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What are treatment options for fibroids?

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Treatment for fibroids includes medication, noninvasive procedures and surgeries such as abdominal myometcomies and hysterectomies, which involve complete removal of the uterus. Fibroids, or noncancerous masses, may come and go and present pain and other symptoms before disappearing. Some women choose a wait-and-see approach upon diagnosis, preferring no treatment if fibroids do not present symptoms, while others choose intervention, especially for recurrent or large fibroids.

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On the conservative end of treatment, medication and noninvasive procedures rank among the most common and popular. Physicians may prescribe medications to regulate hormone levels in the bloodstream, which in turn control the growth and spread of fibroids. According to the Mayo Clinic, these medications do not eradicate fibroids but might cause them to shrink. Medicines include Gn-RH antagonists, progesterin intrauterine devices, anti-inflammatory medicines and oral contraceptives. Minimally invasive procedures include various ultrasound surgeries, which use an MRI as a guiding tool to send targeted sound waves through to fibroids, in turn breaking them apart. Uterine artery embolization, myolysis and myomectomies serve as popular minimally invasive techniques. In contrast to open abdominal surgery, doctors leave the uterus intact using less invasive robotic and hysteroscopic myomectomies. With these procedures, physicians scrape away fibroids using small instruments.

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