Uterine Fibroids Treatment

Effective surgical and non-surgical treatments are available for women with uterine fibroids. Each treatment option has distinct advantages, and in most cases, the question of one treatment versus another comes down to your specific situation and your preference.

 

Understanding your treatment options is especially critical so you can confidently choose the treatment that makes the most sense for you.

Embolization (UFE)

Non-surgical

Uterine fibroid embolization UFE uterine fibroids treatment diagram

An interventional radiologist occludes the blood vessels that feed the fibroids.

Invasiveness: Minimally invasive, performed with 1 small puncture

Hospital Stay: None

Recovery Time: 1 Week

Pregnancy Possible After: Yes

Risk of Fibroid Recurrence:

Less than 10% of cases at 2 years

Risk of Second Procedure:

~12% of cases at 2 years

Myomectomy

Surgical

Myomectomy surgery uterine fibroids treatment

A surgeon selectively cuts out the fibroids while keeping the uterus intact.

Invasiveness: Major surgery,

may require a blood transfusion

Hospital Stay: 1-3 days

depending on surgical technique

Recovery Time: 2-6 weeks depending on surgical technique

Pregnancy Possible After: Yes

Risk of Fibroid Recurrence:

Less than 10% of cases at 2 years

Risk of Second Procedure:

~8% of cases at 2 years

Hysterectomy

Surgical

Hysterectomy surgery uterine fibroids treatment

A surgeon completely removes part or all of the uterus, taking the fibroids with it.

Invasiveness: Major surgery,

may require a blood transfusion

Hospital Stay: 1-3 days

depending on surgical technique

Recovery Time: 2-6 weeks depending on surgical technique

Pregnancy Possible After: No

Risk of Fibroid Recurrence:

None

Risk of Second Procedure:

~7% of cases at 2 years

Which Uterine Fibroids Treatment is Right For Me?

Uterine fibroid embolization (UFE), myomectomy, and hysterectomy are equally effective treatment options with respect to long-term fibroid symptom relief.¹ Given similar long-term outcomes, there are two critical questions that may help you weigh out your fibroid treatment options:

Do you desire to preserve your fertility?

If yes, hysterectomy is not ideal. Having children is still possible after a UFE or myomectomy procedure, but it is not possible after a hysterectomy.

Are you willing and able to undergo a major surgery that requires an extensive recovery period?

Because they are major surgeries, hysterectomy and myomectomy can require multiple days in the hospital and multiple weeks of recovery. Many women cannot afford to take this much time from work, or they prefer to keep their recovery as short as possible. Uterine fibroid embolization is the least invasive treatment option for fibroids, and therefore has the shortest recovery time.

Choose Confidently

Learn more about your options in our in-depth review of UFE vs. myomectomy vs. hysterectomy.

Medical Treatment

Drugs such as progestogens (birth control) or Gn-RH agonists may be prescribed to women with uterine fibroids with the goal of suppressing bleeding symptoms and/or reducing fibroid size. While medical treatment will not eliminate fibroids to the effect of interventional treatments (embolization, myomectomy), they may be used to help manage fibroid symptoms or as a pre-operative treatment to improve intervention outcomes.³

Other Treatment Options

Myolysis and endometrial ablation are two additional treatment options that are less common, but may be offered to women with uterine fibroids. These treatments are limited in that they are not fertility sparing, only help relieve bleeding symptoms, and do not address "bulk" symptoms (pelvic pressure, pelvic pain, frequent urination, etc.) caused by the presence of large fibroids.⁴ 

References

[1] Gupta et al. (2014). Uterine artery embolization for symptomatic uterine fibroids ( Review ). Cochrane Library, (5).

[2] Goodwin SC, Bradley LD, Lipman JC. UAE versus Myomectomy Study Group. Uterine artery embolisation versus myomectomy: a multicenter comparative study. Fertil Steril 2006;85:14–21.

[3] Faustino, F., Martinho, M., Reis, J., & Águas, F. (2017). Update on medical treatment of uterine fibroids. European Journal of Obstetrics Gynecology and Reproductive Biology, 216, 61–68.

[4] Singh, S. S., & Belland, L. (2015). Contemporary management of uterine fibroids: focus on emerging medical treatments. Current Medical Research and Opinion, 31(1), 1–12.

[5] Davis, M. R., Soliman, A. M., Castelli-Haley, J., Snabes, M. C., & Surrey, E. S. (2018). Reintervention Rates After Myomectomy, Endometrial Ablation, and Uterine Artery Embolization for Patients with Uterine Fibroids. Journal of Women’s Health (2002), 27(10). http://doi.org/10.1089/jwh.2017.6752

Phone

(310) 209-2011

Fax

(310) 209-2113

Email

info@universityvascular.com

Hours

M-F, 9am-5pm

Westwood

1082 Glendon Ave

Los Angeles, CA 90024

Koreatown

505 S. Virgil Ave. #101

Los Angeles, CA 90020

Inglewood

575 E. Hardy Street, #322

Inglewood, CA 90301

Alhambra

1411 S. Garfield Ave. #303

Alhambra, CA 91801

The Fibroid Specialists of University Vascular are leading providers of uterine fibroid embolization (UFE), the least invasive treatment option for women suffering from uterine fibroids. Our physicians have devoted their expertise to helping women overcome fibroids without hysterectomy or major surgery. 

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