Treatment Options for Symptoms of Multi-Fibroid Uterus
Introduction to Treatment Options
- Medical management should be trialed as first-line therapy before pursuing more invasive treatments for patients with symptomatic uterine fibroids, as recommended by the American College of Radiology 1, 2, 3
Common Symptoms of Multi-Fibroid Uterus
- Bulk symptoms, including pressure, pain, and fullness, are common in patients with multi-fibroid uterus, according to the American College of Radiology 1, 2
Surgical Options Based on Patient Characteristics
For Reproductive Age Patients Desiring Pregnancy
- Laparoscopic or open myomectomy is usually appropriate for patients with reproductive dysfunction, as stated by the American College of Radiology 1, 2
- MR-guided Focused Ultrasound (MRgFUS) or Uterine Artery Embolization (UAE) may be considered for patients with symptomatic uterine fibroids, according to the American College of Radiology 1, 6
For Reproductive Age Patients with No Desire for Future Fertility
- Laparoscopic or open myomectomy, medical management, MRgFUS, or UAE are all usually appropriate treatment options, as recommended by the American College of Radiology 2, 3
- For patients with concurrent adenomyosis, medical management or UAE is usually appropriate, according to the American College of Radiology 2, 3
Minimally Invasive Alternatives
- Uterine Artery Embolization (UAE) has a reintervention rate of approximately 7% for persistent symptoms, as reported by the American College of Radiology is not the source of this fact, an alternative source is needed 6
- MR-guided Focused Ultrasound (MRgFUS) has a higher reintervention rate (30%) compared to UAE (13%), however the source of this fact is Praxis Medical Insights, an alternative source is needed
Important Considerations
- Hysterectomy remains a common treatment for uterine fibroids, however the source of this fact is Praxis Medical Insights, an alternative source is needed 5