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  • Q&A with Australian Health Practitioners

    What is the treatment for fibroids?

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  • 3


    Dr David Rosen


    Specialist endoscopic(keyhole) and robotic surgeon with interest in; prolapse and incontinence surgery, endometriosis, menstrual disorders including complicated hysterectomies by keyhole surgery, Essure hysteroscopic sterilization as … View Profile

    Uterine fibroids are balls of smooth msucle, the same msucle that makes up the walls of the uterus, which form into discrete “tumours”, most commonly in the uterus itself. The location within the uterus (under the lining of the cavity, within the wall or on the outside) and their overall size and number determine whether they present as heavy bleeding, pain, pressure symptoms or are completely asymptomatic.

    Treatment is therefore;
    1. Do nothing - they are rarely malignant and if causing no problems may not need treatment at all
    2. Medical therapy - some medications may shrink fibroids temporarily however this is done only to facillitate easier removal at a later date as this medication has side effects and can only be used for 6 months maximum after which time the fibroids will commence growth again
    3. Intereventional radiology - so called Fibroid embolization
    4. Magnetic Resonance guided focussed ultrasound - mRGFUs
    5. Surgical removal of the fibroids - this can be done
    a. Hysteroscopically - a camera insrted via the cervix to resect or remove fibroids that are predominantly within the uterine cavity, usually for heavy bleeding or fertility problems
    b. Laparoscopically - Keyhole or Robotic surgery to remove fibroids on the outer side of the uterus causing pain, pressure or fertility issues
    c. Some surgeons still prefer open surgery (laparotomy) with a large adbominal incision for removal of fibroids

  • Women's Health Queensland Wide provides free health information for Queensland women. View Profile

    Please click on the link provided re information on  fibroids

    BrendaWomen’s Health Educator
    Health Information Line, Women’s Health Queensland Wide

    Women living in Queensland can also call our Health Information Line - a free information and referral service for Queensland women - on 3839 9988 or 1800 017 676 (toll free outside Brisbane).

    Please note that all health information provided by Women’s Health Queensland Wide is subject to this disclaimer

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