TREATMENT AND PROGNOSIS :
These medicines results in heavy menstrual bleeding and pelvic pressure. They also regulate the menstrual cycle. The following medicines might shrink the fibroids.
Gonadotropin releasing hormone agonists:
They treat the fibroids by blocking the release of estrogen and progesterone. These medications might put you in the temporary state of menopause like state.
Progestin-releasing intrauterine device (IUD):
A progestin-releasing IUD can relieve heavy bleeding caused by fibroids. A progestin-releasing IUD provides symptom relief only and doesn't shrink fibroids or make them disappear. It also prevents pregnancy.
Tranexamic acid :
This nonhormonal medication is taken to ease heavy menstrual periods. It's taken only on heavy bleeding days.
Other medications. Your doctor might recommend other medications. Noninvasive procedure
MRI-guided focused ultrasound surgery (FUS) is:
It is a non invasive technique
It is useful in embolization of the uterine artery:
Small particles which are called as embolic agents are injected into the arteries supplying the uterus, cutting off blood flow to fibroids resulting in shrinkage of the fibroid and make them die.
In this technique radiofrequency energy destroys uterine fibroids and shrinks the blood vessels that feed them. A similar procedure called cryomyolysis freezes the fibroids.
Laparoscopic or robotic myomectomy:
In this procedure the fibroid are removed leaving the uterus in place. If the fibroids are little number then the physician might opt for laparoscopic procedure in which the small incision is made and the tumour is made.
Larger fibroids are removed through smaller incisions by breaking them into the pieces which is termed as morcellation .
This procedure may be an option if the fibroids are contained inside the uterus (submucosal). Your surgeon accesses and removes fibroids using instruments inserted through your vagina and cervix into your uterus.
This treatment, performed with a specialized instrument inserted into your uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of your uterus, either ending menstruation or reducing your menstrual flow.
If multiple fibroids are present and if fibroids are larger then this surgical procedure is preferred.
It is main surgery performed which might result in the removal of the uterus and also sometimes along with vagina. It is complete solution of the uterine fibroids. The physician can give the chance for removal of the ovary also. The treatment process depends upon the individuals decision.
Morcellation during fibroid removal:
Morcellation — a process of breaking fibroids into smaller pieces — may increase the risk of spreading cancer if a previously undiagnosed cancerous mass undergoes morcellation during myomectomy. There are several ways to reduce that risk, such as evaluating risk factors before surgery, morcellating the fibroid in a bag or expanding an incision to avoid morcellation.
All myomectomies carry the risk of cutting into an undiagnosed cancer, but younger, premenopausal women generally have a lower risk of undiagnosed cancer than do older women.