Fibroids are non-cancerous tumors that develop in the uterus and can range in size from that of a pea to as large as a watermelon. Having fibroids is quite common: 70 to 80 percent of women will develop uterine fibroids during their lifetimes — and the likelihood of developing fibroids increases as a woman nears menopause.
What are uterine fibroids
Many women will not have any symptoms or know they have fibroids until a provider finds them during a routine pelvic exam. Symptoms of larger or multiple uterine fibroids include:
Preventing and managing fibroids
Doctors usually recommend watchful waiting for women who don’t have symptoms or whose symptoms don’t affect their quality of life. This approach means your doctor will monitor you to determine if there are changes that require more aggressive treatment.
While you cannot totally prevent fibroids, your doctor may suggest modifying your diet, which might help slow fibroid growth or ease fibroid symptoms. Foods to eat if you’ve been diagnosed with fibroids include:
Avoid these foods, which may lead to weight gain and fibroid growth:
Fibroid treatment options
If fibroids are large or bothersome, you should talk with your doctor about the pros and cons of the different fibroid treatment options, which include:
Providers usually use noninvasive options first for treating fibroids. While medicines aren’t meant to cure fibroids, they can lessen the symptoms. Medical therapy includes:
There are two surgical approaches for fibroids:
MR-guided focused ultrasound
Magnetic resonance (MR)-guided high-intensity focused ultrasound (HIFU) is a noninvasive procedure performed in an outpatient setting. The procedure targets the fibroid with high-temperature ultrasound energy to kill the fibroid cells without affecting nearby tissues. MR-HIFU is the only U.S. Food and Drug Administration (FDA)-approved interventional procedure for the treatment of fibroids in premenopausal women.
Uterine artery embolization (UAE)
UAE is a minimally invasive alternative to surgery for the treatment of fibroids. A small tube is threaded through the skin into an artery that supplies the fibroid with blood. The provider injects small particles into the tube. They travel to the fibroid and bunch together to block the blood supply, causing the fibroid to shrink.
UCLA Health provides comprehensive care for fibroids. Learn more about fibroids or request an appointment with an OB/GYN provider. If you already have a provider and are interested in UAE or MR-HIFU, please call 310-481-7545 or request an appointment.