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4 Myoma Treatment Options

4 Myoma Treatment Options

Myoma (uterine fibroid), the occurrence of a benign or non-cancerous tumor, is common among women. A woman can have one or multiple tumors in her uterus. Likewise, the size of the growth can be as small as seedlings or as large as a grapefruit. Most cases of uterine fibroids do not result in symptoms, so you may only find out about it during a routine pelvic exam. If you are diagnosed, here are the available treatment options for myoma.

Watchful waiting

The first treatment option for uterine fibroids is watchful waiting or expectant management.

Doctors often recommend this strategy to women who experience no signs and symptoms. If you have minor discomfort, your physician may also allow you to take advantage of this option.

Watchful waiting means you will be keeping a close eye on your condition. There may be no need for you to take any medication, but it is not advised to ignore the myoma altogether.

It would still be best if you were in constant communication with your doctor and have regular tests to immediately spot signs that your condition is worsening.

According to reports, many women go on with their lives without needing treatment. And since myoma is thought to be hormone-driven, many cases shrink after menopause.

myoma treatment options

Medication

If you have symptoms that interfere with your life or daily activities, such as heavy menstrual flow or pelvic pressure, the doctor may recommend some types of medication. Note that some medicines not only manage your symptoms but also shrink large fibroids.

Here are some myoma treatment options under medications:

Gonadotropin-releasing hormone (GnRH) agonist:

Drugs under this group make the body produce less estrogen and progesterone, which shrink the fibroid and reduce bleeding. When you receive GnRH agonist as therapy, you will be in a temporary-menopause state.

Progestin-releasing intrauterine device:

Do you experience heavy bleeding? If you are, a progestin-releasing IUD may be one of the best myoma treatment options for you.

This uterine fibroid treatment doesn’t make the fibroid smaller, but it can manage symptoms such as heavy bleeding. Please remember that because you’re going to use an IUD, this strategy prevents pregnancy.

Other medications:

Besides the three medications we discussed above, your doctor may also order other types of drugs.

Examples include contraceptive pills and non-steroidal anti-inflammatory drugs (NSAIDs). These medications cannot shrink uterine fibroids, but they can ease symptoms like bleeding and cramping.

The doctor may also prescribe tranexamic acid, a medication that decreases bleeding by preventing blood clots from breaking down quickly. However, you will only take this drug on days when you’re experiencing excessive bleeding as it’s not recommended for long-term use.

Non-invasive procedure

There are also non-surgical treatment options for myoma such as the MRI-guided ultrasound surgery.

While we call it surgery, please note that the doctor will not make an incision. The procedure will happen once you’re in the magnetic resonance imaging (MRI) scanner that contains a high-energy ultrasound transducer.

When the MRI produces images, the doctor will be able to detect your fibroids’ exact location. The ultrasound transducer will then focus sound waves on the tumor to destroy its small tissues.

Remember: this uterine fibroid treatment is still relatively new, so scientists are still studying its long-term effectiveness and safety.

Minimally-Invasive and Surgical Procedures

Finally, we have surgery that physically removes the tumors from the uterus. There are several types of surgery for myoma. Some of them are:

  • Uterine artery embolization – This is a minimally-invasive procedure that injects an embolic agent in the uterus. The agent targets the fibroid and shrinks it.
  • Hysteroscopic myomectomy – If the tumor is within the uterus, the surgeon may insert instruments into the womb through the vagina and cervix and then physically removes the tumors.
  • Abdominal myomectomy – For multiple and large growths, the doctor may need to do open abdominal surgery. This may affect fertility, but is the preferred option over hysterectomy.
  • Hysterectomy – It is the complete removal of the uterus and remains the only proven permanent treatment for uterine fibroids. However, note that this surgery ends your ability to bear children.

Key Takeaways

The most common treatment options for myoma are watchful waiting, medications, non-invasive procedures, and surgery.

Learn more about Uterine Fibroids here.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Uterine fibroids
https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/diagnosis-treatment/drc-20354294
Accessed January 14, 2021

Current and emerging treatments for uterine myoma – an update
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3163653/
Accessed January 14, 2021

Treatment
https://www.nhs.uk/conditions/fibroids/treatment/
Accessed January 14, 2021

Uterine fibroids
https://www.womenshealth.gov/a-z-topics/uterine-fibroids
Accessed January 14, 2021

Fibroids Treatments
https://www.ucsfhealth.org/conditions/fibroids/treatment
Accessed January 14, 2021

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Written by Lorraine Bunag, R.N. on Jan 18
Medically reviewed by Jobelle Ann Dela Cruz Bigalbal, M.D.
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