Uterine fibroids treatment in 815 Oncology and Vascular surgery clinics worldwide

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815 clinics specializing in Oncology and Vascular surgery providing treatment of Uterine fibroids Uterine fibroids are non-cancerous growths that develop in the uterus. They can cause pelvic pain, heavy menstrual bleeding, and reproductive issues. Treatment options include medication, non-invasive procedures, or surgery, depending on the fibroids' size and symptoms.
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disease worldwide.

Africa · 13
Americas · 162
Asia · 248
Europe · 359
Oceania · 33
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Africa · 13 Americas · 162 Asia · 248 Europe · 359 Oceania · 33
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Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $16,723
  2. Laparascopic myomectomy
    ≈ $11,806
  3. Open hysterectomy
    ≈ $12,708
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $12,135
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $12,143
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $12,789
  7. Vaginal hysterectomy
    ≈ $12,482
  8. Myomectomy
    ≈ $8,383
  9. Carotid endarterectomy (CEA)
    ≈ $20,390
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Seoul, South Korea
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
The hospital is fully devoted to elevating its medical service quality by introducing state-of-the-art equipment and systems such as Robot surgery, Linear Accelerator, 3.0T MRI, read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    $371
  2. Open hysterectomy
    $324
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $1,135
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $1,264
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $819
  6. Vaginal hysterectomy
    $273
  7. Myomectomy
    ≈ $714
  8. Endovenous laser ablation (EVLA) for varicose vein (Unilateral)
    $254
  9. Rectum anterior resection
    $585
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Colombo, Sri Lanka
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Languages: English
It is located in Sri Jayewardenepura, the capital of Sri Lanka, on nearly 30 acres of beautifully landscaped garden with serene nature. This state of read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    $962
  2. Open hysterectomy
    $1,027
  3. Total laparoscopic hysterectomy (TLH)
    $1,165
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $1,651
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,440
  6. Vaginal hysterectomy
    ≈ $1,793
  7. Myomectomy
    $552 - $687
  8. Endovenous laser ablation (EVLA) for varicose vein (Unilateral)
    $654 - $962
  9. Phlebectomy (including mini-phleboctomy)
    $208 - $343
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Baku, Azerbaijan
Specializations: Vascular surgery, Oncology, Dentistry
Languages: Russian
Paramed Laser Clinic is the largest center of laser gynecology, dermatology, surgery and cosmetology in Baku.Advanced medical technologies in the treatment of diseases of the read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    $2,140
  2. Laparascopic myomectomy
    $1,216
  3. Open hysterectomy
    $1,337
  4. Total laparoscopic hysterectomy (TLH)
    $1,216
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $1,912
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    $1,204
  7. Vaginal hysterectomy
    $1,423
  8. Myomectomy
    ≈ $1,355
  9. Carotid endarterectomy (CEA)
    $3,404
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Almaty, Kazakhstan
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English, Russian
At the Almaty SEMA Hospital Clinic, you can get a full range of medical services provided by our leading specialists. Whether you need a small read more
Prices for popular procedures:
  1. Myomectomy
    from $4,997
  2. Rectum anterior resection
    from $12,354
  3. Loop electrosurgical excision procedure (LEEP)
    $3,171
  4. Parotidectomy
    from $3,432
  5. Laparoscopic cholecystectomy
    from $4,804
  6. Lumpectomy
    from $2,883
  7. Varicose vein stripping (Unilateral)
    from $4,804
  8. Colon polypectomy
    from $961
  9. Total colectomy
    $9,608 - $10,981
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Hong Kong, Hong Kong S.A.R.
Specializations: Vascular surgery, Spine surgery, Orthopedic surgery, Oncology
The Specialists Surgery and Endoscopy Centre (hereinafter referred to as “The Specialists”) is a safe, convenient and very pleasant endoscopy centre founded in 2006. read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    ≈ $9,848
  2. Open hysterectomy
    ≈ $8,888
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $8,890
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $8,448
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $8,595
  6. Vaginal hysterectomy
    ≈ $12,702
  7. Myomectomy
    ≈ $6,764
  8. Conization
    ≈ $3,508
  9. Loop electrosurgical excision procedure (LEEP)
    ≈ $2,387
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Abu Dhabi, United Arab Emirates
Specializations: Neurosurgery, Spine surgery, Orthopedic surgery, Oncology, Dentistry
Languages: English
Dublin Health Services launched Seha Emirates Hospital in February 2012 as a boutique hospital providing global services in order to provide quality & patient-oriented Inpatient read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Laparascopic myomectomy
    ≈ $1,898
  3. Open hysterectomy
    ≈ $2,017
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  7. Vaginal hysterectomy
    ≈ $2,231
  8. Myomectomy
    ≈ $1,229
  9. Foam sclerotherapy (Unilateral)
    ≈ $345
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Lajeado, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Bruno Born Hospital is a philanthropic institution, with more than 80 years. It is registered with the National, State and Municipal Councils of Social Assistance read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Laparascopic myomectomy
    ≈ $1,898
  3. Open hysterectomy
    ≈ $2,017
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  7. Vaginal hysterectomy
    ≈ $2,231
  8. Myomectomy
    ≈ $1,229
  9. Carotid endarterectomy (CEA)
    ≈ $2,819
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São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospital São Camilo Pompeia has followed, over the years, the growth of the population and the scientific and technological advances aimed at medical and read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Laparascopic myomectomy
    ≈ $1,898
  3. Open hysterectomy
    ≈ $2,017
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  7. Vaginal hysterectomy
    ≈ $2,231
  8. Myomectomy
    ≈ $1,229
  9. Carotid endarterectomy (CEA)
    ≈ $2,819
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São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Integrated into the São Camilo de São Paulo Hospitals Network in March 1979, the Santana Unit has an agile and modern structure implemented to offer read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Carotid endarterectomy (CEA)
    ≈ $2,819
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,809
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,107
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,863
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,132
  7. Endovascular thrombectomy
    ≈ $2,145
  8. Carotid angioplasty and stenting
    ≈ $3,751
  9. Inferior vena cava (IVC) filter placement
    ≈ $1,788
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São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
A member of the Network since 2000, Hospital São Camilo Ipiranga has an emergency room for patients aged 12 years and over, an Intensive Care read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Laparascopic myomectomy
    ≈ $1,898
  3. Open hysterectomy
    ≈ $2,017
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  7. Vaginal hysterectomy
    ≈ $2,231
  8. Myomectomy
    ≈ $1,229
  9. Foam sclerotherapy (Unilateral)
    ≈ $345
photo
São Paulo, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
Founded in 1968, the Mooca unit is known for being a highly complex Oncological Treatment Center and for having a renowned Clinical Research Center. In read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    ≈ $1,898
  2. Open hysterectomy
    ≈ $2,017
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  6. Vaginal hysterectomy
    ≈ $2,231
  7. Myomectomy
    ≈ $1,229
  8. Foam sclerotherapy (Unilateral)
    ≈ $345
  9. Peripheral artery angioplasty and stent placement
    ≈ $2,809
photo
Rio de Janeiro, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Quinta D'Or Hospital opened in September 2001 and is located opposite Quinta da Boa Vista, in Rio de Janeiro. It emerged from the renovation read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Carotid endarterectomy (CEA)
    ≈ $2,819
  3. Peripheral artery angioplasty and stent placement
    ≈ $2,809
  4. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $9,107
  5. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $8,863
  6. Arteriovenous (AV) fistula surgery
    ≈ $1,132
  7. Endovascular thrombectomy
    ≈ $2,145
  8. Carotid angioplasty and stenting
    ≈ $3,751
  9. Parotidectomy
    ≈ $1,319
photo
Belo Horizonte, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Lifecenter Hospital stands out among the most sophisticated and renowned health institutions in Minas Gerais. Its activities cover urgent and emergency medical care, surgeries, read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    ≈ $1,898
  2. Open hysterectomy
    ≈ $2,017
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  6. Vaginal hysterectomy
    ≈ $2,231
  7. Myomectomy
    ≈ $1,229
  8. Hemicolectomy
    ≈ $3,310
  9. Rectum anterior resection
    ≈ $3,174
photo
Salvador, Brazil
Specializations: Vascular surgery, Thoracic surgery, Neurosurgery, Oncology
Founded 30 years ago, the Oncology Nucleus of Bahia (NOB) joined the Oncoclínicas Group in 2014. The clinic offers comprehensive and individualized care to cancer read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $3,560
  2. Laparascopic myomectomy
    ≈ $4,159
  3. Open hysterectomy
    ≈ $3,653
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $4,328
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $4,107
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $3,121
  7. Vaginal hysterectomy
    ≈ $4,450
  8. Myomectomy
    ≈ $2,776
  9. Carotid endarterectomy (CEA)
    ≈ $5,057
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
We invite you to visit one of the largest health institutions in the country… A sanatorium with history, but looking to the future. The Doctor read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    ≈ $4,159
  2. Open hysterectomy
    ≈ $3,653
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $4,328
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $4,107
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $3,121
  6. Vaginal hysterectomy
    ≈ $4,450
  7. Myomectomy
    ≈ $2,776
  8. Foam sclerotherapy (Unilateral)
    ≈ $728
  9. Peripheral artery angioplasty and stent placement
    ≈ $5,522
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The British Hospital of Buenos Aires is a non-profit civil association that aims to provide the community with highly complex health care, train medical professionals read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $2,287
  2. Laparascopic myomectomy
    ≈ $1,898
  3. Open hysterectomy
    ≈ $2,017
  4. Total laparoscopic hysterectomy (TLH)
    ≈ $2,044
  5. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $2,010
  6. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $1,729
  7. Vaginal hysterectomy
    ≈ $2,231
  8. Myomectomy
    ≈ $1,229
  9. Carotid endarterectomy (CEA)
    ≈ $2,819
photo
Serra, Brazil
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Orthopedic surgery, Oncology
Founded in 2001, Vitória Apart Hospital is a center of excellence in high complexity medicine in Espírito Santo, prepared to take care of people's health read more
Prices for popular procedures:
  1. Laparascopic myomectomy
    ≈ $4,159
  2. Open hysterectomy
    ≈ $3,653
  3. Total laparoscopic hysterectomy (TLH)
    ≈ $4,328
  4. Laparoscopically assisted vaginal hysterectomy (LAVH)
    ≈ $4,107
  5. Laparoscopy-assisted supracervical hysterectomy (LASH)
    ≈ $3,121
  6. Vaginal hysterectomy
    ≈ $4,450
  7. Myomectomy
    ≈ $2,776
  8. Carotid endarterectomy (CEA)
    ≈ $5,057
  9. Foam sclerotherapy (Unilateral)
    ≈ $728
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Thoracic surgery, Neurosurgery, Spine surgery, Orthopedic surgery, Oncology
The Hospital de Clínicas José de San Martín is the flagship teaching hospital in our country. Dependent on the University of Buenos Aires, read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $3,560
  2. Peripheral artery angioplasty and stent placement
    ≈ $5,522
  3. Inferior vena cava (IVC) filter placement
    ≈ $2,965
  4. Renal artery angioplasty and stenting
    ≈ $3,576
  5. Renal arteries embolization (RAE)
    ≈ $4,101
  6. Carotid angiography
    ≈ $1,066
  7. Catheter embolization
    ≈ $3,273
  8. Arteriovenous malformations (AVM) embolization
    ≈ $10,171
  9. Peripheral angiography
    ≈ $916
photo
Posadas, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery, Oncology
The Health Park of the Province of Misiones "Dr. Ramón Madariaga" was created through Law XVII Nº70, approved by the majority of the legislative body read more
Prices for popular procedures:
  1. Uterine artery embolization (UAE)
    ≈ $3,560
  2. Peripheral artery angioplasty and stent placement
    ≈ $5,522
  3. Abdominal endovascular aneurysm repair (EVAR)
    ≈ $17,221
  4. Thoracic endovascular aneurysm repair (TEVAR)
    ≈ $16,828
  5. Arteriovenous (AV) fistula surgery
    ≈ $2,081
  6. Endovascular thrombectomy
    ≈ $3,686
  7. Renal artery angioplasty and stenting
    ≈ $3,576
  8. Complex aortic surgery
    ≈ $43,724
  9. Aortography
    ≈ $1,410
photo
Buenos Aires, Argentina
Specializations: Cardiac surgery, Vascular surgery, Neurosurgery, Orthopedic surgery
Inaugurated on March 1, 1991, the Suizo Argentina Clinic and Maternity began its history with a revolutionary vision in the concept of care and comfort read more

Clinics grouping by rating

Clinic with the highest rating of 5 — Berkana clinic in Moscow, Russia and 5 more, clinic with the most reviews number of 35757 — Aster CMI hospital in Bengaluru, India.

With rating 4.0 and over — 295 clinics .

Countries with the highest number of clinics treating the diseases:

Uterine fibroids:

Related procedures:

Uterine Fibroids: Overview

Disease Types & Epidemiology

What are the uterine fibroids?

Uterine fibroids are non-cancerous growths that develop within or on the uterus. They are composed of muscle and fibrous tissues and can range significantly in size, from tiny to large masses that distort the shape of the uterus. Fibroids grow from the uterine muscle and can protrude from the inside or outside of the uterus. While fibroids are not cancerous and do not become cancerous, it can sometimes be challenging to differentiate them from rare cancerous tumors.

Fibroids are common, affecting around 80% of women during their lifetime, though not all cause noticeable symptoms. They are most often found in women of reproductive age, particularly between 30 and 50. Uterine fibroids are the most prevalent benign tumors in women of childbearing age, with an estimated 70-80% of women developing them by age 50. African American women have a higher prevalence of fibroids, tend to build them at younger ages, and experience more severe symptoms compared to women of other racial backgrounds [Nieh et al., 2024].

Causes & Risk Factors

What is the primary issue of uterine fibroids?

While the root cause of uterine fibroids remains unknown, researchers have identified several factors that can increase a woman's risk of developing them. Genetics play a role, as women with a family history of fibroids are more prone to developing them as well. Hormonal influences, particularly the female hormones estrogen and progesterone, which regulate the menstrual cycle, are believed to promote the growth of fibroids. Age is also a risk factor, with the likelihood of developing fibroids increasing as a woman ages, especially during the reproductive years. Specific racial backgrounds, such as being African American, also seem to predispose women to a higher risk of fibroids.

Additionally, being overweight or obese appears to raise the chances of developing these non-cancerous growths. Diet may also play a part, with a high intake of red meat and low consumption of green vegetables, fruits, and dairy potentially increasing fibroid risk. However, it's important to note that fibroids can occur even in the absence of these known risk factors [American Fibroid Centers, 2024].

Clinical Manifestation & Symptoms

What signs should one anticipate while suspecting uterine fibroids?

Many women with fibroids do not experience any noticeable symptoms and may only learn of their presence during a routine pelvic exam or prenatal ultrasound. However, some individuals with fibroids do suffer from very heavy or prolonged menstrual periods, as well as pelvic pressure or pain that disrupts their daily lives.

Fibroids are more likely to cause significant symptoms if they are large, numerous, or situated in specific locations within the uterus. Fibroid-related symptoms often improve when a person's menstrual periods cease.

When symptoms do occur, they can include [Mension et al., 2024]:

  • Heavy, prolonged menstrual bleeding that requires frequent changing of pads or tampons.
  • Pelvic discomfort or a sensation of pressure, sometimes giving a pregnant appearance even when not pregnant.
  • Frequent urination and difficulty fully emptying the bladder if a fibroid is pressing on the bladder.
  • Constipation if a fibroid is putting pressure on the rectum.
  • Potential challenges with fertility and pregnancy if the fibroids distort the uterine cavity. However, the increased risk of miscarriage is more related to advancing age rather than the presence of fibroids.

Diagnostic Route

When, where, and how should uterine fibroids be detected?

The diagnosis of uterine fibroids typically involves a combination of the following steps:

  1. A pelvic exam is used to detect irregularities in the shape of the uterus.
  2. Ultrasound uses sound waves to create a picture of the uterus and confirm the presence of fibroids.
  3. MRI – Magnetic resonance imaging – provides detailed images of the size and location of fibroids.
  4. Hysterosonography is a saline solution injected into the uterine cavity to enhance ultrasound imaging.
  5. Hysteroscopy is when a small, lighted telescope is inserted into the uterus through the cervix to examine the uterine cavity.
  6. Laparoscopy uses a thin, lighted tube inserted through a small incision in the abdomen to view the outside of the uterus.

Treatment Approaches

What are the options for managing uterine fibroids?

There are various treatments available for uterine fibroids, including options that can help shrink the fibroids, as well as treatments that address fibroid-related issues such as heavy menstrual bleeding, pelvic pain or discomfort, and problems with fertility or pregnancy [Amoah et al., 2024].

Medications

Many therapeutic agents aim to reduce the heavy menstrual bleeding common in people with fibroids. A few also shrink the fibroid, and some focus on relieving pain or correcting anemia. Medications are often recommended before surgical treatments.

  • Iron and vitamins. A healthcare provider will likely recommend a combination of iron supplements and a multivitamin if a person has anemia. If someone thinks they might have iron deficiency, they should talk to their doctor before taking any supplements. The physician can order blood tests to confirm the need for extra iron and ensure the correct dose is prescribed.
  • Nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen, can help reduce menstrual cramps and decrease menstrual flow in some cases.
  • Gonadotropin-releasing hormone (GnRH) agonists and antagonists. GnRH agonists reduce estrogen and progesterone levels, causing fibroids to shrink. Common GnRH agonists include leuprolide. These medications are typically used to shrink fibroids before surgery. Studies show a significant reduction in fibroid size, but fibroids may regrow after discontinuation. GnRH antagonists are taken along with hormone therapy to limit the estrogen-reducing side effects of GnRH antagonists, like thinning of the bones or hot flashes.
  • Hormonal birth control methods. The levonorgestrel-releasing intrauterine device can help relieve heavy bleeding caused by fibroids, but it does not shrink fibroids. Hormonal methods of birth control include the pill, skin patch, vaginal ring, shot, and progestin-releasing implant. It might take three months for bleeding to improve after starting hormonal birth control.
  • Tranexamic acid is a non-hormonal medication that reduces menstrual bleeding by helping blood to clot. It has been shown to reduce menstrual blood loss by up to 50%.

Minimally Invasive Procedures

  • Uterine artery embolization cuts off the blood supply to fibroids, causing them to shrink within weeks to several months after the treatment. It also helps decrease other fibroid symptoms, including heavy menstrual bleeding. Studies show an 85-90% improvement in symptoms with a high patient satisfaction rate.
  • Radiofrequency ablation uses heat to destroy fibroid tissue, resulting in a significant reduction in fibroid volume and improvement in symptoms. There are two ultrasound-guided radiofrequency ablation methods available: one is laparoscopic, and one is transcervical. The ablation device is inserted into the fibroids using ultrasound guidance during the procedure, causing tissue destruction. Fibroids then shrink over the weeks to months following the procedure. Pregnancy is generally not recommended after this procedure, although it is possible to become pregnant.

Surgical Options

  • Myomectomy involves the surgical removal of fibroids while preserving the uterus. This procedure can be performed through hysteroscopy, laparoscopy, or an open abdominal approach. Myomectomy is effective in relieving fibroid symptoms and improving fertility. However, fibroids may regrow after this procedure, and 10-25% of individuals require a second fibroid surgery.
  • Hysterectomy is the complete removal of the uterus, which provides a definitive treatment for fibroids. This procedure offers complete relief from fibroid symptoms, as fibroids cannot recur after the uterus is removed.

Prognosis & Follow-up

How does cutting-edge science improve the lifespan and quality of life for those with uterine fibroids?

The prognosis for women with uterine fibroids is generally favorable, especially when properly treated. Most fibroids are non-cancerous and can be effectively managed using medications or minimally invasive procedures. Fertility can often be preserved through myomectomy, and various treatment options typically provide symptom relief.

Ongoing follow-up care is crucial to monitor for fibroid recurrence and manage any persistent symptoms. This may include regular pelvic exams every 6-12 months to assess fibroid growth and symptoms, periodic imaging tests like ultrasounds or MRIs to evaluate the size and number of fibroids, regular symptom assessment to adjust treatment as needed, and monitoring and adjustment of hormonal therapy to ensure effectiveness and minimize side effects.

  • Alejandro Santos, M.D.
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