Top 5 Uterine Fibroid Treatment Options

A woman with uterine fibroids holding her stomach According to the Office on Women’s Healthuterine fibroids affect up to 80% of women by age 50. These benign growths often cause issues like heavy bleeding, pelvic pressure, pain, or fertility challenges.

At Northwest Women’s Center in Houston, our providers, including two Fellows of the American College of Obstetrics and Gynecology, empower women with superior fibroid care in a comfortable, patient-focused setting. This post examines the five leading treatments that alleviate symptoms, preserve fertility, and enhance well-being.

1. Watchful Waiting & Medications

For small or asymptomatic fibroids, you can start with:

  • NSAIDs for pain relief
  • Iron supplements for anemia
  • Hormonal therapies (oral contraceptives, GnRH agonists, or levonorgestrel IUDs) to reduce bleeding

This approach may also include short-term pre-surgical shrinkage regimens. It’s best for women with mild symptoms or those postponing stronger interventions.

2. Uterine Fibroid/Artery Embolization (UFE/UAE)

Uterine fibroid/artery embolization involves placing a catheter in the uterine arteries to block blood flow to the uterus. This, in turn, causes fibroids to shrink.

UFE/UAE offers a quicker recovery than surgery, with more than 80% patient satisfaction, according to research published in the British Journal of Radiology. It is great for women seeking uterine preservation with shorter downtime.

3. Myomectomy (Surgical Fibroid Removal)

During a myomectomy, a surgeon removes fibroids while preserving the uterus. This surgery comes in a few different forms:

  • Hysteroscopic: For fibroids inside the uterine cavity
  • Laparoscopic: Minimally invasive, quicker recovery
  • Abdominal: For large or multiple fibroids

This surgery is ideal for women desiring fertility and wanting fibroid removal without hysterectomy.

4. Radiofrequency Ablation & Focused Ultrasound

Radiofrequency ablation and focused ultrasound are non-surgical fibroid-inactivation options:

  • Radiofrequency ablation: Needle-generated heat shrinks fibroids
  • MRI-guided focused ultrasound: No incision, uses heat to dissolve fibroids

These treatments are good for individuals seeking a quick recovery and uterine preservation.

5. Hysterectomy

A hysterectomy involves completely removing the uterus. It is a definitive cure, as it eliminates all fibroids and accompanying symptoms. However, it is reserved for women who don’t want to have children in the future and need permanent relief.

Seek Help for Uterine Fibroids in Houston

Choosing the right fibroid treatment depends on your symptoms, desire for future pregnancy, and personal preferences. Whether it’s medication, non‑surgical treatments, or surgery, Northwest Women’s Center offers a tailored care plan for you.

To explore your best treatment options for fibroids, call (281) 444-3440 to schedule a consultation at our Houston office.

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