Fibroids, non-cancerous growths in the uterus, can lead to various symptoms and impact a woman’s quality of life. Treatment options for fibroids depend on factors such as the size, location, and symptoms associated with these growths. Here are several treatments involved in managing fibroids:

1. Watchful Waiting: For small, asymptomatic fibroids, a watchful waiting approach may be adopted. Regular monitoring through check-ups and imaging helps track the growth and progression of fibroids without immediate intervention.

2. Medications: Medical management involves the use of medications to alleviate symptoms associated with fibroids. This may include:

• Hormonal Therapy: Medications, such as birth control pills or hormonal IUDs, to regulate menstrual bleeding and reduce pain.
• GnRH Agonists: Hormonal medications that induce a temporary menopausal state, shrinking fibroids and relieving symptoms.

3. Uterine Fibroid Embolization (UFE): UFE is a minimally invasive procedure that targets blood vessels supplying the fibroids. By blocking the blood flow, the fibroids shrink, and symptoms are alleviated. UFE is particularly suitable for women seeking alternatives to surgery and wishing to preserve their uterus.

4. Myomectomy: Myomectomy involves the surgical removal of fibroids while preserving the uterus. This can be done through various approaches:

• Hysteroscopic Myomectomy: Minimally invasive removal of fibroids through the cervix, suitable for submucosal fibroids.
• Laparoscopic Myomectomy: Small incisions allow for the removal of fibroids, preserving fertility and minimizing scarring.
• Abdominal Myomectomy: Involves a larger incision for more extensive fibroids or when preserving fertility is a primary concern.

5. Hysterectomy: For severe cases or when fertility is not a consideration, a hysterectomy may be recommended. This involves the surgical removal of the uterus, eliminating the possibility of fibroid recurrence.

6. Magnetic Resonance-guided Focused Ultrasound (MRgFUS): This non-invasive procedure uses focused ultrasound waves to heat and destroy fibroid tissue. MRgFUS is suitable for selected cases and offers a uterus-preserving option without incisions.