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Uterine Fibroids

Their Affects on Fertility, Pregnancy and Beyond

By Kelly Burgess

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The reason they are "baffled" is because, while there are several treatments for uterine fibroids, no one treatment works for every woman. Also, some women respond wonderfully to at least one treatment, while others may never find relief.

Dr. William H. Parker, clinical professor of the department of obstetrics and gynecology at the UCLA School of Medicine, and author of A Gynecologist's Second Opinion: The Questions & Answers You Need to Take Charge of Your Health (Plume, 2002), says fibroids are probably responsible for more unnecessary gynecologic surgery than any other condition. "There are several options now available for fibroid treatment and a woman needs to educate herself," Dr. Parker says. "Hysterectomy was the only treatment for a long time and it was what doctors were trained to do. Our modern problem is that doctors are often too busy to keep up with new medical developments. Newer options are less invasive and have fewer long-term effects than hysterectomy."

Fibroid Treatment Options

Choosing the right treatment option depends upon the age of the woman, the severity of symptoms, the woman's desire to have children and her comfort level regarding surgery. The following is an overview of current options, from least to most invasive:

Watch and Wait: This is the course of action usually recommened when fibroids are found during a routine exam and are not yet causing bothersome symptoms, or in cases where the woman still feels the symptoms are bearable and is worried about other treatments impacting her fertility or overall health.


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