What's the best treatment for fibroids?

Depends: The answer depends on a patient's goals. To rid oneself forever from the fibroid challenge a hysterectomy is definitive. A myomectomy removes the fibroids but leaves the remainder of the uterus behind. Fibroids can regrow as it is generally impossible to remove all fibroid cells. Uterine artery embolization will shrink the fibroids but rarely removes them entirely. Medication can help, also.

Depends: Depends on your symptoms & goals. Are you having pain or heavy bleeding, pelvic pressure or mass in pelvis? Are you planning pregnancy or done having kids? Was fibroid found on us and no symptoms? Options are: observation, hormones, myomectomy (surgery to remove the fibroids), uterine artery embolization, or hysterectomy (remove the uterus).

Fibroids: I like uterine artery embolization, done by an interventional radiologist, if there is a need to treat it at all. Otherwise, Lupron (leuprolide) can shrink it, a myomectomy can remove it, but leave the uterus, or a hysterectomy can get it all out.

Surgery: No medication permanently shrinks fibroid tumors. If you have symptoms options exist to help improve them: myomectomy (cutting out fibroids, repairing uterus) for women who desire future pregnancy hysterectomy (fibroid uterus removal), preferably laparoscopic or vaginal routes, best choice if family complete uterine artery embolization - injection of foam to block uterus blood supply.