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Request treatment for fibroids online from our trusted, board-certified doctors and find relief from pain and discomfort today. Get a new prescription to treat fibroids or refill an existing prescription today.*

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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card. PlushCare doctors cannot treat all cases of fibroids. Our primary care physicians can conduct an initial evaluation of your symptoms, but may need to refer you to a specialist or for in-person treatment. If you are experiencing life-threatening symptoms, seek emergency medical attention immediately.

Learn about fibroids

Fibroids are muscular tumors growths that develop in the wall of the uterus (womb). The most common type of fibroids are uterine fibroids. Uterine fibroids are also called leiomyomas or myomas. Fibroids are rarely cancerous and do not increase risk for uterine cancer. Women with fibroids have symptoms that range from no symptoms to painful and heavy bleeding. Treatment for uterine fibroids is dependent on the symptoms.

The size and location of fibroids can vary. Fibroid tissue can range in size, from as small as a pea, to as big as a watermelon. Multiple fibroids can be present at the same time.

Fibroids can also be classified by their location:

  • Intramural fibroids: These are within the uterine wall.

  • Submucosal fibroids: These grow into the uterine cavity.

  • Subserosal fibroids: These grow on the outside of the uterus.

Fibroid causes

  • The actual causes of fibroids are not known. Current research suggests that each fibroid growth begins as an abnormal muscle cell and can increase in size in response to estrogen hormone.

    The following factors are associated with uterine fibroids:

    • Hormonal: Fibroid tumors are affected by both estrogen and progesterone. It has been observed that uterine fibroids tend to experience more rapid growth during pregnancy when hormone levels are high. Fibroids shrink in response to hormonal medications.

    • Age: Uterine fibroids can occur at any age in women within reproductive age but tend to occur in between 30 - 40 years. In older women, most fibroids tend to stop growing or even shrink once a woman reaches menopause.

    • Genetics: Fibroids tend to run in families.

Fibroid symptoms

  • Women with fibroids have symptoms that range from no symptoms to painful and heavy bleeding. Those that experienced symptoms of uterine fibroids report the following:

    • Pain: The pain can range from dull to sharp, in the lower back, abdomen, or pelvis. Some also reported feeling menstrual pain or pain during sex.

    • Changes in menstruation: This can include heavy bleeding, bleeding between periods, and prolonged period bleeding.

    • Bladder symptoms, including frequent urination

    • Bowel symptoms, including constipation

    • Reproductive issues, such as infertility or miscarriage



How to treat fibroids

Treatment of fibroids is based on:

  • Severity of the symptoms

  • Location and size of the fibroids

  • Age

  • Desire for pregnancy

For example, if the patient is near menopause age, with small fibroids and minimal symptoms, the doctor may recommend careful monitoring, as the fibroids can stop growing or even shrink after menopause. However, significant symptoms of uterine fibroids may require treatment. Treatment options include medicinal and surgical approaches.

Myomectomy

For patients who want to get pregnant, myomectomy is the recommended procedure. During myomectomy, the fibroids are removed but the uterus stays intact. There are three myomectomy methods:

  • Open myomectomy: This myomectomy is performed via an abdominal incision

  • Laparoscopic or robotic myomectomy: This is a minimally invasive procedure. The myomectomy is performed through small abdominal incisions and a laparoscope. This procedure results in less bleeding and shorter recovery time.

  • Hysteroscopic myomectomy: This is an outpatient procedure. A camera is inserted through the vagina, and the doctor cuts off fibroid tissue that has formed inside the uterine cavity.

Other procedures

Some newer techniques are currently used to treat uterine fibroids in the uterine cavity. However, the long term effects of these procedures on fertility are not known yet.

  • Radiofrequency ablation: This focused heat (under laparoscopic and ultrasound guidance) is used to make the fibroids smaller and softer.

  • Uterine artery embolization: This is also called uterine fibroid embolization. An interventional radiologist typically performs uterine artery embolization. Using X-rays for guidance, the radiologist cut off blood flow to the fibroids, causing them to shrink.

Fibroid medication

  • Iron supplements

    To help with anemia symptoms such as lightheadedness (due to heavy menstrual bleeding), iron supplements may be included in the treatment plan.



  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

    Your doctor may recommend NSAIDS such as ibuprofen or naproxen to help reduce menstrual bleeding caused by fibroids and provide pain relief.



  • Hormonal medication

    • Birth control: Contraceptives in the oral, patch or vaginal ring form can help reduce heavy bleeding due to the fibroids.

    • Progesterone-containing agents: These medications also help control bleeding and can be prescribed in various forms: intrauterine device (IUD), pills, injection and implant.

    • Gonadotropin releasing hormone agonists (GnRH agonists): These are prescribed to shrink fibroids, by lowering the estrogen level in the body, mimicking menopause (also known as medical menopause). GnRH agonists are typically not used over a year.



How to prevent fibroids

As the exact causes of the fibroids are unknown, prevention of uterine fibroids may not be possible at the present. However, some research studies have suggested that the use of hormonal contraceptives may be associated with a lower risk of fibroids.



When to see a doctor for fibroids

Fibroids can affect future fertility and cause miscarriage so it is better to speak to your doctor soon to discuss treatment options.

Fibroids can typically be professionally diagnosed during a routine pelvic exam. Doctors can order further imaging tests to better confirm:

  • Ultrasound: The use of an ultrasound probe that is either pressed over the abdomen or inserted into the vaginal canal can aid diagnosis. This instrument is able to use sound waves to produce images of the uterus to visually detect any uterine fibroids.

  • Magnetic resonance imaging (MRI): This uses magnetic and radio waves to produce detailed images of of internal organs. These detailed images can help doctors determine the location of the fibroids.

  • Hysterosalpingography: This injects X-ray dye into the uterus and fallopian tubes, so that these organs can be visualized under an X-ray.

Non-imaging methods of diagnosis can also be used:

  • Hysteroscopy: This involves a long thin scope with light which is passed through the vagina into the uterus. This allows the doctor to look into the uterus to explore for fibroids.

  • Laparoscopy: Abdominal incisions are made near the navel. The doctor then inserts a long thin scope with camera. This allows the doctor to look into the uterus to explore for fibroids.

You should seek emergency treatment right away if you experience the following symptoms:

  • Severe vaginal bleeding

  • Anemia symptoms such as lightheadedness (due to heavy vaginal blood flow)

  • Sharp, sudden pain in the abdomen that does not go away with pain medication

  • Fatigue and weakness



Fibroid treatment FAQs

  • What is the best treatment for fibroids?

    The best treatment for fibroids is depend on multitude of factors:

    • Severity of the symptoms

    • Location and size of the fibroids

    • Age

    • Desire for pregnancy


    If the patient is near menopause age with small fibroids and minimal symptoms, the doctor may recommend careful monitoring. However, significant symptoms of uterine fibroids may require treatment. Treatment options include medicinal and surgical approaches. Surgical approaches include: myomectomy, radiofrequency ablation, uterine artery embolization, etc. Medicinal options include: NSAIDs, iron/vitamin supplements and hormonal medications.

  • Can you get rid of fibroids without surgery?

    Without surgery, some hormonal medications can be prescribed to help. Fibroid tumors are affected by both estrogen and progesterone. Fibroids can shrink in response to hormonal medications.

    • Birth control: Contraceptives in the oral, patch or vaginal ring form can help reduce heavy bleeding due to fibroids.

    • Gonadotropin releasing hormone agonists (GnRH agonists): These are prescribed to shrink fibroids, by lowering the estrogen level in the body, mimicking menopause.

    • Progesterone-containing agents: These medications also help control bleeding and can be prescribed in various forms: intrauterine device (IUD), pills, injection and implant.

  • What size fibroids need surgery?

    The normal uterine size is about the size of a lemon and typically sets the upper limit for the size of the fibroid for surgery. However, size is not all that matters. The location of the fibroid matters as well. For example however small, if the fibroid is located within the uterine cavity, it may cause abnormal bleeding.

  • What do fibroids look like?

    Fibroids are rounded smooth muscle growths that can look like nodules. In some cases, they have a thin stem, looking like a mushroom.

  • Are fibroids cancerous?

    No. Fibroids are muscular tumors growths that develop in the wall of the uterus (womb). Fibroids are typically benign tumors.

  • Can fibroids cause back pain?

    One of the symptoms of fibroids is pain sensation that range from dull to sharp, in the lower back.

3 simple steps to request a consultation for fibroids today

Step 1

Book a fibroid consultation appointment.

Book a same day appointment from anywhere.



Step 2

Talk to your medical provider regarding your fibroid symptoms.

Visit with a doctor on your smartphone or computer.



Step 3

If prescribed, pick up prescription for fibroid treatment.

We can send prescriptions to any local pharmacy.

Related conditions to fibroids

  • Adenomyosis

    Adenomyosis is a condition in which the endometrial tissue (inner lining of the uterus) grows into the muscle wall of the uterus (the myometrium). Due to similar symptoms, adenomyosis is often misdiagnosed as uterine fibroids. Fibroids are typically benign tumors growing in or on the uterine wall.



Fibroid consultation pricing details

How pricing works

To request fibroid treatment and get a new or refill on your prescription, join our monthly membership and get discounted visits.

Paying with insurance

Membership

$16.99/month

First month free

Visits

Copay

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
    • Aetna
    • Cigna

Paying without insurance

Membership

$16.99/month

First month free

Visits

$129

30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.