procedure called Uterine Fibroid Embolization, or UFE. During this procedure, your interventional radiologist introduces a thin catheter into the arteries that feed the fibroids, pinpointing their exact location via X-ray fluoroscopy. The doctor then injects a solution of embolizing particles into the arteries to close them, which causes the fibroids they feed to shrink and die. The UFE procedure is performed in our office-based laboratory on an outpatient basis. Because there are no incisions, there are few risks from the procedure itself, and the lack of trauma to the uterus means that you may retain your ability to become pregnant, if you so choose. Most patients report significant reductions of their reported symptoms, often as quickly as the next menstrual cycle.

• #2 Fibroid Treatment Options – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/infertility-reproductive-surgery/cysts-and-fibroids/non-surgical-fibroid-treatment

  Uterine fibroid embolization (UFE), also known as uterine artery embolization(UAE) is an alternative to surgery that involves placing a catheter through a small incision in the groin into an artery in the leg and guiding the catheter via x-ray pictures to the arteries of the uterus. Once there, the catheter is used to deliver agents that block off the blood vessels that feed the uterine fibroids. Total radiation exposure during this procedure is comparable to that in one to two CT scans. UAE does not remove uterine fibroids, but causes them to shrink by 30 to 50 percent. […] MRI-guided focused ultrasound (FUS) is a noninvasive treatment option for uterine fibroids that destroys fibroids while preserving the normal uterus. Focused high-frequency, high-energy sound waves are used to target the proteins in fibroids, until they are destroyed. Used in combination with MRI, FUS allows physicians to precisely target and monitor therapy. A single treatment session lasts approximately 3 hours. Although fibroids are treated and ultimately decrease in size, they are not removed. Women are able to resume normal activity within a day of the procedure, however the long-term effectiveness of this treatment is not known and it is not recommended for women who want to preserve their fertility.

• #2 Uterine Fibroids – Focused Ultrasound Foundation

  https://www.fusfoundation.org/diseases-and-conditions/uterine-fibroids/

  It has a low rate of complications. […] It preserves fertility with published studies reporting that women are able to conceive and have normal pregnancies after treatment. […] In 2004, MRI-guided focused ultrasound was approved by US Food and Drug Administration for the treatment of uterine fibroids. […] Internationally, focused ultrasound is approved in Canada, China, Europe, India, Japan, Korea, the Middle East, Oceania, Russia, South America, and Taiwan. […] In Israel, Clalit Medical Insurance is covering MRgFUS for symptomatic uterine fibroids. […] Ultrasound-guided high-intensity focused ultrasound for symptomatic uterine fibroids: clinical outcome of two European centers. […] Evaluating pregnancy outcomes in women with uterine fibroids treated with high-intensity focused ultrasound: insights from a single-institution study. […] The safety and efficacy of myomectomy in the treatment of recurrent uterine fibroids after HIFU. […] Predictive value of contrast-enhanced MRI for the regrowth of residual uterine fibroids after high-intensity focused ultrasound treatment.

• #2 Boston Fibroid Treatment Options – Brigham and Women’s Hospital

  https://www.brighamandwomens.org/obgyn/resources/fibroid-treatment

  Hysterectomy (surgical removal of the uterus) also is commonly performed for patients with debilitating symptoms associated with uterine fibroids. It is not performed in women who want to become pregnant in the future. […] Non-surgical fibroid treatments include: […] Medications, such as gonadotropin releasing hormone agonists (GnRHa), cause a low-estrogen (menopause-like) state, which reduces the size of the tumor and uterus; these medications are prescribed in preparation for surgery in select cases. […] Uterine fibroid embolization/uterine artery embolization to deliver agents that block off the blood vessels that enable the uterine fibroids to grow; […] MRI-guided focused ultrasound (FUS) is a noninvasive treatment option for uterine fibroids that destroys fibroids, while preserving the normal uterus. Focused high-frequency, high-energy sound waves are used to target and destroy the fibroids.

• #2 Currently Available Treatment Modalities for Uterine Fibroids

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11205795/

  Selective Progesterone Receptor Modulators (SPRM) have been shown to diminish uterine fibroid volume by 17-57% and to reduce uterine mass by 95-93%. […] Myomectomy is a surgical treatment in which the fibroids are removed and the uterus is then reconstructed. […] Myomectomy improves symptoms in up to 80% of cases but is associated with about a 27% risk of recurrence if one fibroid is removed and a risk level greater than 50% in the case of multiple fibroids. […] A hysterectomy is the last treatment option for symptomatic fibroids. A hysterectomy is a definitive surgical treatment option that eliminates the risk of future recurrence. […] Symptomatic uterine fibroids require surgical and/or medical therapy according to the FIGO classification, severity of symptoms, patients age, infertility and wish to preserve fertility. Currently, the usual treatment for fibroids is surgical intervention, such as hysterectomy and/or fertility-sparing myomectomy performed via hysteroscopy, laparoscopy or laparotomy.

• #2 What Are My Treatment Options for Uterine Fibroids? | Northwestern Medicine

  https://www.nm.org/healthbeat/healthy-tips/what-are-my-treatment-options-uterine-fibroids

  Uterine fibroids are fibrous, solid, noncancerous tumors of the uterus. They are also known as uterine leiomyomas or myomas. They’re common and may not require treatment. „If you are diagnosed with uterine fibroids and have no symptoms, there might be no need for treatment,” says Dr. Chaudhari. „Your physician may simply monitor their growth at your annual exams or more frequently if needed.” Your physician may recommend treatment if you: […] Myomectomy is a surgical procedure to remove fibroids while keeping the uterus in place. Myomectomy may reduce both bleeding and pressure symptoms. The goal of myomectomy is to keep the uterus for future fertility. […] New fibroids can grow back after surgery. Between 10% and 25% of patients who undergo myomectomy will need a second fibroid surgery during their reproductive years, and the timing of repeat surgeries varies. Myomectomy is considered the gold standard for patients who want to get pregnant in the future, but may not be right for everyone.

• #2 Nonsurgical Fibroid Treatments | NYU Langone Health

  https://nyulangone.org/conditions/fibroids/treatments/nonsurgical-fibroid-treatments

  NYU Langone gynecologists, including the team at the Center for Fibroid Care, offer several nonsurgical treatment options that shrink fibroids without removing them. This reduces or eliminates symptoms, including heavy and painful periods, without the need for surgery. […] Our nonsurgical treatment options include transcervical radiofrequency ablation, endometrial ablation, and uterine fibroid embolization. […] Transcervical radiofrequency ablation, known by the brand name Sonata, is an incision-free procedure used to shrink fibroids and lessen symptoms. […] This procedure is most effective for people who have a few fibroids up to 5cm with symptomatic bleeding. […] During endometrial ablation, also known as NovaSure, heat energy is used to remove the lining of the uterus, which is the source of the heavy menstrual bleeding that accompanies fibroids.

• #2 Uterine Fibroids | OB/GYN & Women’s Health Services | University Hospitals | University Hospitals

  https://www.uhhospitals.org/services/obgyn-womens-health/conditions-and-treatments/general-gynecology/fibroids

  Fibroids are growths or tumors made of smooth muscle cells and fibrous connective tissue that develop in the uterus. […] Treatment may be required when symptoms such as severe abdominal pain and excessive menstrual bleeding affect a woman’s quality of life. […] The team of gynecologists and interventional radiologists at University Hospitals offer the latest minimally invasive surgical and nonsurgical treatment options to treat uterine fibroids. […] Treatment plans are personalized based on the location and size of the fibroid, and fertility preservation preferences. […] While hysterectomy is the right choice for some patients, it is far from the only option. […] Women seeking treatment for uterine fibroids typically need to make appointments with several specialists to explore fibroid treatment options.

• #2 Uterine Fibroid Clinic | Ohio State Medical Center

  https://wexnermedical.osu.edu/obstetrics-gynecology/gynecology/uterine-fibroids

  Transcervical radiofrequency ablation is one of the newest options for women dealing with symptomatic fibroids who dont want or cant have major surgery. […] Uterine fibroid embolization is not surgery, but a minimally invasive procedure that can shrink fibroids. […] Myomectomy is a surgical procedure that removes fibroids, but not the uterus, so its a good choice for women who hope to get pregnant or just want to keep their uterus. […] Hysterectomy is a surgery in which your uterus is removed, making it the only way to make sure that fibroids will not come back. […] If you have fibroids and plan to become pregnant or are currently pregnant, the specialized team at Ohio States Multidisciplinary Uterine Fibroid Clinic can partner with your fertility specialist or Ob/Gyn to determine the best treatment plan, monitor symptoms and minimize complications. […] Because we are part of one of the largest academic medical centers in the nation, you benefit from the most current therapy options and surgical techniques and the latest knowledge gained from our ongoing research on fibroid causes, complications and treatment.

• #2 Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids – UChicago Medicine

  https://www.uchicagomedicine.org/conditions-services/obgyn/uterine-fibroids

  At the Center for the Advanced Treatment and Research (CATeR) of Uterine Fibroids, we dont subscribe to a one size fits all approach to fibroid treatment. Well build a customized treatment plan that is tailored to your unique needs and designed to improve your quality of life. Our main goal is to support you in managing your fibroids, so your fibroids dont manage you. […] Our team of experts at the University of Chicago Medicine have a history of exceptional outcomes even for fibroids that are the most challenging to remove, shrink or treat. We work with you to discuss all your treatment options and will help champion the option that allows you to achieve your lifestyle goals. […] Choosing the right treatment option is a personal decision. Well discuss your short-term and long-term health goals and help you understand the benefits and risks as you consider your options.

• #3 Patient education: Uterine fibroids (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/uterine-fibroids-beyond-the-basics/print

  Your doctor might recommend a surgical or interventional treatment for fibroids if: You have fibroid-related heavy menstrual bleeding, pain, or pressure that does not get better with medication; You are trying to get pregnant and fibroids appear to be interfering; The size of the fibroid is causing symptoms. […] Myomectomy is a surgery done to remove fibroids, which can reduce both bleeding and size-related symptoms. Myomectomy is often a good choice for people who might want to get pregnant in the future. […] Uterine artery embolization (UAE), also called uterine fibroid embolization (UFE), is a treatment that blocks the blood supply to fibroids. This causes the fibroid to shrink within weeks to several months after the treatment and decreases other fibroid symptoms including heavy menstrual bleeding.

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