Should you treat your Fibroids?

Treatment for fibroids depends on the size, location, and symptoms of the fibroids, as well as the woman’s age, overall health, and plans for pregnancy.

Medications:

• Gonadotropin-releasing hormone (Gn-RH) agonists: These drugs shrink fibroids by temporarily putting a woman into menopause, which reduces the levels of estrogen and progesterone. These drugs can relieve symptoms such as heavy bleeding, but they have some side effects and are usually used for a short period of time.
• Progestin-releasing intrauterine devices (IUDs): These are devices that are placed in the uterus and release progestin, which can help control heavy bleeding caused by fibroids.
• Non-steroidal anti-inflammatory drugs (NSAIDs) can be used to control heavy bleeding caused by fibroids.
  •   Tranexamic acid: This is a medication that belongs to a class of drugs called antifibrinolytics. It is used to reduce or prevent excessive blood loss and is commonly used in conditions such as heavy menstrual bleeding and surgery. Tranexamic acid works by inhibiting the breakdown of blood clots. This helps to reduce the loss of blood and the need for blood transfusions. It is typically given as a tablet or injection and can be taken before or after surgery or to manage heavy menstrual bleeding.

Minimally Invasive Procedures:

• Hysteroscopic myomectomy: This procedure removes fibroids from the inside of the uterus using a thin scope inserted through the cervix. It is done as an outpatient procedure and recovery time is relatively short.
• Uterine artery embolization (UAE): This procedure blocks the blood supply to the fibroids, causing them to shrink. It is performed by an interventional radiologist and done as an outpatient procedure.

Surgery:

• Myomectomy: This procedure removes fibroids while preserving the uterus. It can be done through an open abdominal incision or laparoscopically.
• Hysterectomy: This procedure removes the entire uterus, including fibroids. It can be done through an open abdominal incision, laparoscopically, or vaginally.

It’s important to note that not all women with fibroids require treatment and the decision to treat should be made after careful consideration with a healthcare provider. In some cases, a watchful waiting approach may be appropriate, especially if the fibroids are small or not causing symptoms.

It’s also important to discuss all options and their potential risks and benefits with your healthcare provider before making any decisions about treatment.

It’s also important to note that, if the fibroids are not causing any symptoms, and the woman is not planning on becoming pregnant, the best option is to monitor them and not to treat them.