Fibroid Treatment Options
Treatment for uterine fibroids depends on the size, number, and location of fibroids, as well as the severity of symptoms and the patient's individual circumstances. Options range from medication to minimally invasive procedures and surgery.
Treatment Comparison at a Glance
| UFE | Hysterectomy | Myomectomy | Medication | |
|---|---|---|---|---|
| Invasiveness | Minimally invasive | Major surgery | Surgery | Non-invasive |
| Hospital Stay | Overnight | 2-5 days | 1-3 days | None |
| Recovery Time | 1-2 weeks | 6-8 weeks | 4-6 weeks | Ongoing |
| Uterus Preserved | Yes | No | Yes | Yes |
| Anaesthesia | Sedation | General | Usually general | N/A |
| Scarring | Tiny puncture | Abdominal/vaginal | Abdominal | None |
| Recurrence Risk | Low (5-10%) | None | Moderate (15-30%) | Symptoms return |
Uterine Fibroid Embolisation (UFE)
Uterine Fibroid Embolisation (UFE) is a minimally invasive procedure performed by an interventional radiologist. A tiny catheter is guided through a small puncture in the wrist or groin to the arteries supplying the fibroids. Small particles are injected to block the blood flow, causing the fibroids to shrink over time.
UFE preserves the uterus, requires only an overnight hospital stay, and most patients return to normal activities within 1-2 weeks. It has a proven success rate of 85-90% for symptom improvement and is suitable for the majority of women with symptomatic fibroids.
Hysterectomy
A hysterectomy is the surgical removal of the uterus and is the only treatment that completely eliminates the possibility of fibroid recurrence. It is typically performed under general anaesthesia and may be carried out abdominally, vaginally, or laparoscopically.
Hysterectomy is a major operation that requires a hospital stay of 2-5 days and a recovery period of 6-8 weeks. It may be recommended when fibroids are very large, when other treatments have been unsuccessful, or when there is concern about other uterine conditions. As the uterus is removed, pregnancy is no longer possible after hysterectomy.
Myomectomy
Myomectomy is a surgical procedure that removes individual fibroids while preserving the uterus. It may be performed as open surgery, laparoscopically, or hysteroscopically, depending on the size and location of the fibroids.
Myomectomy is often considered for women who wish to retain their fertility, as the uterus remains intact. However, recovery takes 4-6 weeks for an open or laparoscopic approach, and there is a moderate risk (15-30%) of fibroid recurrence, as new fibroids may develop in the remaining uterine tissue.
Medical Management
Medications can help manage the symptoms of fibroids, particularly heavy menstrual bleeding and pain. Options include GnRH agonists and antagonists, tranexamic acid, hormonal contraceptives, and anti-inflammatory medications.
While medication can provide relief from symptoms, it does not remove fibroids. Symptoms typically return when medication is stopped, making it more suitable as a short-term or bridging treatment rather than a definitive solution.
Which Treatment Is Right for Me?
Choosing the right treatment for fibroids is a personal decision that depends on many factors, including the severity of your symptoms, the size and location of your fibroids, your age, and whether you wish to preserve your uterus or fertility.
At the North London Fibroid Clinic, our specialist team of interventional radiologists and gynaecologists will carry out a thorough assessment and discuss all available options with you. We believe in shared decision-making and will support you in choosing the treatment that best fits your individual needs and lifestyle.
A consultation is the best first step. During your appointment, we will review your medical history, arrange any necessary imaging, and create a personalised treatment plan tailored to you.
Frequently Asked Questions
References
- NICE Guideline [IPG367] — Uterine artery embolisation for fibroids. National Institute for Health and Care Excellence.
- Gupta JK, Sinha A, Lumsden MA, Hickey M. Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database of Systematic Reviews.
- Royal College of Obstetricians and Gynaecologists. Clinical recommendations on the use of uterine artery embolisation (UAE) in the management of fibroids. RCOG, 3rd edition.
Discuss Your Treatment Options
Book a consultation with our specialist team to find the best fibroid treatment for you
Or call us: 01305 608250