![]() ![]() Physicians usually perform the surgery through an open incision (when fibroids are very large) or use minimally invasive methods: robotic myomectomy (through several tiny incisions in the abdomen) or hysteroscopic myomectomy (through the vagina and cervix). When fibroids are large or numerous, they can be removed through a procedure called myomectomy. And some women may not even need to have surgery if we use this drug.” “This is an option that we can use either presurgically or postsurgically to try to manage symptoms. “This is exciting because a lot of times we may treat women with fibroids surgically, but they still have a lot of fibroids left that may be problematic,” says Dr. It works by suppressing ovarian hormones and stopping periods. NewYork-Presbyterian/Columbia University Irving Medical Center physicians were involved in a clinical trial of a new medication called elagolix, approved to control heavy bleeding due to fibroids. Other drugs, such as leuprorelin (Lupron), can shrink fibroids by triggering temporary menopause before a patient proceeds with surgery or pregnancy. Over-the-counter painkillers, like ibuprofen, can ease menstrual cramps. Hormonal-based therapies, like birth control pills, can reduce bleeding. Treatment often starts with symptom relief. Instead, treatments are tailored to women’s medical needs and preferences, including the size and number of fibroids and whether they desire children. There is no one-size-fits-all treatment, he says. “We now have a number of good alternatives that we can customize to meet the needs of most patients,” says Dr. Symptomless fibroids can still grow and interfere with pregnancy. “While most of the time in medicine you don’t need to treat things that are asymptomatic, fibroids are tricky,” says Dr. This is important even if you have no symptoms. “But when you’re looking at a fibroid that has grown to 7 or 8 centimeters, it could have implications,” Dr. Often, small fibroids - 2 or 3 centimeters in diameter - don’t require attention. “Otherwise, you may end up at a point where all of a sudden it does compromise your fertility or you are having heavy menstrual bleeding,” he says. Advincula says it’s important to weigh symptoms, the extent and location of fibroids, and an indiviudal’s childbearing goals at the time of diagnosis in order to avoid problems. For instance, it’s much more challenging to manage large fibroids in patients who wish to become pregnant.ĭr. Maintaining your mental health and wellness is a crucial component to successfully managing and treating your uterine fibroids.Many complications of fibroids can be minimized by addressing them from the beginning, Dr. From managing pain, heavy bleeding and other symptoms to understanding and making treatment decisions, having fibroids can contribute to stress, anxiety and depression, taking a toll on your overall mental health and wellbeing.Īt the CATeR Fibroid Center, we collaborate with psychologists, psychiatrists and vetted resources to offer counseling services and social support. ![]() Treating symptoms is important, but we also believe in thinking more broadly about how fibroids impact your life and how our experts can help. At the CATeR Fibroid Center, our team often partners with other University of Chicago Medicine experts to design treatment plans specific to your unique combination of health challenges, including:Ĭoping with Fibroid Symptoms and Treatment We understand that having fibroids is more than heavy bleeding and painful cramps and can sometimes impact your health in more complicated ways. Life-Changing Care That’s Integrative, Not Isolated ![]()
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