We've created this site to make it easy to get the information you need. Once you have some of your questions answered, sit down and have a heart-to-heart with your doctor. Together, you'll be able to determine just the right course of treatment to alleviate your pain, heavy bleeding, infertility and other potential symptoms caused by fibroids or polyps.
The best place to begin is to understand all of your various treatment options, whether that's watchful waiting or deciding to have surgery to remove the unwanted tissue.
Just learned that you have fibroids or polyps? Rest assured; there are many treatment options available. Since fibroids and polyps are often symptom-less, or cause minor discomfort only, let's start at the low end of the treatment spectrum:
Watchful waiting: Like many women, you may not need any treatment—at least for now. Instead, your doctor may suggest monitoring the size of your fibroids or polyps, while you track to see if your symptoms change. Do you notice that your period is becoming unusually heavy? Are you having increased pelvic pain? Looking to get pregnant, but no success? If you are experiencing these or other symptoms, you may want to talk to your doctor about moving onto a more aggressive course of action.
Medication: There are certain types of hormonal medications, such as progestins and gonadotropin-releasing hormone agonists, that can shrink a fibroid or polyp and lessen your symptoms. But keep in mind that taking such medications is usually a short-term solution. You may find that your symptoms come back when you stop taking the medicine. Taking a birth control pill may help lessen your heavy bleeding.
Surgical management: Removing your uterine fibroids is called a myomectomy, while removing polyps is called a polypectomy. There are several ways your doctor can perform these procedures, depending on where the fibroids or polyps are located, including:
• Hysteroscopic myomectomy or polypectomy—the least invasive: These simple procedures can eliminate unwanted tissue without any incisions—and without having to remove your uterus altogether (a hysterectomy)—for example, the MyoSure procedure.
Recovery time: One of the biggest advantages of having the MyoSure procedure is its short recovery time—you can usually resume normal activity in a few days. Plus the procedure is typically done on an outpatient basis; you can return home the same day.
• Laparoscopic myomectomy—minimally invasive: The surgeon makes a small incision by the belly button and uses surgical instruments to remove the fibroid.
Recovery time: After laparoscopic myomectomy, women usually return to normal activity within 10 to 14 days.1
• Abdominal surgery—invasive: This type of procedure is performed in a hospital, under general anesthesia. The surgeon cuts through the abdomen to reach the uterus, which he or she then opens up to excise the uterine fibroids or polyps.
Recovery time: This is considered major surgery. Recovery time from this type of procedure is typically four to six weeks.
Once your doctor has diagnosed your heavy bleeding or other symptoms—and fibroids or polyps are the culprit—it's time to get specific. Here are some questions you can ask your physician to learn more about your individual case:
- How many fibroids or polyps do I have?
- What size are my fibroid(s) or polyp(s)? Where are they located?
- How quickly have they grown? (Ask this if you have already been diagnosed and are returning for another appointment.)
- Can I tell if the fibroid(s) or polyp(s) are growing larger? If so, how?
- What problems can they cause?
- What tests or imaging studies do you recommend for tracking the growth of my fibroid(s) or polyp(s)?
- If they become a problem, what treatment options do you suggest?
Download our Doctor discussion guide, print this list out and take it with you to your next appointment.
We can't stress this enough: When you're having any medical procedure, arming yourself with as much information as possible is absolutely critical! Check out these online resources to learn as much as possible about fibroids and polyps—their causes, symptoms and treatment options. Of course, nothing can take the place of your doctor's expert advice. He or she is the only person who can provide information and advice regarding your specific needs.
The MyoSure hysteroscopic tissue removal system is intended for hysteroscopic intrauterine procedures by trained gynecologists to resect and remove tissue including submucous myomas, endometrial polyps and retained products of conception. It is not appropriate for patients who are or may be pregnant, or are exhibiting pelvic infection, cervical malignancies or previously diagnosed endometrial cancer.