A member asked:

What are treatment options for uterine fibroids?

3 doctors weighed in across 3 answers

Many: Usually fibroids are small & cause no problems, and do not require treatment. It is rare for them to be cancerous. Most common symptom is heavier periods, and these can be treated with birth control pill etc. /mirena iucd. , Lupron (leuprolide) can shrink fibroids. Fibroids almost never cause pain-if someone has pain, don't assume it is the fibroid. Surgery if very large or other problems.

Answered 6/27/2014

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Dr. Michael Rothman answered

Specializes in Internal Medicine

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided.

Answered 11/4/2019

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Dr. Steven Vasilev answered

Specializes in Gynecologic Oncology

Multiple: The oldest is surgery, either though hysterectomy or myomectomy to remove the fibroids. Sometimes, if internal to the uterus, hysteroscopic resection. There are options which don't require a large incision, using laparoscopy or robotic surgery. There are also hormonal options as well as uterine artery embolization, which decreases blood supply to the uterus causing fibroids to shrink.

Answered 4/1/2015

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