How treat mioma if it small?
There are several treatment options for small uterine fibroids, depending on the individual's symptoms and preferences. Here are some common approaches for treating small fibroids:
1. Watchful Waiting: If you have small fibroids that are not causing any symptoms, your doctor may recommend watchful waiting. This means regular monitoring through pelvic exams and imaging tests to track any changes or growth of the fibroids over time.
2. Medications: For women who are experiencing symptoms from small fibroids, such as heavy or irregular menstrual bleeding, pain, or pressure, medications can be an effective treatment option. Some commonly used medications include:
- Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter pain relievers like ibuprofen (Advil) or naproxen (Aleve) can help reduce pain and discomfort.
- Oral Contraceptives: Birth control pills can help regulate menstrual cycles, reduce bleeding, and alleviate pain caused by fibroids.
- Gonadotropin-Releasing Hormone (GnRH) Agonists: These medications temporarily suppress the production of estrogen and progesterone, which can lead to the shrinkage of fibroids.
- Selective Progesterone Receptor Modulators (SPRMs): These drugs block the effects of progesterone on the uterus, helping control fibroid growth and reduce heavy menstrual bleeding.
3. Minimally Invasive Procedures: Various minimally invasive procedures are available for women with small fibroids. These may be considered when medications are not effective or are not suitable due to specific concerns. Some common minimally invasive procedures include:
- Uterine Artery Embolization (UAE): This procedure involves injecting tiny particles into the blood vessels supplying the fibroid, blocking their blood supply and causing them to shrink.
- Focused Ultrasound Surgery (FUS): This non-invasive technique uses high-energy ultrasound waves to target and destroy fibroids while preserving healthy tissue.
- Myomectomy: A surgical procedure where the fibroids are removed from the uterus, while preserving the uterus. This option is often considered for women who wish to retain their future fertility.
4. Hysterectomy: In some cases, when the symptoms caused by small fibroids are severe and unresponsive to other treatments, a hysterectomy (surgical removal of the uterus) may be recommended. This is typically considered as a last resort or for women who have completed their childbearing plans.
It is important to consult a healthcare provider to discuss which treatment option is most appropriate based on your specific situation, symptoms, and individual needs.