What therapies are available at the Center for Womens Care and Reproductive Surgery?
Therapies can include progesterone therapy, oral contraceptive therapy and/or other drug therapy to reduce the size of the fibroid or multiple fibroids. The length of therapy with these drugs varies; however, it is known that cessation of the drugs will usually result in reoccurrence of the fibroid’s growth. Surgical therapy can be conservative or more radical. For women who do not wish to have the uterus removed, myomectomy is an option available for continued fertility. Women who have completed childbearing may want to consider removal of the uterus because of the awareness that multiple fibroids have a reoccurrence rate as high as 50%; however, solitary fibroids return in only 10-20% of reported studies. Myomectomy can be performed either via hysteroscopy or via an abdominal approach. Patients who opt for myomectomy should be aware of potential pregnancy-related complications if they do conceive, including possibility of a necessary cesarean section. Only a fraction of patients with
