Best treatment for Uterine Fibroid

Last updated date: 09-Jul-2021

Mazumdar Shaw Medical Center, Bommasandra

7 mins read

A long time back, removing your whole uterus was the best way to deal with uterine fibroids. These days, there are many alternatives for uterine fibroid treatment. If you have fibroids, set aside some time to settle on the best uterine fibroid treatment for you.

Specialists say, the benign, non-cancerous development of the muscle cells in the uterus isn’t threatening, so there’s no compelling reason to panic.

Your choices depend on your uterine fibroid symptoms. Not every person with fibroids has symptoms, and whether you do relies upon how enormous the fibroids are, what are the numbers, and where they’re found. Symptoms of uterine fibroids include excessive bleeding, pelvic pressure, frequent urination, back pain, and constipation or loose bowels. When choosing a fibroid treatment alternative, you and your doctor will likewise consider “the desire for future fertility”. Disparate to hysterectomies, various other uterine fibroid treatments permit you to get pregnant later on.

Recommended treatment for uterine fibroid

Conscious waiting

On the off chance that you have uterine fibroids but don’t have any symptoms or minor ones, then sitting idle while staying alert for any changes–is a good option.

Specialists state if the fibroids are not causing any issues, and they’re not enlarged, they can be monitored. You don’t need to intervene. This is usually the way when women are approaching menopause or post-menopause. Estrogen helps fibroids grow; as estrogen normally reduces, so do fibroids. Conscious waiting is additionally an alternative if you wish to get pregnant and the fibroid doesn’t look like it will meddle with pregnancy. Specialists feel from a pregnancy perspective, a few fibroids are problematic, while some aren’t. They can assist in choosing a safe and effective treatment for you.

Lifestyle and diet changes

As we really don’t comprehend what causes fibroids to grow, it’s hard to state what you ought to do to forestall them. We do realize that fibroids are sensitive to hormones, particularly estrogen. Lifestyle adjustments that affect hormone production may mitigate some symptoms.

Indeed, diet and exercise might be the two notable things you can do at home to treat uterine fibroids. Estrogen influences fibroids and fat cells produce estrogen. Shedding some abundant body fat could improve symptoms. While there are no special studies on diet or foods that can wither fibroids, there is some proof, that, ladies who follow a plant-based eating regimen have improved fibroid symptoms. Exercise may likewise help to ease some symptoms, yet, there are no known approaches to dispose of fibroids normally.

GnRH agonists

If the above two aren’t options for you, doctors may proceed to hormonal drugs to control symptoms and even constrict the fibroids.

A few of these prescriptions, like leuprolide (Lupron), are gonadotropin-releasing hormone (GnRH) agonists. They work by blocking hormone creation. This makes the fibroids to contract, which eases uterine fibroid symptoms like heavy bleeding, pelvic pain, or frequent urination. Reducing bleeding is particularly critical to bring down the risk of anemia in women. However, stopping hormone growth implies you may likewise wind up with menopausal symptoms like hot flashes. A few doctors endorse “add back” prescriptions low dosages of hormones–to counter that impact without diminishing how well the GnRH agonist functions.

GnRH agonists accessed in pill, nasal spray, and injections, are regularly used for a short period of time. They can be useful in constricting the size of a fibroid before the medical procedure. Fibroids will develop back after these meds are stopped.

Hormone medications

Hormonal contraceptives are another choice to treat uterine fibroid symptoms. They won’t really diminish the size of uterine fibroids, however, they may regulate periods or decrease substantial bleeding. Experts say this could be a pill or a progestin-releasing IUD (intrauterine device), as long as the area of the fibroids doesn’t meddle with embeddings one safely.  Androgens, purported male hormones, as danazol (a synthetic medication that mimics testosterone), can stop periods and constrict fibroids. But, this treatment may likewise bring about weight gain, a lower voice, and excess hair growth.

Other medications

Non-hormonal alternatives include tranexamic acid  which has to be taken during heavy period days to minimize the bleeding.

And keeping in mind that they will do nothing to decrease fibroid size, nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help soothe fibroid pain. Specialists state, generally, clinical treatment will in general be to a greater degree a stalling measure.

MRI-guided focused ultrasound

In this procedure, doctors use an MRI system to find your uterine fibroids and destroy them with high-recurrence ultrasound. It’s viewed as a lasting procedure to take out or constrict the size of the fibroids.  It’s a noninvasive procedure. It’s performed inside an MRI machine and the patient is discharged on the same day. It’s a relatively new procedure that is considered safe if you want to get pregnant.

Uterine artery embolization

This procedure is also known as uterine fibroid embolization. In this procedure, fibroids are deprived of their lifeblood. Embolization constricts the blood flow to the fibroids, resulting it to shrink and die. Your doctor will infuse small particles into the arteries that supply blood to the fibroids. The particles set up a barricade for any blood attempting to get to the uterine fibroid. Uterine artery embolization is usually done as an inpatient or outpatient procedure.

Embolization is commonly recommended for ladies whose uterine fibroids are causing heavy bleeding or pain or whose fibroids are pushing on the bladder or rectum. It’s not for women who intend to get pregnant. It’s considered to weaken the uterine wall, thereby putting the patient at risk for pregnancy-related complications. Studies are being conducted to analyze whether it’s safe to have this procedure and get pregnant.

Endometrial ablation

Endometrial ablation is a sort of minor medical procedure that doesn’t simply neutralize a fibroid, it roots out the whole covering of the uterus (called the endometrium). This generally deals with heavy bleeding and only works on some uterine fibroids. Endometrial ablation doesn’t treat all fibroids, only ones that are towards the inside part of the uterus.

This is generally done as an outpatient procedure, even right in your doctor’s office. An instrument is embedded through the vagina and into the uterus, where it uses heat, electric current, or microwave energy to root out the fibroids and uterine tissue. It’s improbable for women to conceive after endometrial ablation.


Myomectomy is a procedure for women who still wish to get pregnant. It is used to deal with intracavitary fibroids or those that go into the uterine hole. A myomectomy is performed to eliminate the fibroids from the uterus, and it keeps the uterus intact.

Hysteroscopic, laparoscopic, abdominal or robot-assisted, are some of the ways to perform a myomectomy.  Some include embedding an instrument through the vagina and cervix into the uterus to eliminate the fibroids and there are other ways too. It is a minimally invasive and permanent procedure. The fibroids don’t develop back. Nonetheless, at times, it’s not the end of fibroids completely. There could be little ones that will develop after some time that wasn’t detected at the time of the medical procedure.

In some cases, myomectomy is performed with morcellation, an operation that breaks fibroids into finer pieces before eliminating them. The FDA suggests against this practice, particularly for ladies who are close or in menopause, just in case there is an undiscovered cancerous tumor present. If the tumor is broken into little pieces, it could spread.


A hysterectomy or medical procedure to remove the uterus, used to be the main treatment for uterine fibroids and still is. It presents a 100% surety that fibroids won’t return. It is usually reserved for ladies with enormous uterine fibroids and extremely heavy bleeding who are approaching or post-menopause. Nonetheless, it might be the exclusive treatment procedure in certain patients. If a woman has a family background of ovarian cancer or endometrial cancer, possibly they’re not the best individual to have a uterine-saving procedure.

Surgeons may choose to eliminate only the uterus, part of the uterus, or the ovaries and fallopian tubes. Uterus removal implies you won’t have the option to have kids. Taking out the ovaries implies you will go into menopause.

There are various ways to perform a hysterectomy: Doctors can approach the uterus through small incisions on the abdomen through Laparoscopy or Robotics and remove the uterus through the vagina or make an incision on the Abdomen just like cesarean incision or vertical incision. Remember the surgery has few complications associated.


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