Managing Uterine Fibroids

fibroids by directing high-intensity ultrasound waves at the fibroid from outside of the skin—no incision necessary. The long-term effects of this new therapy are unknown, but early studies have shown improved symptoms up to a year following the procedure.

Uterine artery embolization (UAE) is a method that injects tiny, sand-sized particles into the two uterine arteries that block the blood supply to the fibroids and cause them to shrink. UAE is effective even if you have more than one fibroid. Since UAE’s effects on fertility are unknown, women who want to have children may want to consider a different form of treatment.

Hysterectomy removes the uterus and the fibroids along with it. It is the only treatment that eliminates the possibility of fibroids coming back; however, women who have the surgery can no longer conceive. Hysterectomy is usually considered if the fibroids are very large or after other treatments have failed.



Richard N. Waldman, MD is President of the American Congress of Obstetricians and Gynecologists