Treatment Options for Uterine Fibroids
<p>Uterine fibroids are extremely variable from woman to woman. In some women they cause pain and heavy bleeding, others are asymptomatic. They can develop on the inside or outside of the uterus. Fibroids sometime interfere with pregnancy, grow slowly and are not cancerous. For some women, the best plan is to simply “watchful waiting”. If they do cause you pain and excessive menstrual bleeding you may want to consider one of these treatment options for uterine fibroids:
With this method the medications target hormones that control your ovulation cycle, such as estrogen and progesterone. The drugs can alleviate pain in the pelvis and heavy blood flow during your period. However they will not make the fibroids go away, only make them smaller. A few of the medications that are available are birth control pills, androgens and intrauterine devices (IUD).
This is a major abdominal surgery. The entire uterus is removed from the body, thus ending the patient’s bout with fibroids and their complications. With a hysterectomy there may be the option to leave the ovaries in place. If the ovaries need to be removed you may need to be put on hormone replacement therapy in the future. There are potential risks and complications to hysterectomy, and frequently women will encounter these many years after the procedure.
Myomectomies are surgical procedures. If you choose one ofthose treatmentoptions for uterine fibroids the growths will be fly removed from your uterus. The benefit of a myomectomy is that the uterus is left in place. A down fall is that some women may re-grow fibroids after the myomectomy.
With the myomectomy there are variations available for the different sizes and locations of growths. For large or deep fibroids your provider may choose to do an abdominal myomectomy, which is an open abdominal surgery. Laparoscopic myomectomies are used for several small fibroids. With the laparoscopic procedure a small incision is made in the abdomen and a slender tool is inserted into the body. The physician will conduct hysteroscopy, the surgery is completed by inserting a small scope through the vagina and cervix. This method also utilizes a small camera.
With this option, energy is used to destroy the lining of the uterus. When the lining is destroyed it either ends or reduces menstruation. If you are not planning to have more children, this may be a treatment option. However, there is no guarantee that endometrial ablation will treat fibroids. Additionally, many fibroids are located where this treatment option will not be effective. .
Make sure to consider all of your treatment options for uterinefibroids. Do not be afraid to bring up possible solutions to explore with your doctor. There are many ways to address the issue and there is sure to be one that will help you live a life without pain or excessive bleeding.
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