Several procedures are available to treat symptomatic uterine fibroids. The best treatment depends on factors such as the size, number, and location of the fibroids, your symptoms, whether you hope to become pregnant in the future, and your personal preferences.
Many women wish to preserve their uterus, and several uterus-preserving procedures—including myomectomy and radiofrequency ablation (Acessa® and Sonata®)—may be appropriate depending on the characteristics of the fibroids. For women who have completed childbearing and desire definitive treatment, hysterectomy may also be an option.
The resources below provide information about common procedural treatment options for uterine fibroids, including their benefits, limitations, and expected recovery.
A myomectomy is surgery to remove uterine fibroids while preserving the uterus. It is often recommended for women who wish to maintain fertility or keep their uterus. Depending on the size, number, and location of the fibroids, myomectomy may be performed hysteroscopically, laparoscopically, robotically, or through an abdominal incision.
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Radiofrequency ablation treats fibroids by delivering controlled heat directly into the fibroid, causing it to shrink over time while preserving the uterus. Unlike myomectomy, the fibroid is not removed. These procedures may be an option for selected women with symptomatic fibroids who wish to avoid more invasive surgery.
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