Uterine fibroids are benign tumours that occur in the wall or within the muscle layer of the uterus, with an estimated one in five women being affected. Statistics indicate that between 70-80% of women are affected by fibroids by the age of 50. Still, many have no complications; some may, however, end up with severe complications like; excessive bleeding during menstrual periods, pelvic inflammation, and infertility issues.
These symptoms can have a profound impact on a woman’s quality of life. While surgical options at gynaecologists, such as hysterectomy and myomectomy, are common, many patients seek less invasive alternatives. This blog explores a comprehensive range of
fibroid removal non-surgical treatments for uterine fibroids, offering valuable insights for those looking to manage their symptoms effectively while preserving fertility and minimising recovery time.
A] Understanding Non-Surgical Fibroid Treatments
Non-surgical treatments aim either to manage symptoms or to reduce the size of fibroids. These approaches are particularly beneficial for patients who wish to avoid surgery, experience a quicker recovery, or maintain their fertility. The primary goals of non-surgical uterine fibroid removal include:
- Symptom Management: Alleviating heavy bleeding, pain, or pressure symptoms without necessarily shrinking the fibroids.
- Fibroid Reduction: Targeting fibroid size to minimise their overall impact.
By prioritising less invasive methods, patients often face fewer risks and complications while achieving meaningful relief.
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B] Types of Non-Surgical Treatments for Fibroids
There are various methods on how to remove fibroids without surgery. Below are the different treatment types:
a. Medication-Based Treatments
Hormonal Therapies:
- Gonadotropin-releasing hormone (GnRH) Agonists
GnRH agonists work by temporarily inducing a menopausal state, which reduces estrogen and progesterone levels. This hormonal suppression can shrink fibroids and alleviate symptoms such as heavy bleeding. However, long-term use is often limited due to side effects, including bone density loss and hot flashes.
- Birth Control
Hormonal contraceptives, including pills, patches, and intrauterine devices (IUDs), help regulate menstrual cycles and reduce heavy bleeding. Although these options do not shrink fibroids, they are effective in managing symptoms for many women.
Non-Hormonal Options:
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
These medications provide pain relief for fibroid-related discomfort but do not affect fibroid size. They are a simple and accessible fibroid cure without surgery for women with mild symptoms.
- Tranexamic Acid
Used during menstruation, this medication helps control heavy bleeding by improving the blood’s clotting ability. While it doesn’t address fibroid size, it offers significant relief for women with heavy periods.
b. Minimally Invasive Procedures
Uterine Fibroid Embolisation (UFE):
- UFE, also known as uterine artery embolisation (UAE), is a minimally invasive procedure for treating fibroids without surgery. During the procedure, tiny particles are injected into the uterine arteries to block the blood supply to the fibroids, causing them to shrink over time. Performed by interventional radiologists, UFE is an excellent option for symptom relief without surgery. Key benefits include a shorter recovery time compared to surgical options and the preservation of the uterus.
Focused Ultrasound Surgery (FUS):
- MRI-guided Focused Ultrasound Surgery is a non-invasive treatment that uses high-intensity ultrasound waves to heat and destroy fibroid tissue. The procedure is performed under MRI guidance to ensure precision, making it a safe option for many patients. FUS requires no incisions, and patients can return to normal activities quickly. However, not all patients are eligible for FUS, and its availability may be limited.
c. Lifestyle and Natural Approaches
Diet and Exercise:
- A healthy diet and regular physical activity can support overall hormonal balance, which may help manage fibroid growth. A diet rich in fruits, vegetables, whole grains, and lean proteins while minimising processed foods and red meat is particularly beneficial. Exercise helps maintain a healthy weight, which is linked to lower estrogen levels and potentially reduced fibroid risk.
Stress Management and Complementary Therapies:
- Techniques such as yoga, meditation, and acupuncture may help reduce stress and alleviate symptoms of uterine fibroids like pelvic pain and cramping. While these methods are not curative, they can complement other treatments to improve overall well-being. Some patients report symptom relief through alternative therapies, although scientific evidence supporting their effectiveness remains limited.
C] How to Choose the Right Treatment Option
Selecting the most appropriate non-surgical treatment requires careful consideration of several factors:
- Age and Symptoms: Younger patients or those with mild symptoms may find lifestyle changes or medications sufficient, while more severe cases might require procedures like UFE or FUS.
- Fibroid Size and Location: Larger or more strategically located fibroids may respond better to minimally invasive procedures.
- Fertility Goals: Women who wish to preserve their fertility should explore treatments that cure fibroids naturally without surgery to maintain uterine integrity, such as hormonal therapies, UFE, or FUS.
Consulting with a gynaecologist or interventional radiologist is essential for developing a personalised treatment plan. These specialists can guide patients in balancing symptom relief, fertility considerations, and long-term health goals.
D] When to See a Specialist for Non-Surgical Fibroid Treatment
While many women can manage uterine fibroids with lifestyle changes or over-the-counter medications, there are times when consulting a gynaecologist or fibroid specialist is crucial to ensure the best possible care. Here are key situations when seeking professional advice is recommended:
1. Persistent or Worsening Symptoms
- Heavy menstrual bleeding that soaks through pads or tampons in less than an hour.
- Chronic pelvic pain or pressure that affects daily activities.
- Frequent urination or difficulty emptying the bladder due to fibroid pressure.
- Severe fatigue caused by anaemia from heavy bleeding.
2. Difficulty with Fertility or Pregnancy
If you’re struggling to conceive, have experienced recurrent miscarriages, or are planning a pregnancy, it’s important to consult a specialist. Fibroids can sometimes interfere with fertility or pregnancy outcomes, and early intervention may improve your chances of success.
3. No Improvement with Initial Treatments
If medications or lifestyle adjustments haven’t alleviated your symptoms, a gynecologist or interventional radiologist can help you explore more advanced non-surgical options, such as Uterine Fibroid Embolisation (UFE) or Focused Ultrasound Surgery (FUS).
4. Rapid Fibroid Growth or Uncertain Diagnosis
Rapidly growing fibroids or new symptoms such as sudden, severe pain should prompt immediate medical attention. In some cases, further evaluation may be necessary to rule out other conditions, such as uterine sarcoma (a rare cancer).
5. Impact on Mental Health or Quality of Life
If fibroid symptoms are causing significant emotional distress, relationship challenges, or limitations in work or personal activities, it’s time to seek professional care. A specialist can help tailor a treatment plan to meet your needs and restore your quality of life.
What to Expect During Your Visit
A specialist will typically perform a detailed medical history review, a physical exam, and imaging uterine fibroids tests such as ultrasound or MRI to assess the size, number, and location of your fibroids. They will then recommend a personalised treatment plan, focusing on your symptoms, fertility goals, and overall health.
Taking the Next Step
Recognising when to seek medical attention is vital in effectively managing uterine fibroids. By consulting a healthcare provider early, you can access a broader range of non-surgical treatments and make informed decisions about your health.
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Conclusion
For women navigating the challenges of uterine fibroids, treating uterine fibroids without surgery offers effective and less invasive solutions. From medications to lifestyle adjustments and advanced minimally invasive procedures, these approaches prioritise patient comfort, recovery, and fertility preservation.
By staying informed and consulting private gynaecologists in London, patients can make empowered decisions that align with their health goals and personal preferences.
Neha Goel
Neha Goel, a Psychology alumna and MBA graduate from CASS Business School, London, brings together her expertise as a Reiki Practitioner and Practice Manager. She integrates psychology and business strategies to foster holistic well-being and personal development.