fibroid treatment

fibroid  treatment

Treatment


Conservative management is appropriate where
asymptomatic fibroids are detected incidentally.

It may
be useful to establish the growth rate of the fibroids by
repeat clinical examination or ultrasound after a 6-12-
month interval. 

Where treatment is required, the only
practical currently available medical treatment is ovarian
suppression using a gonadotrophin-releasing hormone
(GnRH) agonist. Unfortunately,while very
effective in shrinking fibroids, when ovarian function
returns, the fibroids regrow to their previous dimensions.

Mifepristone (an antiprogestogen) has been
shown to be effective in shrinking fibroids at a low dose,
but is not available for use in this indication.

The optimal
dose, duration of treatment and long-term effects
have yet to be established.