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Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK

Treatment overview

As mentioned already, treatment for fibroids is only indicated if they cause symptoms or if they are particularly large. Small fibroids are quite common, and often do not cause problems; in that case, there is no need for immediate treatment, and monitoring of the fibroids for growth may be all that is needed.

However, if you do have symptoms which can be linked to fibroids, or if the fibroids are large (or getting larger), the choice of treatments will depend on:

Your age
Number of fibroids you have
How large they are
Where they are
Your main symptoms
Your wish for future fertility

For instance, if the fibroids are small and your main problem is one of heavy periods, medical therapy with drugs or hysteroscopic myomectomy may be successful. If the fibroids are larger but you wish to have children in the future, myomectomy or embolisation may be the best option for you. If your family is complete, or if the fibroids are relatively large, you may prefer to have a hysterectomy or undergo embolisation.

Click on the links below for further information:
Medical treatment
Myomectomy
Hysterectomy
Uterine artery emobilisation

THIS SITE: Home ¦ What are fibroids ¦ Symptoms ¦ Diagnosis ¦ Treatment overview ¦ Medical treatment ¦ Myomectomy ¦ Hysterectomy ¦ Uterine artery embolisation ¦ Operation movies ¦ Fibroid Clinic
USEFUL INFORMATION: Other fibroid web sites ¦ Heavy periods ¦ Pelvic pain¦ Infertility ¦ Endometriosis ¦ Adhesions ¦ Polycystic ovaries
CONTACT: Appointment ¦ Find us ¦ Downloads ¦ Guestbook ¦ Comments or enquiry
USEFUL LINKS: One Stop Fertility Clinic ¦ Royal Free Hospital ¦ Gynaecology Workshops ¦ MRCOG & DRCOG Courses ¦ Royal College of Obstetricians and Gynaecologists ¦ The Hysterectomy Association ¦ Really Useful Software

MEDICAL NOTES
What causes fibroids?

No one knows. We do know that the growht of pre-exisiting fibroids depend on ovarian hormones, especially oestrogen. The evidence for this is that fibroids do not occur before the menarche, and fibroids shrink after the menopause.

Because of the influence of racial origin on the incidence of fibroids, there must be a genetic aetiology. However, uterine fibroids are not a single-gene disorder.

Interestingly, no animals have the equivalent of fibroids as seen in women!