6 doctors weighed in:
What are the options to treat pain for large uterine fibroids?
6 doctors weighed in

Dr. Eric Berkowitz
Radiology
4 doctors agree
In brief: Uterine embolization
Another good option is uterine artery embolization, a method of cutting off the blood supply to the fibroids causing them to shrink and die.
While it does not remove the fibroids it is 95% successful for bleeding and 85% for bulk symptoms. It is performed as an outpatient procedure without the need for stitches and is well tolerated. Performed by interventional radiologists (image guided surgeons).

In brief: Uterine embolization
Another good option is uterine artery embolization, a method of cutting off the blood supply to the fibroids causing them to shrink and die.
While it does not remove the fibroids it is 95% successful for bleeding and 85% for bulk symptoms. It is performed as an outpatient procedure without the need for stitches and is well tolerated. Performed by interventional radiologists (image guided surgeons).
Dr. Eric Berkowitz
Dr. Eric Berkowitz
Thank
Dr. Patrick Weix
Obstetrics & Gynecology
1 doctor agrees
In brief: Spectrum of Options
Ibuprofen or other nsaids are the best first line option to treat painful cycles with fibroids.
If the fibroids are large and may be degenerating, pain may be more severe. Surgery to remove the fibroids, especially davinci robotic myomectomy, give the least discomfort for the longest relief, although the fibroids can return. Hysterectomy can be an option if fertility is not desired.

In brief: Spectrum of Options
Ibuprofen or other nsaids are the best first line option to treat painful cycles with fibroids.
If the fibroids are large and may be degenerating, pain may be more severe. Surgery to remove the fibroids, especially davinci robotic myomectomy, give the least discomfort for the longest relief, although the fibroids can return. Hysterectomy can be an option if fertility is not desired.
Dr. Patrick Weix
Dr. Patrick Weix
Thank
1 comment
Dr. Patrick Weix
Uterine artery embolization, a minimally invasive procedure done by radiologists, can be very painful and success rates are not as high as surgery both for pain relief and fertility. Medical therapies such as lupron, which gives an artificial and reversible menopause, result in only temporary relief, but can be useful in controlling bleeding prior to surgery.
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Board Certified, Obstetrics & Gynecology
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