Treatment of fibroids depends on childbearing decision

As I’ll explain shortly, the first question you need to ask yourself is whether you want to have children in the future. That’s because some of the most effective treatments for fibroids make becoming pregnant more difficult, or impossible.

But, first, let me explain what fibroids are. They are tumors that form in or on the uterus. They are usually benign: They don’t spread. They do not usually cause symptoms, but in some women, they can cause heavy menstrual bleeding and painful cramps. They can also increase the risk of miscarriage.

If you want to be able to bear children, you have several options available. Some data shows a decrease in fertility with uterine fibroid embolization (UFE), while other studies show women have the same fertility after UFE as with myomectomy. What I usually recommend is myomectomy as a first line treatment for fibroids if you want to have children, with UFE reserved for women who fail that initial treatment.

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