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Uterine Fibroids Treatment

Uterine Fibroids Treatment

Why Choose Us for Uterine Fibroids Care?

As a woman, you have a lot of priorities. Between work, family and your community, it’s hard to make time for your health. But a condition like uterine fibroids can have a profound effect on your life. If you’re dealing with uterine pain, heavy bleeding during periods or feel like you can’t do the activities you love, it’s time to get help from the experts at Cleveland Clinic.

Women throughout northeastern Ohio choose our Center for Menstrual Disorders, Fibroids and Hysteroscopic Services because we have:

  • National recognition: Cleveland Clinic is ranked number one in Ohio and among the top three hospitals nationally by U.S. News & World Report. This recognition speaks to the quality of our care and our exceptional patient outcomes.
  • Extensive experience: Our board-certified gynecologists and gynecologic surgeons handle high volumes of patients with uterine fibroids. This means you’re in the care of experienced, skilled specialists. Meet our team.  
  • Customized care: We tailor treatments to your symptoms, fertility goals and personal preferences. We offer procedures for women who plan to have children, want to keep their uterus or choose bloodless medicine.
  • Minimally invasive options: We specialize in laparoscopic gynecological surgery, which uses very small incisions. We can perform almost all of our uterine fibroid procedures this way to help you recover faster with less pain.
  • Community involvement: We believe that women who care for their physical, mental and emotional health take charge of their destinies. Celebrate Sisterhood is a Cleveland Clinic-sponsored program dedicated to empowering multicultural women to embrace self-care. Learn more about Celebrate Sisterhood.
  • Collaborative team: We work with providers throughout the Cleveland Clinic network to ensure you get complete care. We collaborate with interventional radiologists, nutritionists, hematologists, infertility specialists, a blood management team and the Center for Functional Medicine.
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A Building - Crile | Cleveland Clinic

Locations

To see one of the specialists in our Center for Menstrual Disorders, Fibroids and Hysteroscopic Services, please call 216.444.6601 or 800.CCF.CARE (1.800.223.2273), ext. 46601.

If previous imaging tests and laboratory evaluations have been performed, please bring the records with you.

Menstrual disorders, fibroids and hysteroscopic services are available throughout northeastern Ohio. Our specialists see patients at our regional hospitals, medical office buildings and family health centers, as well as at our main campus.

Our office is located at Cleveland Clinic's main campus in the A Building - Crile Building:

Department of Obstetrics & Gynecology, Desk A81
2049 East 100th St.
Cleveland, Ohio 44195

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Uterine Fibroid Diagnosis at Cleveland Clinic

We may perform a diagnostic hysteroscopy or a saline infusion sonography to get a clear picture of your pelvic health before creating a treatment plan.

Hysteroscopy

A diagnostic hysteroscopy is a quick procedure that can be performed right in the doctor’s office. Our team has performed more than 10,000 in-office hysteroscopies , which means we have extensive experience with this technique.

During a diagnostic hysteroscopy, we insert a thin, flexible lighted tube, or hysteroscope, through the vagina to examine the uterus. We often utilize a “no-touch” technique that eliminates the need for a speculum or additional instruments. A hysteroscopy helps us determine the size and extent of your fibroids. We can also make sure you don’t have other conditions affecting the uterus and cervix, such as polyps or an infection.

Saline infusion sonography

A saline infusion sonography, also called a water sonogram, is a type of ultrasound. We use saltwater to gently expand the uterus. Your doctor inserts an imaging tool through the vagina, which allows us to see a 3D image of fibroids and other abnormalities in the uterus.

MRI

We may do an MRI if your uterus is enlarged. This imaging test helps us determine the size, number and location of your uterine fibroids.

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Health Information

Read more about uterine fibroids in our comprehensive health library.

 

Uterine Fibroid Treatment at Cleveland Clinic

You have a range of options when it comes to uterine fibroid treatment. Before creating a treatment plan, we take the time to listen to your needs. We review your symptoms and discuss your goals for fertility preservation.

Uterine fibroid medications

We offer a wide range of medications to reduce pelvic pain, relieve heavy bleeding during periods and prevent anemia (a lack of iron in the blood). We may recommend:

  • Birth control pills: Estrogen helps shorten periods and reduce heavy bleeding.
  • Progestin-releasing intrauterine device (IUD): This hormone can reduce blood flow during periods, though an IUD may not be recommended for women with bulk fibroids.
  • Tranexamic acid (Lysteda®): We give this nonhormonal medication during your period to reduce blood loss. We may recommend it for women who can’t have hormonal therapy.
  • Elagolix (Oriahnn): This pill lowers estrogen levels in the body. It reduces heavy bleeding and may stop your periods completely while used, up to 24 months.
  • Leuprolide acetate (Lupron Depot®): This medication is administered as a shot and lowers estrogen levels in the body. It reduces heavy bleeding and may stop your periods completely.

Fibroid surgery options at Cleveland Clinic

Sometimes fibroid surgery is necessary. We’ll choose a procedure that fits your fertility goals and personal preferences. Be sure to let us know what’s important to you. We offer bloodless surgery for women who don’t want a blood transfusion or blood products during surgery.

Uterine artery embolization

During this procedure, we collaborate with interventional radiologists to place a small catheter into an artery in your groin or wrist. We inject particles through the catheter into your uterine arteries to cut off blood supply to the fibroids. This causes them to shrink over the span of a few months.

Endometrial ablation

Your surgeon uses heat to destroy the lining of the uterus. This treatment may burn small fibroids near the uterine lining, but it’s primarily done to reduce heavy bleeding during periods. Endometrial ablation affects fertility, so we would not recommend this procedure if you’re planning on having children.

Myomectomy

We may recommend a myomectomy if you plan on having children. During this procedure, we remove the uterine fibroids and keep your uterus intact. Our surgeons can perform most myomectomies hysteroscopically or laparoscopically.

Hysteroscopic myomectomy

We can remove small fibroids in the uterine cavity using a hysteroscope. This is a thin, lighted tube used to look inside the vagina, cervix and uterus. We attach surgical tools to the hysteroscope to take the fibroids out through the vagina. Without the need for any incisions, this is a quick, outpatient procedure. Most women can return to normal activities within a few days.

Laparoscopic and robotic-assisted myomectomy

We use this procedure to remove larger uterine fibroids while preserving the uterus. However, it requires small incisions in the abdomen, often measuring 5-10mm. In some cases, a surgeon may use the assistance of a robot depending on the surgeon’s preference.

For most women, laparoscopic myomectomy is a same-day procedure. Recovery time is usually two to four weeks. The procedure offers several advantages over a traditional open myomectomy, including:

  • Less blood loss.
  • Quicker recovery.
  • Reduced pain after surgery.
  • Smaller incision.

Laparoscopic hysterectomy

By the age of 60, one in three women will have had a hysterectomy (a surgery to remove the uterus). The majority of hysterectomies are done to treat fibroids.

Many women assume they’ll need an open hysterectomy (laparotomy), which would involve a large incision and an extensive recovery. However, we can almost always perform a vaginal or laparoscopic hysterectomy, which only requires small incisions in the abdomen.

It’s important to note that we typically don’t remove the ovaries during a hysterectomy if you are premenopausal. This means you won’t go into early menopause or need hormone therapy after the procedure. Most women can go home the same day as their surgery. The typical recovery period is two to four weeks.

Take the Next Step

Take charge of your health by making an appointment. We offer in-person and virtual options for your initial consultation. If you choose to have a virtual visit, we can order bloodwork, review any previous imaging scans and have a video chat before scheduling your first in-person appointment. Call 216.444.6601 to get started.

Outcomes

Cleveland Clinic provides several treatment options for patients suffering from abnormal uterine bleeding and fibroids, including medical therapies, uterine artery embolization, myomectomy and hysterectomy.

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