How Can Uterine Fibroids be Treated?

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Urine fibroids are treated with either conservative measures or medicine or even surgery. When we think about fibroids and conservative management of those, you think about dietary modification, so we're going to increase our vitamin D intake, we're also going to decrease our high glycemic index food which would include your white flour, your white sugars and your sugary drinks.

Another modification that we can make for conservative manage in our fibroids is exercise, and the reason why exercise is so important we really want to decrease our obesity factors and obesity has been shown to be a risk factor for fibroids. When we treat uterine fibroids, we always think of management of fibroids with medicine, one of the ways that we can deal with fibroids is to offer our patients birth control pills, and the reason why we offer birth control pills is because most women have the symptom of heavy menstrual bleeding and when women come in with heavy menstrual bleeding, we use those hormones and birth control pills to decrease the heavy menstrual cycle. Another way that we can manage fibroids is a short term management with medicine called Lupron, and Lupron actually can shrink the size of the fibroid, but this medicine can only be used for up to one or two years because of the decrease of bone mass density. The last option that we usually have women think about are surgical options, the important thing is for women, where are you with your journey with this fibroids? If this is something that has been affecting your life for many years and you really do want to have some type of definitive treatment.

Surgical options are usually the way that you are going to treat these fibroids. When we think of surgical options we always think of a least invasive options to a most invasive options. A least invasive options that we have surgically would include the endometrial, ablation and that can include having a device put inside the uterus and what it does is have a heating device to use inside the lining of the uterus which can decrease heavy menstrual bleeding. We also have the uterine artery embloysation, this procedure is done by interventional radiologist and what they do is they eclude the blood supply specifically to fibroids and that they again decreases the size of the fibroids and the symptoms of the fibroids, we also have the myomectomy.

The myomectomy is a major surgery that's done, and what's done in this procedure is that you have the fibroids that are taken from the uterus, but the uterus is spared. This is a great option for women who have fibroids that are very symptomatic, but do want child bearing options in the future. And so the myomectomy you preserve the uterus and therefore the fibroids are only removed.

This is a major surgery so it does require about a three to four week recovery time. The last option is the most definitive and the reason that it's the most definitive it's the gold standard of treating fibroids and that would be the hysterectomy. And then in the hysterectomy there's the removal of the fibroid as well as the uterus, and so for women who are finished with child bearing maybe close to menopause, and have had a very significant journey with fibroids.

This maybe the option for them. Again these are options that need to be discussed with your gynaecologist because they can range in severity and they can also range with recovery time.