Observation
If your fibroids do not cause symptoms, there is no need to treat them. Your doctor can best manage your care and can continue to monitor your fibroids for growth.
Pharmaceutical Treatment
Can include nonsteroidal anti-inflammatory drugs (NSAIDs), Tranexamic Acid (TXA) and iron supplements.
Used to relieve heavy menstrual bleeding, anemia, painful periods, but doesn’t treat fibroids and will not reduce symptoms related to fibroid bulk.
Hormone Therapy
Medications for fibroids, such as birth control hormones (ring, patch, pills), intrauterine devices (IUDs), progestin shots (Depo-Provera), target hormones that regulate a woman’s menstrual cycle and help treat symptoms such as heavy menstrual bleeding and pelvic pressure. They don’t eliminate fibroids, but may shrink them. The possible side effects of using these medications are similar to the symptoms experienced during and after menopause and include: weight gain, hot flashes, vaginal dryness, mood swings, changes in metabolism, and infertility.
In most cases, once hormone therapy stops, fibroids tend to grow back and can reach their original size. This often occurs if hormone therapy is not accompanied by another treatment.
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