What are the alternatives to myomectomy?

Treatment is guided by fibroid size, number, and position, the symptoms they cause, and whether you hope to become pregnant. Medicines can reduce heavy periods or pain, but they may not remove fibroids. Uterine artery embolisation reduces blood flow to fibroids so they shrink; it is performed through a blood vessel rather than by removing each fibroid.

Radiofrequency fibroid ablation uses heat to treat fibroid tissue, with the exact approach depending on the device and fibroid location. Hysterectomy removes the uterus and ends the possibility of carrying a pregnancy. Robotic surgery describes a way of performing an operation, not a separate treatment goal, and it may be used for selected procedures.

List your main priority: controlling heavy periods, easing pelvic pain, preserving fertility, avoiding major surgery, or treating pressure symptoms. Bring details of bleeding, pain, bladder or bowel pressure, and previous scans. Your gynaecologist may use imaging to map the fibroids and explain which treatments can reach them safely.

Ask how each option affects the uterus, recovery, recurrence, and future pregnancy. If symptoms are mild, monitoring may be reasonable. If bleeding is affecting daily life or causing tiredness, arrange assessment rather than self-treating for prolonged periods.

Seek prompt medical advice for very heavy or prolonged bleeding, dizziness, fainting, worsening pelvic pain, or a new abdominal swelling. Urgent care is appropriate for severe pain with vomiting, collapse, or bleeding that makes you feel unwell. Pregnancy with pain or bleeding also needs timely clinical assessment.

Which fibroid is causing my symptoms? Can medicine control them, and for how long? Is embolisation or radiofrequency ablation suitable if I want a future pregnancy? What would hysterectomy change? How might treatment affect recurrence and recovery?