Treatment Options for Uterine Fibroids

In most cases, fibroids are treated only if they are causing symptoms. Treatment options may include the following:

Fibroid medications

None of the drug therapies for uterine fibroids get rid of them entirely. Some of the drugs work by lowering estrogen and/or progesterone and may shrink fibroids and relieve symptoms. Other methods of treatment, such as using contraceptive pills, have been shown to control excessive menstrual bleeding, but do not affect the size of the fibroid.

Surgical procedures

The most common surgical procedures for removing fibroids is myomectomy (surgery to remove fibroids) or hysterectomy (surgery to remove the entire uterus).

Alternative procedures

For women who want to preserve their uterus and have completed child-bearing, there are the following minimally invasive options:

  • Uterine artery embolism (UAE). A procedure that consists of a catheter threaded through the arteries to deliver small particles that block the blood supply to the uterine body and cause the fibroids to shrink over time.
  • Acessa procedure. A minimally invasive surgical procedure that utilizes a technology called radiofrequency ablation, and treats each fibroid by applying energy through a small needle array. The surrounding normal uterine tissue is not damaged or otherwise affected. Over time, the treated fibroid tissue shrinks and may become completely reabsorbed by the body. Acessa is performed under general anesthesia, and only two very small (approximately ¼”) abdominal incisions are needed during the procedure – there is no cutting, suturing or removal of the uterus itself.

If you’re experiencing severe pain or suffering from heavy periods related to fibroids, schedule an appointment at Brigham Faulkner OBGYN in our Boston office or learn more about our TRUST Study.