Appropriate uterine fibroid treatment depends on the size and location of the fibroids, as well as the severity of symptoms. If a woman is not experiencing symptoms and fibroids are not large, her doctor will most likely suggest "watchful waiting" — checking the fibroid at annual gynecologic examinations and monitoring for symptoms. Large fibroids may require more frequent monitoring to be sure they are not growing rapidly or causing damage to other structures.

If symptoms develop, consultation with a gynecologist is indicated to review treatment options: drug therapy, including non-steroidal anti-inflammatory drugs (NSAIDs), birth-control pills and hormone therapy; minimally invasive surgical treatments, including myomectomy (surgical removal of the fibroids) and hysterectomy (surgical removal of the uterus); and uterine fibroid embolization, a new non-surgical treatment that causes the fibroid to shrink.

Gynecology patients are seen at the Hospital & Seattle Medical Center, as well as our medical centers in Bellevue, Federal Way and Lynnwood. For more information about uterine fibroid treatment options, call Virginia Mason Gynecology at (206) 223-6191.