Treatments · Uterine fibroids
Fibroids: not all of them need treatment
Fibroids are growths in the wall of the uterus. They are not cancer, and most women who have them feel nothing. What decides whether they are treated is the symptoms they cause, where they are and whether you want to become pregnant.
Treating only the ones that cause problems
They found fibroids. Do I need surgery? Usually not. Most cause no symptoms and need no treatment.
We start with an ultrasound to see how many there are, how large and where.
Location matters. Fibroids that grow into the inside of the uterus are the ones that can cause heavy bleeding or make pregnancy difficult.
When they do need treatment, there are several options: medication that shrinks them, or surgery that removes the fibroids and keeps the uterus.
That surgery can be done in three ways, depending on size and location: from inside the uterus, with no cuts; through very small cuts in the abdomen; or through an incision in the abdomen.
Recovery differs with each: a few days when it is done from inside the uterus, and two to seven days when it is done through small cuts.
Removing the uterus is an option only for women who have symptoms and no longer plan to become pregnant.
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What patients ask most
Are fibroids cancer?
No. They are growths in the wall of the uterus that are not cancer.
Can I get pregnant with fibroids?
Often, yes. The ones most likely to make it difficult are those that grow into the inside of the uterus; those can sometimes be removed with no cuts, going in through the cervix.
Will my uterus have to be removed?
Not necessarily. Today fibroids can often be removed while keeping the uterus. Removing it is an option for women who have symptoms and no longer plan to become pregnant.
Sources
This page is for information only and does not replace a medical evaluation. It was prepared based on:
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