There are several issues that influence the treatment options for fibroids. Some of these include:
- Is the woman having any symptoms from fibroids
- Does the woman want to become pregnant sometime in the future
- The size of the fibroids
- The location of the fibroids
- The woman’s age and how close to menopause she is.
If a woman has fibroids but does not have any symptoms, treatment may not be needed. Here are some of the multiple options for management of uterine fibroid such as:
- GnRH or Lupron
- Mirena intrauterine system
- Endometrial ablation
- Acessa Radiofrequency Ablation
- da Vinci robotic surgery
- SILS or single incision laparoscopic surgery
- UFE or uterine fibroid embolization
- MRI guided ultrasound therapy
- Natural therapies
Uterine fibroids are smooth muscle tumoursthat grow in the uterus. Many women who do have fibroidsmay not have any symptoms, while others have heavy periods that are quite painful. If large these, fibroids may alsoapply pressure on the bladder causing a need to frequent urinate. They can also cause pain during sex or painlocated in the lower back. A woman can have only onefibroid or many and there are also various sizes. Occasionally, fibroids may make it hard to become pregnant.
Medical therapy or drug therapy includes:
Androgens – the so-called male hormones – a woman’s ovaries and adrenal glands, located above the kidneys, produces androgens. Given as drug therapy, androgens can relieve symptoms of fibroids. Danazol which is a synthetic androgen that is like testosterone and in some women is effective in stopping menstruation, which will correct anaemia and shrink fibroid tumours and reduce the size of the uterine.
Oral contraceptives – progestins help control menstrual bleeding, but do not reduce the size of the fibroid. Together with NSAIDS which is effective for heavy bleeding. These two together might be able to take care of the symptoms of fibroids if the size of the fibroid is not a problem.
Progestin-releasing intrauterine device– an IUD that releases Progestin can relieve pain and heavy bleeding.
Gonadotropin-releasing hormone (Gn-RH) agonists – this drug therapy produces the opposite of your natural hormone so that estrogen and progesterone level fall, menstruation stops, fibroid shrink and anaemia often improves.
Lupron – this product does about the same as the medications above. The problems with all these hormone therapies are that young women go into early menopause withall the problems that menopause cause.