Uterine fibroids are non-cancerous growths that develop within or on the muscular walls of the uterus. While often asymptomatic, fibroids can cause heavy menstrual bleeding, pelvic pain, frequent urination, and other symptoms.
Treatment options for uterine fibroids include medication, surgery, or uterine artery embolization.
Medications like gonadotropin-releasing hormone (GnRH) agonists can temporarily shrink fibroids and reduce symptoms. However, these medications may cause menopausal symptoms like hot flashes and vaginal dryness.
Surgery for fibroids can involve the removal of the fibroids (myomectomy) or the removal of the uterus (hysterectomy). Myomectomy can retain fertility, but fibroids may grow back. Hysterectomy is a definitive option but precludes pregnancy.
Uterine artery embolization involves blocking the arteries supplying blood to the fibroids with tiny particles, causing them to shrink. Uterine artery embolization is a minimally invasive treatment, and recovery time is shorter than with surgical options.
Ultimately, the choice of treatment depends on several factors: the size, location, and number of fibroids, the severity of symptoms, and the woman's age, fertility goals, and personal preference.
Women with small fibroids that cause no or minimal symptoms may choose to monitor the fibroids with regular check-ups, especially if they're near menopause. Those experiencing significant, disruptive symptoms or whose fibroids are larger may require more intervention.
Finally, lifestyle and dietary changes can help reduce the risk of fibroids. A diet rich in fruits, vegetables, and whole grains, and low in red meat, may help lower the risk of fibroids. Studies suggest that obesity, high blood pressure, and a lack of vitamin D may increase the risk of fibroids.
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