Several treatment options, including drugs and surgery, are available if bleeding or other symptoms worsen or if uterine fibroids are enlarge substantially.
Drugs may be used to relieve symptoms or to shrink uterine fibroids, but only temporarily. Nonsteroidal anti-inflammatory drugs (NSAIDs), alone or given with a progestin (a drug similar to the hormone progesterone), can reduce bleeding caused by uterine fibroids.
Synthetic forms of gonadotropin-releasing hormone (GnRH agonists) may be prescribed to shrink uterine fibroids and reduce bleeding. This drug causes the body to produce less estrogen (and progesterone). They can be given only for a few months, because if taken for a long time, they may cause a decrease in bone density and increase the risk of osteoporosis.
uterine fibroids may need to be removed if they cause significant symptoms or are large enough to interfere with fertility. Growths in your uterus also may need to be removed if it is difficult for your doctor to tell whether they are fibroids or cancer. There are several options for removing uterine fibroids:
Myomectomy is the surgical removal of the uterine fibroids from the uterine wall. Myomectomy usually preserves the ability to have children and avoids the psychological effects of removing the uterus. However, uterine fibroids regrow in up to 50% of women. Myomectomy may be done by an incision made in the abdomen. Or by a inserting a viewing tube with surgical attachments that is inserted through a small incision just below the navel (laparoscopy) or through the vagina (hysteroscopy), However, laparoscopy and hysteroscopy often cannot be used to remove large fibroids, and the risk of complications after laparoscopy can be higher.
Hysterectomy is the surgical removal of the uterus. Hysterectomy is usually considered when symptoms, such as pain and bleeding, are severe enough to interfere with daily activities and other treatments have been ineffective. If a woman is bothered by large fibroids that she can feel, she may choose to have a hysterectomy. Hysterectomy is performed only in women who do not wish to become pregnant. It is the only permanent solution to uterine fibroids. For treatment of uterine fibroids, only the uterus is removed, not the ovaries.
While drugs and surgery maybe a good treatment and permanent cure for uterine fibroids. it is worth considering to read this book " What Your Doctor May Not Tell You About Fibroids: New Techniques and Therapies--Including Breakthrough Alternatives to Hysterectomy "
before making a big decision.