Several different kinds of treatments are available to help with fibroids. In some cases it can be enough to use medication to relieve the effects of the fibroids, but if this doesn’t help a more direct approach may be needed. Your doctor may recommend using medication to reduce the size of your fibroids. Shrinking the fibroids should help to reduce their impact on your body and it can make them easier to remove surgically.
Two different types of medication can be used to shrink fibroids.
1. Gonadotropin releasing hormone analogues or GnRHas: these are medications that act like the natural hormones that control your pituitary gland. The medication will tell your pituitary gland to stop stimulating the ovaries to produce oestrogen. Lowering your oestrogen levels should help to reduce the size of your fibroids. It can also affect your menstrual cycle and cause menopause like symptoms. However, it won’t affect your chances of getting pregnant so you will still need to use contraception. GnRHas are often prescribed before surgery to shrink the fibroids so that they will be easier to remove.
2. Ulipristal acetate: this is a newer medication that should help to shrink your fibroids and relieve symptoms such as heavy periods. You will need to take a tablet once a day for up to three months at a time. If the treatment works, your periods should remain light after you stop taking the medication as the fibroids will be much smaller. You won’t be able to use hormonal contraception while you are taking this medication, so you will need to use a barrier method such as condoms or a diaphragm if you are sexually active.
Other Treatment Options for Fibroids
If medication isn’t enough to relieve the symptoms, your doctor may recommend surgery to remove the fibroids or the affected parts of your reproductive system. Several different surgical procedures are available. Your doctor can explain the options in detail.