5 doctors weighed in:
If I have severe bleeding and cramps from uterine fibroids, will I need to get a hysterectomy?
5 doctors weighed in

Dr. John Lipman
Radiology
1 doctor agrees
In brief: No
If you have significant symptoms from fibroids you can keep your uterus and instead treat the fibroids with uterine fibroid embolization (ufe).
There are many reasons to keep uterus in patients who have completed childbearing. Uterus important in sexual health, cardiovascular health, bone health. For ufe you would need to consult an interventional radiologist.

In brief: No
If you have significant symptoms from fibroids you can keep your uterus and instead treat the fibroids with uterine fibroid embolization (ufe).
There are many reasons to keep uterus in patients who have completed childbearing. Uterus important in sexual health, cardiovascular health, bone health. For ufe you would need to consult an interventional radiologist.
Dr. John Lipman
Dr. John Lipman
Thank
1 doctor agrees
In brief: Maybe
The best solution for you will depend on the size and location of the fibroids and your age.
It may be possible to control your symptoms with endometrial ablation or uterine artery embolization or ocs. If you are close to menopause, you may be able to use the medicines Lupron and Aygestin (norethindrone) for 6 months. For some women, hysterectomy, especially if it can be done laparoscopically, is best.

In brief: Maybe
The best solution for you will depend on the size and location of the fibroids and your age.
It may be possible to control your symptoms with endometrial ablation or uterine artery embolization or ocs. If you are close to menopause, you may be able to use the medicines Lupron and Aygestin (norethindrone) for 6 months. For some women, hysterectomy, especially if it can be done laparoscopically, is best.
Dr. Katherine Sutherland
Dr. Katherine Sutherland
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1 comment
Dr. Denise Elser
If hysterectomy is necessary, vaginal may be possible & may involve less risk/recovery than l'scopy
Dr. Carolyn Thompson
Obstetrics & Gynecology
In brief: Not necessarily
Hysterectomy is one method of treating symptoms of fibroids.
Other methods include use of hormones, surgical removal of fibroids, and uterine artery ablation (to cut off the blood supply to the fibroids). You and your doctor can decide on the best treatment for you.

In brief: Not necessarily
Hysterectomy is one method of treating symptoms of fibroids.
Other methods include use of hormones, surgical removal of fibroids, and uterine artery ablation (to cut off the blood supply to the fibroids). You and your doctor can decide on the best treatment for you.
Dr. Carolyn Thompson
Dr. Carolyn Thompson
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1 comment
Dr. John Lipman
The procedure I think you're referring to is called Uterine Artery Embolization (UFE) not "uterine artery ablation". Ablation as you know is a different procedure which delivers energy (usu. heat or cold) to destroy lining of uterus in family-complete women with heavy uterine bleeding.
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Dr. Jane Van Dis
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