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What can be done to remove fibroids? These are the treatments to get rid of uterine fibroids
Uterine fibroids are considered uterine pathologies. They are benign tumours formed from the muscular tissue of the uterus. They most commonly appear during childbearing years and are classified according to their location:
- Subserosal: these grow towards the outside of the uterus and may put pressure on neighbouring organs.
- Intramural: these develop within the uterine wall and may increase in size.
- Submucosal: these protrude into the uterine cavity and may be associated with heavy bleeding and fertility problems.
- Pedunculated: these remain attached to the uterus by a narrow base or peduncle.
The location, size and symptoms are key to determining whether fibroids need to be treated or removed, and which technique is most appropriate.
What can be done to remove fibroids?
Not all fibroids require treatment. At Vida Fertility, we first assess their size, location, symptoms and relationship with the uterine cavity. If the patient wishes to become pregnant, we must also choose a technique that preserves the uterus and fits in with her reproductive plans.
Treatments for removing fibroids
Radiofrequency treatment for fibroids
Radiofrequency treatment for fibroids uses controlled heat to target the fibroid tissue, gradually reducing its volume. It is a minimally invasive technique that preserves the uterus and usually allows for a quicker recovery than conventional surgery.
According to Dr Zermiani, “It may be of particular interest to certain patients who wish to become pregnant or who are preparing for assisted reproduction treatment”.
However, not all fibroids can be treated with radiofrequency. At Vida Fertility Madrid, we assess each case through a specialised gynaecological evaluation to confirm whether this technique is suitable.
Hormonal treatments
Some hormonal medicines help to control bleeding, pain or pelvic pressure and, in certain cases, may temporarily reduce the size of the fibroid. They do not usually eliminate it permanently and symptoms may reappear when treatment is stopped.
Embolisation treatment
Embolisation blocks part of the blood supply to the fibroid to cause it to shrink. If you wish to become pregnant, the potential effects on the uterus and fertility must be carefully assessed before this treatment is recommended.
Myomectomy
Myomectomy allows one or more fibroids to be removed whilst preserving the uterus. It can be performed via hysteroscopy, laparoscopy or open abdominal surgery, depending on the location, size and number of the fibroids. Although it may be the most appropriate option in some cases, it requires surgery and a recovery period.
Hysterectomy
A hysterectomy involves removing the uterus, thereby permanently eliminating uterine fibroids. As it prevents future pregnancy, it is reserved for patients who do not wish to conceive and for situations where other alternatives are not appropriate.
Each treatment has its advantages and limitations. At Vida Fertility Madrid, we assess how the fibroid affects your symptoms, your fertility and your plans for motherhood in order to recommend the most suitable option for you.
Frequently asked questions from our patients about removing fibroids
Dr Zermiani, a specialist at Vida Fertility Madrid, answers:
What types and sizes of fibroids are there?
As we have already mentioned, fibroids are mainly classified by their location:
- Submucosal fibroids
- Intramural fibroids
- Subserosal fibroids
- Pedunculated fibroids
Their size can range from a few millimetres to several centimetres, but size alone does not determine their severity.
To assess their impact, the number of fibroids, the symptoms they cause and whether they distort the uterine cavity are also important factors. If you wish to have children, I recommend investigating their relationship with the endometrium before trying to conceive.
Can uterine fibroids be cancerous?
Fibroids are benign tumours and almost never turn into cancer. However, if a uterine mass grows rapidly, causes new symptoms or increases in size after the menopause, it should be investigated.
Is there any natural treatment for uterine fibroids?
No, there is no natural remedy, diet or supplement with sufficient evidence to eliminate fibroids. Maintaining healthy habits can promote general well-being, but they are no substitute for gynaecological monitoring or medical treatment.
If you are hoping to become pregnant, please consult us before taking any supplements or delaying treatment: we will assess whether the fibroid requires intervention or simply monitoring.
When should you be concerned about a fibroid?
You should see a specialist if you experience very heavy periods, anaemia, persistent pelvic pain, abdominal pressure, rapid enlargement of the abdomen, or urinary or bowel problems.
Sudden, severe pain requires urgent medical assessment. It is also advisable to consult your doctor if you are having difficulty getting pregnant, have had previous miscarriages, or are about to start IVF, to check whether the fibroid might be affecting your fertility.
Each case must be assessed individually before deciding on the most appropriate treatment. At Vida Fertility, we assess the impact of fibroids on uterine health, fertility and the chances of pregnancy in order to offer a personalised medical plan.
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At Vida Fertility, we believe that feeling informed is the first step towards a more confident fertility journey.
Through our events, talks and private consultations, we help patients understand their options, ask questions and receive personalised guidance from our fertility specialists in Spain.
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ℹ️ The information published on Vida Fertility is reviewed by our fertility specialists and medical team, following up-to-date scientific criteria and evidence-based medicine. Our team is a member at scientific societies such as SEF, ESHRE and SEGO.
