There is no single treatment suitable for every patient with uterine fibroids. Treatment depends on factors such as symptoms, fibroid size and location, overall health, and future pregnancy plans. A gynaecologist can discuss suitable management options based on individual clinical findings. The available options include observation, medication, minimally invasive procedures and surgery.
Watchful waiting – Observation may be appropriate for patients whose fibroids do not cause significant symptoms or require immediate treatment. Follow-up recommendations depend on clinical findings.
Medications Treatment options may include gonadotropin-releasing hormone (GnRH) medicines, a levonorgestrel-releasing intrauterine device (IUD), tranexamic acid and non-steroidal anti-inflammatory drugs (NSAIDs), depending on the patient's symptoms and medical history. These treatments may help manage heavy menstrual bleeding, pain or other symptoms. Some medicines may temporarily reduce fibroid size, while others mainly control symptoms. Potential side effects, duration of use and suitability vary by medication and should be discussed with a healthcare professional.
MRI guided HIFU: This technique uses focused ultrasound energy, guided by MRI, to heat and treat targeted fibroid tissue. Suitability depends on fibroid characteristics, location and patient factors. Potential benefits, limitations, availability and long-term outcomes should be discussed with the treating specialist.
Uterine Fibroid Embolization:Also known as uterine artery embolization (UAE), this minimally invasive procedure involves blocking selected blood vessels supplying the fibroids. The treated fibroids generally shrink over time, and symptoms may improve. Outcomes depend on factors such as fibroid characteristics and individual clinical circumstances. Potential risks, the possibility of further treatment and fertility considerations should be discussed with the treating specialist.
Thermal Ablation Treatment: Selected fibroids may be treated using techniques that apply heat to targeted tissue, such as radiofrequency ablation (RFA) or microwave ablation. Access methods and suitability vary according to the technique and the patient's clinical findings. Cryoablation uses freezing to damage targeted tissue, but its availability and role in uterine fibroid treatment should be confirmed with a specialist.
Endometrial Ablation:This procedure treats the lining of the uterus to reduce heavy menstrual bleeding in selected patients. It does not treat fibroids throughout the uterine wall. Some submucosal fibroids may be removed hysteroscopically when clinically appropriate, depending on their size, location and other findings. Endometrial ablation is not intended for patients who wish to become pregnant in the future, and pregnancy-related risks should be discussed with the treating specialist.
Myomectomy Surgery either laparascopic, robotic, hysteroscopic or open myomectomy: In this surgery, the fibroids are removed by cutting and removing the fibroids.
Hysterectomy: surgical removal of the uterus along with which the fibroids which are present within the uterus also removed.With any procedure that doesn’t remove the uterus, there’s a risk that new fibroids could grow and cause symptoms.
In the event that you’re worn out because of Uterine Fibroids, contact the truly outstanding in the non-Surgical treatment of Uterine fibroids Dr. Shailesh Kumar Garge of the Citi Vascular Centre. To make an appointment, kindly call 7032508468
