Uterine fibroids are a common health concern among women, especially during the reproductive years. These non-cancerous growths can vary in size and may cause symptoms such as heavy periods, pelvic pain, bloating, and difficulty conceiving. Thankfully, several treatment options exist, ranging from medication to advanced surgical solutions. Understanding the difference between medical and surgical treatments can help women make informed decisions based on their symptoms, health goals, and lifestyle.
Medical Treatment Options for Fibroids
Medical treatments are usually the first line of management, especially for women with mild to moderate symptoms. These treatments do not remove fibroids but help manage their effects and slow their growth.
1. Hormonal Therapy
Hormonal medications such as progesterone-releasing IUDs, birth control pills, and GnRH agonists help regulate menstrual cycles and reduce heavy bleeding. GnRH agonists can shrink fibroids temporarily by lowering estrogen levels, often used before surgery to make procedures easier.
2. Non-Hormonal Medications
Anti-inflammatory drugs and tranexamic acid can help control heavy bleeding during periods. These medications are suitable for women who prefer not to use hormones or want short-term relief.
3. Lifestyle and Supplementation
A balanced diet, iron supplements, and stress management techniques may help manage symptoms like fatigue and anemia caused by heavy bleeding. Although not direct treatments, they support overall well-being.
Surgical Treatment Options for Fibroids
When symptoms become severe or medical treatments are no longer effective, surgical options may be recommended. These procedures aim to remove or shrink fibroids and provide long-term relief.
1. Myomectomy
This is a common surgery for women who want to preserve their fertility. Myomectomy removes fibroids while keeping the uterus intact. It can be performed via laparoscopy, hysteroscopy, or open surgery depending on fibroid size and location.
2. Hysterectomy
Hysterectomy is the complete removal of the uterus and is considered a permanent solution for fibroids. It is usually recommended for women who experience severe symptoms and do not plan to have children in the future.
3. Minimally Invasive Techniques
Procedures like Uterine Fibroid Embolization (UFE) and MRI-guided focused ultrasound shrink fibroids without major surgery. These options offer quicker recovery times and fewer complications, making them ideal for many women seeking effective relief.
Choosing the Right Option
The best treatment depends on factors such as fibroid size, symptoms, age, fertility plans, and overall health. A thorough evaluation with an experienced gynecologist helps determine whether medical or surgical management is more suitable. Early diagnosis and personalized care ensure the best possible outcome.
For expert guidance, compassionate care, and advanced fibroid treatment options, Dr. Preeti Tandon provides the best services to support your health and well-being.



