Medical Treatment of Fibroids

Fibroids that do not cause any complaints do not need to be treated. These fibroids should be followed up regularly by your doctor. If growth or a change in shape develops in the fibroids during follow-up, or if complaints arise due to the fibroid, the fibroid should be treated.

First of all, treatment is planned by taking into account which part of the uterus the fibroid originates from and which complaints it causes. The definitive treatment of fibroids is their removal by surgery. However, by using certain medicines, the fibroids may be shrunk or the complaints related to the fibroids may be relieved. First of all, painkillers may be given to women who have severe pain due to fibroids.

Birth control pills or other medicines containing hormones may be given to women who have severe bleeding and pain, and the pain of these women is relieved and their bleeding decreases. In women with severe bleeding, if anaemia has developed due to the bleeding, their anaemia is treated by giving iron supplements orally or intravenously.

Sometimes this anaemia is very severe and a blood transfusion may be necessary. In women with heavy bleeding, in addition to hormone treatments, treatment with a hormonal intrauterine device placed inside the uterus is also effective. However, despite all these treatments, in the end it may still be necessary to remove the fibroid by surgery. If a fibroid causes infertility or leads to recurrent miscarriages, it must be removed surgically without delay.