What are the treatment options for uterine fibroids?

Fibroids are non-cancerous growths in or around the uterus. Some cause heavy or prolonged periods, pelvic pressure, pain, frequent urination, or fertility difficulties, while others need no treatment. An examination and imaging help show where the fibroids are and whether they distort the uterine cavity.

Tell your clinician whether you hope to become pregnant, want to keep your uterus, or mainly need relief from bleeding or pressure. These priorities can change which options are suitable.

Tranexamic acid can reduce heavy menstrual bleeding during a period for some people. A hormonal coil may also reduce bleeding when the uterine cavity is suitable, although it does not remove fibroids.

Operative hysteroscopy treats selected fibroids that project into the uterine cavity through a camera passed through the vagina and cervix. Myomectomy removes fibroids while leaving the uterus in place. Uterine artery embolisation reduces blood flow to fibroids and is performed by an interventional specialist.

Hysterectomy removes the uterus and ends menstrual bleeding and the ability to carry a pregnancy. Discuss recovery, fertility, ovarian management, and alternatives before deciding.

Book a review for bleeding that disrupts daily life, pelvic pressure, worsening pain, or symptoms of anaemia such as unusual tiredness or breathlessness. Seek urgent care for bleeding that makes you faint, severe sudden pain, or pregnancy-related pain or bleeding.

Ask which fibroid is causing your symptoms, whether the uterine cavity is affected, and how each option affects pregnancy plans. Request a clear explanation of recovery, possible repeat treatment, and warning signs after a procedure.