Treating Fibroids Without a Hysterectomy

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obgyn_iStock_000010562754XSUterine fibroids (noncancerous growths occurring during childbearing years) can cause pain, constipation, frequent urination and heavy menstruation. For women that have increased pelvic pain or overly heavy periods, they should see a doctor for possible treatment options.

Unfortunately, for young women still planning to bear their own children, a hysterectomy to remove their uterus is not their first option. Luckily, medications and alternative surgery treatments help or cure symptoms.

Medications That Help

Hormonal contraceptives like birth control pills or vaginal rings
Tranexamic acid, a nonhormonal medication to be taken during the menstrual cycle
Nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen and naproxen

Surgeries Other Than A Hysterectomy

Myomectomy: A surgeon removes fibroids in the uterus and surrounding area.

Hysteroscopic myomectomy: An option for pregnant women with fibroids. As an outpatient procedure, the procedure is performed transvaginally with no abdominal incisions.

Uterine Fibroid Embolization: With an 85 percent success rate, women with large fibroids that cause an enlarged uterus find relief with this procedure. Doctors prefer women who do not want to get pregnant have this operation because it increases the risk of preterm birth and makes conception more difficult.

Endometrial Ablation: This procedure is also for women who are aged 45 and older, as it destroys the lining of the uterus, making pregnancy impossible. However, menstrual tissues eventually grow back, which is likely to cause future pain.

Hysterectomies are ideal for women experiencing complications of painful fibroids, though it is a complete removal of the uterus, eliminating menstrual cycles and the possibility of children. Each woman deserves to take her future into account to decide (with the help of her doctor) what treatment is right for her.

If you are in need of a hysterectomy or other fibroid treatment, Dr. Kowalski of Nevada Surgery and Cancer Care in Las Vegas has served women since 1998. To learn more about our services, visit our website or call 702-739-6467.


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