Understanding Uterine Fibroids -- Diagnosis and Treatment
What Are the Treatments for Uterine Fibroids? continued...
There are several methods in which the lining of uterus is destroyed to decrease the bleeding associated with small fibroids.
Fibroids can be removed by a surgery known as a myomectomy. If you plan to become pregnant, a myomectomy may be recommended over other options. Even with myomectomy, though, surgery can cause scarring that may cause infertility.
Discuss any plans you have to conceive with your doctor before deciding on surgery. Women should wait four to six months after surgery before trying to conceive. In most women, symptoms go away following a myomectomy, although fibroids return in a quarter to a third of women who have this procedure. Successful surgery partially depends on the number of fibroids and whether they were all removed.
There is a small chance that what was thought to be a fibroid could instead be a cancer called uterine sarcoma. For this reason, the FDA recommends not cutting the fibroid into small sections before removing it, a process called laparoscopic morcellation.
A less invasive type of myomectomy uses a hysteroscope -- a long, thin lighted tube -- to enter the uterus through the vagina and cervix. Fibroids can then be removed by a tool inserted through the hysteroscope.
There is an experimental method that uses MRI-guided intense ultrasound energy to pinpoint the fibroids and shrink or destroy the fibroid.
Hysterectomy (surgical removal of the uterus), is the only treatment that guarantees a cure from fibroids. For many women, though, hysterectomy may not be necessary.
When fibroids grow on the outside of the uterus, you may become aware of a mass on your abdomen. Lying down and placing a hot pack or hot water bottle on your lower abdomen may lessen pain. Apply the hot packs several times a day. NSAIDs like Advil and Motrin can also ease pain.