Uterine fibroids: how do you treat them?

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Uterine fibroids: how do you treat them?
– how to remain healthy, health and wellbeing, latest symptoms and treatments.

Uterine fibroids: how do you treat them?

Uterine fibroids are benign growths that develop in the uterine wall. Some women do not notice them, others can experience heavy bleeding and even fertility problems. Fortunately, there are several solutions for them.

What are uterine fibroids?

Uterine fibroids, also known as fibroids or myomas, are benign growths that grow in and around the uterus. Many women do not notice them, others experience symptoms that can affect their quality of life.

Who gets uterine fibroids in the uterus?

It is estimated that over 50% of all women will experience it at some point during their fertile period. The exact percentage is unknown, as over half of all women experience no symptoms and therefore do not receive a diagnosis.

Dr. Froyman, professor at the University Hospital Leuven: 'Uterine fibroids contain receptors for estrogen and progesterone; the two female hormones. These stimulate their growth. That is why uterine fibroids usually grow in women during their reproductive years, and stop growing after menopause'

Uterine fibroids are more common in women:

from 30 years
with a family history
who have never been pregnant
of a certain ethnic background (e.g. women of African descent)
overweight
who had their first menstrual period before the age of 12

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What could the symptoms be?

About half of all women do not experience any specific symptoms. Dr. Froyman: 'Depending on the age of the patient; as well as the number, size and location of the fibroids in the uterus, complaints can arise.'

Possible symptoms:

menstrual disorders such as long and heavy periods, intermenstrual bleeding resulting in anemia and chronic fatigue
pain complaints: pelvic pain, lower abdominal pain, bloating
fertility disorders and risk of miscarriage or premature birth during pregnancy

Treatments

Fortunately, there are several treatments available today. The choice of the type of treatment is determined by factors such as age, desire to have children or the nature and severity of the symptoms. Some examples of treatments:

Minimally invasive procedure

For example: injecting small, synthetic granules into the veins that supply the uterine fibroids with blood. This blocks the blood supply and shrinks the uterine fibroid again. But you can also opt for myolysis, in which the uterine fibroids are destroyed with targeted energy.

You can also have the uterine fibroids surgically removed, or the uterus removed completely. With the first option, you retain the chance of having children. This can usually be done via keyhole surgery (laparoscopy or robot-assisted), but sometimes a larger incision is required.

Drug treatment

There are different types of drug treatments. Some examples:

Anti-inflammatories have a beneficial effect on pain and blood loss. Tranexamic acid can also suppress blood loss somewhat.
Hormonal contraceptives, such as the pill or the IUD, can be used to control symptoms such as heavy menstrual bleeding. These treatments do not affect the volume or growth of uterine fibroids.
GnRH agonists are monthly injections that shrink uterine fibroids and correct anemia. This treatment should only be used for a short period of time, as it induces an artificial menopause.
And then there is a final, new group of drugs, namely the GnRH antagonists. Dr. Froyman: 'These drugs inhibit the release of estrogen and progesterone, which suppresses menstruation and the growth of uterine fibroids. Discomforts – such as bleeding and pain – are reduced. The treatment can be used for a long time because it is a combination treatment. The GnRH antagonist is combined in one pill with a low dose of estrogen and progesterone to prevent an artificial menopause from being initiated.'

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Do you think you have a uterine fibroid? On the website www.womentalkingfibroids.be read all about fibroids. Do not hesitate to consult a gynecologist for extensive advice and to discuss possible treatment options together.

In collaboration with Gedeon Richter Benelux

2023-121, date of revision 04/2023

Last updated: September 2023

Uterine fibroids: how do you treat them?

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