Management of Fibroids

The majority of fibroids are picked up incidentally such as on routine scans in women without symptoms and therefore require no active management. Once the menopause is reached and estrogen levels diminish fibroids will regress.

However when symptoms occur your gynaecologist will discuss a range of options from the medical management of symptoms, treatment with medication or radiological interventions to shrink the fibroid or surgical intervention. Surgery can be undertaken by resection from within the uterine cavity or an abdominal procedure to remove the fibroid externally called a myomectomy.

Myomectomy is usually only offered to women who would like the option to become pregnant in the future. Because your womb isn’t removed there is a chance that more fibroids will grow in the future, so you may need to have further treatment. Although fibroids on occasions can be large, options for non surgical or conservative management can be agreed with your gynaecologist.