Understanding fibroids and treatment options 

Fibroids are a common health condition affecting many women, yet they are often misunderstood. If you’ve been diagnosed with fibroids, have a family history of fibroids, you may be wondering: Is surgery my only option? The idea of undergoing surgery can be overwhelming, and many women seek alternative treatments before deciding. 

The good news is that while surgery effectively removes fibroids, it is not the only solution. Depending on your symptoms, size, and personal health goals, several non-surgical and minimally invasive treatments may be suitable. 

This article explores various treatment options for different types of fibroids, debunks myths, and helps you make an informed decision about your health. 

What are the symptoms of fibroids? 

Fibroids, also called uterine fibroids or leiomyomas, are non-cancerous growths that develop in or on the uterine cavity. They can vary in size—from as small as a seed to as large as a melon—and some women may have multiple fibroids. 

While some women experience no symptoms, others may suffer from: 

• Heavy or prolonged menstrual bleeding 

• Pelvic pain or pressure 

• Frequent urination 

• Constipation or bloating 

• Pain during intercourse 

• Infertility or pregnancy complications 

Understanding the available treatment options can help women manage fibroids effectively and avoid unnecessary surgery if it isn’t required. 

Is surgery the only way to get rid of fibroids? 

No – surgery is not your only option 

Many women assume that hysterectomy (removal of the uterus) or myomectomy (surgical removal of fibroids) is the only way to treat fibroids. However, depending on the severity of symptoms and personal health considerations, there are other effective treatments available, including minimally invasive procedures and natural management strategies. 

Let’s explore these options. 

1. Watchful Waiting: When No Immediate Treatment Is Needed

If there are no symptoms of uterine fibroids, or you are close to menopause (when fibroids naturally shrink due to declining estrogen levels), your doctor may recommend a watchful waiting approach. This means monitoring the fibroids through regular check-ups without immediate intervention. 

This option is ideal for women who: 

• Have mild or no symptoms 

• Are not planning to get pregnant 

• Are near menopause and expect hormonal changes to shrink the fibroids

2. Medications for Fibroid Management

    

While medications cannot eliminate fibroids, they can help manage symptoms like heavy bleeding, pain, and fibroid growth. Common medical treatments include: 

Hormonal Birth Control 

• Pills, patches, injections, or hormonal intrauterine device iud can help control heavy periods and reduce pain associated with fibroids. 

• They do not shrink fibroids, and fibroids can grow but they can help manage menstrual symptoms. 

Gonadotropin-Releasing Hormone (GnRH) Agonists 

• These medications temporarily shrink the location of the fibroid by lowering estrogen and progesterone levels. 

• They are usually used before surgery to make fibroids smaller and easier to remove. 

• Long-term use is not recommended due to side effects like bone density loss. 

Tranexamic Acid and NSAIDs 

• Tranexamic acid helps reduce heavy menstrual bleeding. 

• NSAIDs (such as ibuprofen) help relieve pain and inflammation. 

These medications are best for symptom control but do not permanently remove fibroids. 

3. Minimally Invasive and Non-Surgical Procedures

    

If you want to avoid major surgery but need relief from fibroid symptoms, minimally invasive treatments could be the right option. 

Uterine Fibroid Embolization (UFE) 

• What It Is: A non-surgical procedure that blocks the blood supply to fibroids, causing them to shrink over time. 

• How It Works: A doctor injects tiny particles into the arteries supplying blood to the fibroids, cutting off their oxygen and nutrients. 

• Best For: Women with multiple fibroids or heavy bleeding who want to preserve their uterus. 

• Recovery Time: 1–2 weeks, significantly shorter than surgery. 

MRI-Guided Focused Ultrasound (MRgFUS) 

• What It Is: A non-invasive technique that uses high-intensity ultrasound waves (magnetic resonance imaging mri) to destroy fibroids without incisions. 

• How It Works: Heat is applied to fibroids using MRI guidance, breaking them down gradually. 

• Best For: Women with moderate symptoms who want a non-surgical approach. 

• Recovery Time: A few days. 

Radiofrequency Ablation (RFA) 

• What It Is: A minimally invasive treatment that uses heat energy to shrink fibroids. 

• How It Works: A probe delivers radiofrequency energy to fibroids, destroying their tissue. 

• Best For: Women looking for a quick recovery option without a hysterectomy. 

• Recovery Time: Less than a week. 

These treatments provide effective symptom relief without major surgery and are ideal for women who wish to keep their uterus intact. 

4. Lifestyle Changes and Natural Approaches

    

While lifestyle changes cannot eliminate fibroids, they can help manage symptoms and lower the risk of developing fibroids: 

• Dietary Adjustments: 

• Reduce processed foods and red meat. 

• Increase leafy greens, fruits, and whole grains. 

• Include foods rich in Vitamin D, which may help reduce fibroid risk. 

• Exercise and Stress Management: 

• Regular physical activity can help balance hormone levels and reduce inflammation. 

• Practices like yoga and meditation can support overall reproductive health. 

• Herbal Supplements (with medical guidance): 

• Green tea extract has been studied for its potential to reduce fibroid size. 

• Turmeric and ginger have anti-inflammatory properties that may help manage symptoms. 

While these approaches may not eliminate fibroids, they can complement medical treatments and improve overall well-being. 

Debunking Common Fibroid Myths 

Myth #1: Hysterectomy Is the Only Permanent Solution 

Fact: While a hysterectomy removes the uterus and eliminates fibroids permanently, other treatments can shrink or remove fibroids while preserving fertility. 

Myth #2: All Fibroids Cause Symptoms 

Fact: Many women have fibroids with no noticeable symptoms. Not all fibroids require treatment. 

Myth #3: Medications Can Cure Fibroids 

Fact: Medications can manage symptoms but do not eliminate fibroids permanently. 

Myth #4: Fibroids Always Cause Infertility 

Fact: While some fibroids can affect fertility, many women with fibroids conceive and have healthy pregnancies. 

Finding the Right Fibroid Treatment for You 

Choosing the right treatment depends on: 

• The severity of your symptoms 

• Your future pregnancy plans 

• Your overall health and preferences 

Surgery is not the only option. Many women successfully manage fibroid tissue with minimally invasive treatments, medications, or lifestyle changes. 

Get Expert Guidance on Your Fibroid Treatment Options 

If you’re unsure about the best treatment for your fibroids, we’re here to help. The Microsurgery team specializes in non-surgical and minimally invasive fibroid treatments tailored to your needs.  

Fill out our contact form today to speak with a specialist about your options. Let us help you find the best path to a healthier, fibroid-free life.