- by Motherhood Hospital
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- Apr 05 2017
Diagnosis and treatment of Fibroids
- Ultrasound – An ultrasound uses high frequency sound waves to produce images of your uterus on a screen. This will allow your doctor to see its internal structures and any fibroids present. A transvaginal ultrasound, in which the ultrasound wand (transducer) is inserted into the vagina, may provide clearer pictures since it is closer to the uterus during this procedure.
- Pelvic MRI – This in-depth imaging testing produces pictures of your uterus, ovaries, and other pelvic organs.
Treatment – The doctor will develop a treatment plan based on your age, the size of your fibroid(s), and your overall health. You may receive a combination of treatments.
Medications – Medications to regulate your hormone levels may be prescribed to shrink fibroids. Gonadotropin-releasing hormone (GnRH) agonists, such as leuprolide (Lupron), will cause your estrogen and progesterone levels to drop. This will eventually stop menstruation and shrink fibroids.
Other options that can help control bleeding and pain, but will not shrink or eliminate fibroids, include:
- An intrauterine device (IUD) that releases the hormone progestin
- Over-the-counter anti-inflammatory pain relievers, such as ibuprofen
- Birth control pills
Minimally Invasive Procedures – A newer and completely noninvasive surgical procedure is forced ultrasound surgery (FUS).
- You will lie down inside a special MRI machine that allows doctors to visualize the inside of your uterus.
- High-energy, high-frequency sound waves will be directed at the fibroids to destroy (ablate) them.
Myolysis – Shrinks fibroids using an electric current or laser, while cryomyolysis freezes the fibroids. Endometrial ablation involves inserting a special instrument into your uterus to destroy the uterine lining using heat, electric current, hot water, or microwaves.
What Can Be Expected in the Long Term?
- Your prognosis will depend on the size and location of your fibroids.
- Fibroids may not need treatment if they are small or do not produce symptoms.
- If you are pregnant and have fibroids, or become pregnant and have fibroids, your physician will carefully monitor your condition.
- In most cases, fibroids do not cause problems during pregnancy.
- Speak with your doctor if you expect to become pregnant and have fibroids.
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