Nonsurgical treatments for uterine fibroids include watchful waiting and the use of birth control pills, Lupron, pain relievers, iron and an intrauterine device with levonorgestrel, according to WebMD. A minimally invasive treatment option is uterine artery embolization. Surgical treatment options are myomectomy and hysterectomy.
Most uterine fibroids either stay the same size or grow over time; a small number naturally shrink, explains WebMD. Oral contraceptives contain hormones, such as estrogen and progesterone, that can help reduce heavy periods caused by uterine fibroids. Lupron is another hormone sometimes used before surgery to stop menstrual periods and shrink uterine fibroids. Mirena is an intrauterine device that releases a hormone that reduces heavy periods. Iron tablets help the body replace the blood lost during menstruation, preventing anemia.
In uterine artery embolization, a catheter is inserted into an artery in the groin and guided to arteries that feed the uterus in order to inject particles that clog the blood vessels feeding the fibroid. Cutting off blood flow to a uterine fibroid causes it to shrink. Myomectomy surgery removes uterine fibroids while leaving the uterus in place. One-third of women require a later procedure to remove new fibroids, states WebMD. A hysterectomy removes the entire uterus, curing fibroids by preventing their return.