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Author: Admin | 2025-04-28
Hysterectomy. Myomectomy removes fibroids, preserves the uterus and leaves options for future fertility, though you may need a cesarean delivery for future pregnancies. Other treatment procedures include uterine fibroid embolization and radiofrequency thermal ablation of fibroids. However, the untreated fibroids may continue to grow and symptoms may recur.Not everyone needs a procedure or surgery; instead, medical treatment can just target certain fibroid symptoms. Management of bleeding symptoms could involve taking non-hormonal or hormonal suppression of menstrual bleeding. Nonhormonal nonsurgical options for treating bleeding include nonsteroidal anti-inflammatory medications such as ibuprofen or naprosyn. Alternatively, tranexamic acid tablets during the first 5 days of the period are also very effective in managing heavy periods, regardless of the cause. However, these medications do not shrink the fibroids. Hormonal treatment options to treat bleeding include birth control pills, progesterone pills, progesterone IUD insertion or taking other types of hormonal medications to slow heavy menstrual bleeding and decrease blood loss. There are medications that can treat the bleeding and shrink the fibroids by decreasing the estrogen and progesterone production by the ovaries but have side effects that mimic menopause and are not generally used for long-term management. Q: Will my fibroids affect my fertility? Dr. Chiang: Fibroids can affect fertility and pregnancy outcomes, but they don’t for everyone. They can also increase the chance that, if you get pregnant, you may experience pregnancy loss, need a cesarean delivery, have pregnancy complications such as growth restriction in the fetus, breech presentation, bleeding, or your baby could be born preterm. The best thing to do is talk with your doctor about your goals and what treatment options are available to you. And ask about how often you should get your fibroids checked and if you should be checked for anemia and low iron — this is how you can stay on top of any symptoms that may develop down the line.
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