The 4 Most Innovative Treatments for Fibroids

Almost half of women over 35 years of age will experience uterine fibroid tumors, which may cause many problems ranging from pelvic pain to complications during pregnancy. 

These benign growths are responsible for one-third of the hysterectomies performed in the U.S. If left untreated, some fibroids can grow to be the size of a cantaloupe.

“Fibroids are very common, and newer techniques mean it’s not always necessary to have a hysterectomy to resolve the problem,” said Dr. Joshua Hardison, FACOG.

In this article, we’ll take a closer, comprehensive look at uterine fibroids, including symptoms, causes and treatment.

How Do I Know If I Have Fibroids?

While not all fibroids show symptoms, when they do, those symptoms may include:

• Intense menstrual cramps
• Longer periods
• Lower back pain
• Vaginal bleeding that is not related to your period
• Heavy menstrual periods and anemia caused by blood loss 
• Painful sex
• Infertility 
• Miscarriages
• Enlarged uterus
• Abdominal pain
• Pressure that causes difficulty urinating, constipation and pain in the rectum

Fibroids are diagnosed by clinical examination and ultrasound. Additional evaluation may include a hysteroscopy, a procedure that uses a small camera to closely examine the lining of the uterus and take tissue samples if needed.

We know that fibroids can cause symptoms that make it difficult to function in everyday life. That’s why we use the latest evidence-based medicine to find effective, long-term solutions to your issue. We’ll examine some of our innovative fibroid treatments.

4 Innovative Treatments for Fibroids

1. Removal using a MyoSure device.

If we discover a fibroid during a hysteroscopy, we can remove it using a MyoSure device. We gently insert the MyoSure instrument into the uterus through your vagina, where we cut away the fibroid. 

Depending upon the size of the tumor, it can be removed within 10 minutes.

2. MRI-guided ultrasound surgery

In this procedure, specialized (interventional) radiologists target the fibroids using MRI-guided imagery and then deliver ultrasound waves to the area, which destroy the tumors. The waves are sent through the skin and there is no need for an incision.

3. Uterine artery embolization

Specialized (interventional) radiologists inject tiny, grain-like particles into uterine blood vessels where they attach to the fibroids and cut off the blood supply. As a result, the fibroids shrink. This procedure can be performed on an outpatient basis.

4. Endometrial ablation

During this procedure, we remove the lining of your uterus. This can be done using cryoablation, heated saline fluid, a heated balloon-like device, or microwaves/radiofrequency. While it does not remove fibroids, it can be effective in treating issues with abnormal bleeding that fibroids may cause.

It cannot be performed if you are pregnant. If you have an IUD, it must be removed before the procedure. This procedure should not be performed on those who may desire biological children in the future.

We Will work With You to Determine Which Procedure Is the Best Option for You

There are several factors we take into account when we consider how to treat your fibroid tumors. We examine:

• The size of your tumors
• Your symptoms
• Whether or not you want to have children
• Other factors based on your personal medical history

This is the only way to create a truly tailored plan to meet your needs.

If you’re having trouble with fibroids, remember that a hysterectomy is not your only option. Schedule an OB/GYN appointment in Durham or Chapel Hill so we can discuss your options.

Remember: For more than 40 years, we’ve served women in the Triangle area, sharing the joy of little miracles and supporting them during challenges. Our board-certified physicians and certified nurse midwives bring together the personal experience and convenience of a private practice with the state-of-the-art resources found at larger organizations.

Because fibroids are so common, we wanted to take a moment and review five very important things you should know about them.

5 Things You Need to Know About Fibroid Tumors

1. Fibroid Tumors Are Almost Always Benign 

Fibroid tumors are almost always non-cancerous, and they develop from the muscle tissue of the uterus. Less than 1 in 1,000 fibroids are cancerous. 

2. You Can Have a Fibroid and Not Know It

It’s very possible that you could have one and not be aware of it. In these cases, the fibroids will be discovered during an annual examination. This is one reason why it’s important to have your well-woman exam.

3. Fibroids Can Grow in Different Places

Fibroids can grow in several areas, including the uterine cavity, within the wall of the uterus, or outside the uterus. Most grow in the wall of the uterus.

4. They Can Cause Infertility, But Not Always

While fibroids can cause infertility, fibroids are not the primary cause of infertility. If you are having difficulty conceiving, speak with us about the state-of-the-art treatments that are available through our practice. 

5. Drug Treatment Options Can Help

Drug treatments are available for fibroids. These treatments may provide some relief from painful and heavy periods. However, drug therapy may not prevent fibroids from growing. If you have questions about drug therapy and if it’s the right option for you, we encourage you to speak with us. 

We recognize that not all solutions work for everyone, and we’re dedicated to providing the individualized attention you’ve come to expect from Chapel Hill OBGYN

When You Need Relief From Fibroids, We’re the Healthcare Professionals You Can Trust

For decades, we’ve provided the highest level of care to our patients as OBGYNs in Chapel Hill and Durham. You don’t have to put up with the pain or discomfort fibroids cause.

Simply contact us for an appointment and we’ll create a customized treatment plan just for you.