What are the alternatives to uterine artery embolisation?

Medicines may reduce heavy periods or pelvic pain, but symptoms can return when treatment stops. Myomectomy removes fibroids while leaving the uterus in place; the approach depends on fibroid size, number and position. MRI-guided focused ultrasound uses focused energy to treat selected fibroids without an incision. Observation can be reasonable when symptoms are mild and scans are reassuring.

The best option changes if symptoms arise from adenomyosis rather than fibroids. Your plans for pregnancy, the location of the fibroids, uterine size, anaemia, and previous treatment all affect the discussion. Each approach has its own recovery, side effects and possibility of further treatment.

Ask for the diagnosis to be confirmed and discuss what you want treatment to achieve: lighter bleeding, less pain, improved pressure symptoms, or fertility planning. Ask whether blood tests for anaemia and imaging review are needed. Keep a record of bleeding and pain patterns so the consultation reflects how symptoms affect daily life.

Arrange prompt care for bleeding that makes you weak or dizzy, sudden severe pelvic pain, fever, or a rapidly enlarging abdomen. Heavy periods with breathlessness, chest discomfort or fainting may indicate significant anaemia or blood loss and need urgent assessment.

Ask: Are my symptoms caused by fibroids, adenomyosis, or both? Which options preserve fertility? How would treatment affect the uterus? What recovery should I plan for? What happens if symptoms return or the first treatment is not suitable?