Non-surgical treatment of uterine fibroids
Non-surgical treatment of uterine fibroids in Moscow is carried out based on the results of thorough testing. As a rule, the diagnosis includes:
- Ultrasound to detect fibroids;
- complete blood count to rule out thyroid disorders and bleeding;
- An MRI scan allows you to determine the location and size of a fibroma, the type of tumor, and choose the right treatment.;
- hysterosonography (with the introduction of saline solution) helps to obtain an image of the endometrium, which is closed by fibroids;
- hysterosalpingography, an X–ray with contrast, allows you to determine the condition of the fallopian tubes and uterus if the patient is concerned about infertility.;
- Hysteroscopy is the visualization of the inner area of the uterus using a micro–camera at the end of a thin tube (hysteroscope).
If the patient has small fibroids and does not grow, and there are no symptoms, vigilant monitoring is prescribed. During this period, the woman is periodically diagnosed and leads the recommended lifestyle. If fibroids grow noticeably or there are unpleasant symptoms, doctors can prescribe the following treatment methods without resorting to surgery.
Non-surgical treatment of uterine fibroids with medications
Your doctor may prescribe hormonal medications to control your symptoms and even reduce fibroids. Such drugs include Leuprolide– a gonadotropin-releasing hormone (GnRH) agonist. It blocks hormone production, causing fibroids to shrink. This reduces heavy bleeding, pelvic pain, and the need to urinate frequently.
Hormonal contraceptives are another way of non–surgical treatment of uterine fibroids. They don't necessarily reduce the size of the tumor, but they can regulate its growth or stop heavy bleeding. Androgens, the so-called male hormones such as Danazol (a synthetic drug that mimics testosterone), help shrink fibroma.
Non-hormonal medications include tranexamic acid, which can relieve bleeding. Nonsteroidal anti-inflammatory drugs, such as Ibuprofen, help reduce pain in fibroids.
Non-surgical treatment of uterine fibroids with focused ultrasound
In this non-surgical procedure, doctors use an MRI system to determine the location of uterine fibroids, and then send high-frequency ultrasound waves to this area. This method is absolutely painless, and the patient can return home on the same day.
Non-surgical treatment of uterine fibroids by uterine artery embolization
Embolization helps to block the blood supply to fibroids, which leads to a decrease and death of the tumor. During this procedure, the doctor inserts tiny particles into the arteries that supply the fibroma with blood. As a result, the necessary blood vessels are blocked. Embolization is an option for women who have uterine fibroids that cause severe bleeding or pain and have no plans to become pregnant in the future.
Treatment of uterine fibroids in Moscow is also carried out using ablation. Endometrial ablation is a type of minimally invasive surgery that not only destroys fibrosis, but also the entire lining of the uterus. During the procedure, an instrument is inserted through the vagina that destroys the tumor with heat, current, or microwave energy.
