How can fibroids of the uterine wall be treated? #1009/14

Updated December 30, 2014 

Fibroids (myomata) of the uterine wall can cause pain, heavy bleeding, anemia, and lead to failure of implantation of a fertilized egg or to repeated early miscarriages. 99.5% of fibroids are benign. 20% of women over 30 have some evidence of fibroids. Most women have no symptoms at all.


CONTRACEPTION: The LNG IUD has been used to control heavy bleeding from fibroids and may de­crease fibroid size. Some combined pills are associated with reduced risk of hospital referral for fibroids [Guillebaud p.173 Contraception Your Questions Answered 2009]. Low dose COCs do not stimulate fibroid growth but do decrease menstrual bleeding. [Friedman, A J Obstet Gynecol 1995]. DMPA effectively decreases blood loss from myomas and may shrink myomas [Venkatachalam J. Obstet Gynecol 2004].



Robert A. Hatcher MD, MPH

Emeritus Professor of Gynecology and Obstetrics

Emory University School of Medicine

Atlanta, GA



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Key Words:  fibroids (myomata), uterine wall, pain, heavy bleeding, anemia, implantation, early miscarriage, benign, evidence, symptoms, contraception, LNG IUD, control decrease size, Guillebaud, Contraception, Your Questions Answered, Friedman, Obstet Gynecol, DMPA, blood loss, shrink, Venkatachalam


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October 31, 2014