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How can uterine fibroids be treated?

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Quick Answer

Medications, MRI-guided focused ultrasound surgery, minimally invasive procedures and traditional surgical procedures treat uterine fibroids, states Mayo Clinic. Women with mild or no symptoms may only require monitoring, and fibroids often shrink with no treatment after menopause.

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Medications do not remove fibroids but focus on hormones to regulate adverse menstrual cycle symptoms such as heavy bleeding and pelvic pressure, explains Mayo Clinic. Gonadotropin-releasing hormone, or Gn-RH, agonists temporarily postpone menstruation to shrink fibroids; a progestin-releasing intrauterine device relieves heavy bleeding; and nonhormonal medications such as anti-inflammatory drugs relieve menstrual pain caused by fibroids.

An MRI-guided focused ultrasound surgery protects a uterus containing fibroids and requires no incision, according to Mayo Clinic. Minimally invasive procedures such as uterine artery embolization; myolysis; laparoscopic or robotic myomectomy; hysteroscopic myomectomy; and endometrial ablation and resection of submucosal fibroids shrink fibroids with various techniques such as cutting off blood flow to the fibroids, freezing the fibroid and removing the uterus lining to reduce or stop menstrual flow. Laparoscopic, robotic and hysteroscopic myomectomy removes the fibroids from the uterus. Abdominal myomectomy and hysterectomy are traditional surgical procedures that treat very deep, large or multiple fibroids. A hysterectomy is the only permanent solution for uterine fibroids, but the abdominal myomectomy is also an option for many women considering a hysterectomy.

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