Fibroid management involves various approaches aimed at alleviating symptoms, reducing fibroid size, and addressing any complications associated with uterine fibroids. Treatment options range from conservative measures for mild symptoms to surgical interventions for more severe cases. Here are some common strategies for fibroid management:
Watchful Waiting: In cases where fibroids are small, asymptomatic, and not causing significant problems, a "watchful waiting" approach may be recommended. This involves monitoring the fibroids over time to track any changes in size or symptoms without immediate intervention.
Medications:
Pain Relief: Over-the-counter pain relievers such as ibuprofen or acetaminophen may help alleviate pelvic pain or discomfort associated with fibroids.
Hormonal Therapy: Hormonal medications such as birth control pills, hormonal intrauterine devices (IUDs), or GnRH agonists may be prescribed to help control heavy menstrual bleeding, reduce fibroid size, or alleviate symptoms such as pelvic pressure or pain. These medications work by regulating hormone levels and temporarily shrinking fibroids.
Tranexamic Acid: This medication may be prescribed to help reduce heavy menstrual bleeding associated with fibroids by promoting blood clotting.
Non-Invasive Procedures:
Uterine Artery Embolization (UAE): UAE is a minimally invasive procedure in which tiny particles are injected into the blood vessels that supply the fibroids, cutting off their blood supply and causing them to shrink.
MRI-Guided Focused Ultrasound Surgery (MRgFUS): This non-invasive procedure uses focused ultrasound waves to heat and destroy fibroid tissue while sparing the surrounding healthy tissue. It is performed under MRI guidance to precisely target the fibroids.
Surgical Interventions:
Myomectomy: Myomectomy is a surgical procedure to remove fibroids while preserving the uterus. It may be recommended for women who wish to retain fertility or for those with symptomatic fibroids who prefer a uterus-preserving approach.
Hysterectomy: Hysterectomy involves the surgical removal of the uterus and is considered a definitive treatment for fibroids. It may be recommended for women who have completed their family planning or for those with severe symptoms that do not respond to other treatments.
Endometrial Ablation: This procedure involves destroying the lining of the uterus (endometrium) to reduce menstrual bleeding. It may be recommended for women with heavy menstrual bleeding caused by fibroids who wish to avoid more invasive surgery.
Lifestyle Modifications: Making certain lifestyle changes may help manage symptoms associated with fibroids, such as pelvic pain or discomfort. This may include maintaining a healthy weight, exercising regularly, managing stress, and adopting a nutritious diet rich in fruits, vegetables, and whole grains.
Alternative Therapies: Some women may find relief from fibroid symptoms through alternative therapies such as acupuncture, herbal supplements, or dietary supplements. However, the effectiveness of these approaches varies, and it's important to discuss their use with a healthcare provider.
Fibroid management is individualized based on factors such as the size, number, and location of fibroids, the severity of symptoms, reproductive plans, and overall health. Women with fibroids should work closely with their healthcare provider to develop a treatment plan that addresses their specific needs and preferences. Regular monitoring and follow-up care are important to assess the effectiveness of treatment and address any changes in symptoms or fibroid size over time.
Here at RescueMD, our women’s health providers are able to handle fibroid management for patients in Allen, Frisco, Mckinney, Plano, Dallas and the surrounding areas.