As around only one third of women experience symptoms, fibroids are often diagnosed by chance during a routine gynaecological examination, test or scan.
However diagnosis may involve:
Medical Treatments are available and can be used to reduce heavy periods and pain such as anti-inflammatory or hormonal treatment (anti-estrogen treatment). A number of surgical approaches may be proposed, dependent upon the patient and the nature of fibroids.
This is a procedure where a hysteroscope and small surgical instruments are used to remove fibroids from inside the womb (submucosal fibroids). It is suitable for women who want to have children in the future. The procedure is carried out under a general or spinal anesthetic.
A new procedure where a clinician who has received specific training in the technique uses a specially designed non-electrical mechanical resection device to cut away and remove the fibroid tissue. The main benefit of this treatment compared with conventional electrical hysteroscopic resection is that it also allows the treatment to be conducted in outpatient clinic with no or only local anesthesia.
A myomectomy is surgery to remove the fibroids from the wall of your womb. It may be considered as an alternative to a hysterectomy if you still would like to have children. A myomectomy isn’t suitable for all types of fibroids. Your gynecologist can advise whether the procedure is suitable based on factors such as the size, number, position and nature of the fibroids.
A hysterectomy is a surgical procedure to remove the uterus. This treatment may be considered if you have multiple symptomatic fibroids or severe bleeding, and you don’t wish to have any more children. There are a number of different ways a hysterectomy can be carried out: Vaginal Hysterectomy, Laparoscopic Hysterectomy or Abdominal Hysterectomy. Both the vaginal and the laparoscopic hysterectomy are considered as Minimally Invasive Procedures and allow a reasonably fast discharge from hospital and return to normal activity.1
Uterine artery embolization (UAE) is a procedure to treat fibroids without surgery. During the procedure, the blood supply to the fibroid is interrupted which causes it to shrink. Even though the uterus is preserved with this procedure, fertility of the patient might be impacted.
1. NHS website. (2021, November 18). Fibroids. Nhs.Uk. https://www.nhs.uk/conditions/fibroids/