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Facts about Uterine Fibroids

Fibroids are tumors that grow on or in the muscular walls of the uterus. They’re almost always benign, meaning they are not cancerous, and women who have them are not more susceptible to cancer. Many women never realize they have them, as fibroids are often asymptomatic and are usually advised to continue monitoring their fibroid without requiring fibroid removal.

At the same time, a significant portion of women with fibroids suffer from severe symptoms, including heavy bleeding, painful menstrual cramps, anemia, etc. It is common for a woman to have multiple fibroid tumors and it may be difficult to understand which fibroid is causing specific symptoms. They grow in the uterus, in the uterine wall, on the surface, or on stalk-like structures inside or outside the uterus. Fibroids can vary tremendously in size, location, and shape which can affect the treatment options you select for fibroid removal NYC.

Some fibroids grow slowly, some quickly, and some remain the same size for long periods of time. Some fibroids go through growth spurts and some eventually shrink on their own. Uterine fibroid shrinking is not all that uncommon, especially in women who entered menopause. Uterine fibroids cause pain because they place pressure on the surrounding organs. If they grow large enough to cause a swollen uterus, they can be very uncomfortable and may require fibroid removal. On occasion, the fibroids outgrow their blood supply and begin to die, which is also quite painful. It is recommended that you see your doctor right away if any of your fibroid symptoms suddenly become worse or debilitating.

Get The Best Care by Being an Informed Patient

Not all uterine fibroids are alike. No two patients are alike either. And that means that treating them will not look the same for everyone. It is all but impossible to self-diagnose and very difficult to choose the most appropriate treatment option without additional information. Viva Eve’s NYC fibroid specialists work hard to combine medical knowledge and experience in gynecology and interventional radiology with your specific situation to give you meaningfully specific advice about the different options for you, your needs, and your symptoms. Remember, asking questions and being an informed patient will help you ensure that you get the best care for you.

fibroids illustration

Diagnosing Uterine Fibroids

Your NYC fibroid specialist who is part of the team of experts at Viva Eve will follow a standard set of exams to determine the kind and severity of your fibroids. These tests may consist of:

  1. Pelvic exam
  2. Ultrasound
  3. Lab tests
  4. An MRI
  5. Hysteroscopyis a procedure that allows your doctor to look inside your uterus to diagnose and treat causes of abnormal bleeding. 

How to Discuss Your Fibroid Removal Options

If you have been diagnosed with uterine fibroids, your doctor should discuss all the fibroid removal and fibroid treatment options with you. There are several factors that will determine which is the best course of treatment for you, including your age, your risk factors, your medical history, and how bad your symptoms are. 

Uterine Fibroid Treatment

Symptomatic uterine fibroids can cause debilitating symptoms (link to Fibroid Symptoms Overview page when done) that can be extremely disruptive and can severely affect a woman’s quality of life. For patients who are suffering monthly from all the misery fibroids can bring, the question of fibroid removal is of utmost importance. There are several factors that will determine which is the best course of treatment for you, including your age, your risk factors, how bad your symptoms are, the location, type of fibroids, and size of your fibroids, etc.

Diagnosis and Watchful Waiting

If your fibroids do not cause any symptoms, there is no need to treat them. Your NYC Ob/Gyn who is part of the Viva Eve team may want to monitor your fibroids and watch for growth at your annual exam

Fibroid Treatment Options

Our fibroid experts are renowned for their extensive skills in in distinguishing fibroids and identifying their various stages of growth and recommending the best fibroid removal procedure or treatment that works for you and your unique circumstances.

TreatmentDescriptionAdvantagesDisadvantages
Hormone treatmentMedications reduce bleeding and decrease fibroid tumor size.No procedure necessary. Preserves uterus.Symptoms return when treatment stops. Recommended for a maximum of six months, otherwise may lead to early menopause-like symptoms, including osteoporosis (bone loss).
MR-guided focused ultrasound (MRgFUS)Ultrasound waves penetrate the abdominal wall and heat fibroid tissue, causing the tumor to shrink.No incision. One-to-two-day recovery with minimal discomfort. Preserves uterus.Procedure can take several hours. Usually only appropriate for small fibroids near the surface of the uterus. Insurance may not cover. Fibroids may recur, requiring additional procedures.
Uterine Fibroid Embolization (UFE)Nonsurgical procedure to block blood flow to fibroids, causing them to shrink. Performed by an interventional radiologist.Very small incision; no general anesthesia required. Less than one week recovery. Few major complications. Preserves uterus.Mild fatigue and low-grade fever may occur, but can be treated and typically pass quickly. 90% success rate and recurrence is uncommon.
Endometrial ablationRemoval of the lining of the uterus to reduce bleeding. Can only be used in presence of submucosal fibroids less than 1 inch in diameter.Can effectively control bleeding. Preserves uterus.Can only be used in presence of submucosal fibroids. May not be possible, depending on location or size of fibroids. Will not reduce symptoms related to fibroid bulk. Abnormal uterine bleeding may recur, requiring additional procedures.
Myomectomy – hysteroscopic – laparoscopic, including robotic – abdominalSurgical removal of fibroid tumors.Relieves symptoms and preserves uterus.Risks associated with surgery and general anesthesia. Recovery varies from two days to six weeks. Fibroids may recur, requiring additional procedures. May not be recommended depending on location, size, and number of fibroids.
Hysterectomy – vaginal – laparoscopic, including robotic – abdominalSurgical removal of the uterus.Permanently relieves symptoms.Loss of fertility. Risks associated with surgery and general anesthesia. Two to six week recovery. Hormonal changes if ovaries are removed. Longer-term side effects, both physical and psychological have been reported.

Fibroid Removal NYC

Viva Eve is a comprehensive clinical practice offering integrated specialty care for women with fibroids. We offer a full range of both minimally invasive and surgical treatments. Fibroid removal experts who are a part of the Viva Eve team are uniquely qualified to diagnose and treat your symptomatic uterine fibroids and adenomyosis. We will provide you with a definitive and correct diagnosis, ruling out other conditions that could be causing your symptoms.

Call Viva Eve to meet our friendly staff in our state-of-the-art offices and be heard.

Talk to a specialist to see if fibroid removal is right for you.