Medicine can be used to help relieve
uterine fibroid problems. The goals of medicine
treatment are to:
- Relieve severe pain or other symptoms caused by
anemia caused by heavy bleeding.
fibroids before fibroid removal (myomectomy) or uterus removal (hysterectomy).
- Avoid hysterectomy.
When treatment is stopped, symptoms usually return.
The following medicines are used to relieve heavy
menstrual bleeding, anemia, or painful periods—they do not shrink
The following medicine is used to shrink fibroids before
surgery and to temporarily relieve symptoms:
Gonadotropin-releasing hormone analogue (GnRH-a) therapy puts the body in a state like
menopause, which shrinks the uterus and fibroids.
GnRH-a therapy should be used for only a few months, because it can weaken the
bones. It may also cause unpleasant menopausal symptoms. Fibroids grow back
after GnRH-a therapy is stopped.5
- Uterine Fibroids: Should I Use GnRH-A Therapy?
What to think about
If you have pain or heavy
menstrual bleeding, it may be from a bleeding uterine fibroid. But it may also
be linked to a
menstrual cycle problem that can be improved with
birth control hormones and/or NSAID therapy. For more information, see the
Dysfunctional Uterine Bleeding.
GnRH-a therapy is sometimes used to stop
bleeding and improve anemia. But taking iron supplements
can also improve anemia and does not cause the troublesome side effects and
bone weakening that can happen with GnRH-a therapy.