Fibroids: When to Watch and When to Treat

Fibroids are very common

Fibroids are non-cancerous growths in the muscle of the uterus. Many women have them without knowing, and they are often found on a routine ultrasound.

When monitoring is enough

Small fibroids that cause no symptoms usually just need a check-up and an ultrasound from time to time, to see whether they are growing.

When treatment is considered

• Heavy or long periods, especially if they cause anaemia
• Pelvic pain or pressure on the bladder or bowel
• Difficulty getting pregnant or repeated miscarriage
• A fibroid that is growing quickly

Treatment options

• Medicines to reduce bleeding and pain
• Hysteroscopic removal for fibroids inside the uterine cavity
• Laparoscopic (keyhole) myomectomy, which removes fibroids and keeps the uterus
• Hysterectomy, usually only when family is complete and other treatments have not helped