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What Is the Treatment for a Fibroid Cyst?

By Meshell Powell
Updated May 17, 2024
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Treatment for a fibroid cyst depends on the severity of the symptoms as well as whether the affected woman wishes to preserve fertility. Hormone replacement therapy is often the first line of treatment, although surgical intervention is often necessary. A hysterectomy, or complete removal of the uterus, is the most common type of surgery for a fibroid cyst, although this renders a woman permanently infertile. A myomectomy may be performed if a woman wants to preserve fertility and involves removal of the fibroid while leaving the uterus intact. Any questions or concerns about the most appropriate fibroid cyst treatment options in an individual situation should be discussed with a doctor or other medical professional.

Hormone replacement therapy is the standard treatment method when a fibroid cyst is discovered. Some hormones may help to shrink the size of the fibroids while others may help to reduce some of the painful symptoms associated with these cysts. Over-the-counter pain relievers such as ibuprofen may also prove beneficial in controlling the pain and discomfort.

A surgical procedure known as a myomectomy may be used to remove a fibroid cyst in order to attempt to preserve fertility. This procedure is designed to remove the cyst while leaving the uterus intact. About half of the women who undergo this type of surgery will need to have the procedure repeated within five years due to the high rate of recurrence. For this reason, a myomectomy is considered to be a temporary solution.

Laser ablation is a type of procedure that serves to reduce the size of the fibroid cyst, thereby reducing the severity of the pain and other symptoms caused by the growth. The core of the fibroid is burned in the hopes that the tumor will die. The chances of recurrence are relatively high for this procedure as well. Fibroid embolization involves the use of a small catheter to block the blood flow to the fibroid, although the rate of recurrence is not yet known when using this relatively now treatment option.

The only real cure for fibroid cysts is a type of surgery known as a hysterectomy. This procedure involves the complete removal of the uterus, thereby sending the patient into immediate menopause and ending fertility. Without a uterus, the fibroids have no place to grow, so there is no chance of recurrence. The ovaries may or may not be removed during the surgery, depending on the extent of the damage and any other underlying medical conditions.

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Discussion Comments

By fBoyle — On Oct 25, 2013

My sister-in-law had a myomectomy to treat her fibroid cysts. She's so happy about the outcome. She found a great doctor who is experienced in this procedure. Every other doctor she had seen had recommended a hysterectomy. But she wasn't ready to go into menopause and lose her fertility and she didn't have to which is great.

By ysmina — On Oct 24, 2013

@SarahGen-- I had embolization done for a fibroid cyst early this month. It was a little painful and I felt sick for a few days afterward. But the procedure was successful and the symptoms I had due to the cyst are slowly disappearing. I would definitely recommend it to you, although you and your doctor will make the best decision in your situation.

I think my advantage was that I had just one cyst. So I'm not sure if the side effects and recovery from the procedure will be different for you. You might have more pain and will probably need more rest because they will be working on three cysts.

There is also the chance that the procedure will fail. I heard that it happens sometimes, when all of the blood supply of the cyst is not cut off. The procedure has to be redone in that case. Overall, this procedure is much less invasive than surgery though.

By SarahGen — On Oct 24, 2013

Does anyone here have experience with fibroid embolization? Did it work for you and are you happy that you chose this treatment?

I have three fibroid cysts in my uterus and my doctor said that I have two options-- surgery or embolization. I think the risks are greater with surgery, so I'm considering embolization. But I would love to get some feedback from ladies who have been through it.

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