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The presence of a fibroid does not mean that it needs to be treated; many lesions are followed expectantly depending upon the symptomatology and presence of related conditions, such as anemia. Treatment of uterine fibroids that cause problems can be accomplished by:
* Surgery: Hysterectomy or myomectomy can be performed. Based on the size and location of the lesion, different approaches can be considered: laparotomy, laparoscopy, or hysteroscopy.
* Uterine artery embolization (UAE): Using interventional radiology techniques, the Interventional physician occludes both uterine arteries, thus reducing blood supply to the fibroid(s).
* Medical therapy: First line treatment may involve oral contraceptive pills, either combination pills or progestin-only, in an effort to manage symptoms. If unsuccessful, further medical therapy involves the use of medication to reduce estrogens in an attempt to create a medical menopause-like situation. Gonadotropin-releasing hormone analogs are used for this. GNRH analogs, however, are short term treatments only. Selective progesterone receptor modulators, such as Progenta, are under investigation as therapeutic agents, as of 2005.
* HIFU (High intensity focused ultrasound), also called Magnetic Resonance guided Focused Ultrasound, is a non-invasive intervention (requiring no incision) that uses high intensity focused ultrasound waves to ablate (destroy) tissue in combination with Magnetic Resonance Imaging (MRI), which guides and monitors the treatment. This technique is relatively new; it was approved by the FDA in 2005.
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Important notice:
The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other
qualified health provider with any questions you may have regarding a medical condition.
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