Do all Fibroids require treatment?
Not usually, because most patients with fibroids do not have symptoms.
However, women with fibroids should have regular checkups to see if the fibroids are changing in size, or if they are planning to get pregnant.
Is surgery the only treatment?
Some fibroids are affected by levels of the hormone estrogen and can be managed with the use of medicine. These medicines may
temporarily preclude fertility and have undesirable side effects. For instance, gonadotropin-releasing hormone (GnRH) analog injections can cause hot flashes, vaginal dryness, mood changes, and bone
thinning. Birth control pills can cause breast tenderness and blood clots. Progestins can cause bloating and abnormal bleeding from
the uterus.
When is surgery considered?
Surgery is considered when fibroids cause significant symptoms. Surgery should not be considered to treat infertility until other factors that could be causing infertility have been thoroughly evaluated.
When can I start trying to get pregnant after a
myomectomy?
Although recovery time varies with the type of surgery and the uterus needs time to heal and it may be 1-6 months before you are given the green light to attempt pregnancy.
What is the chance that the fibroids will return after surgery?
This risk of new fibroids growing back after surgery is about 30% over 10 years. Women with more than one fibroid are more likely to have fibroids return than women with a single fibroid.
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