Is it necessary to treat fibroids, it can lead to infertility!

Experts say that surgical methods may be considered if fibroids cause problems such as infertility or recurrent miscarriage.

“Surgical methods can be considered if fibroids cause problems such as infertility or recurrent miscarriage,” said Prof. Gynecology and Obstetrics. Dr. Taner Usta gave information about myoma treatment.


Although myoma formations are common in women, it is a problem that is noticed late in those who do not have regular gynecological examinations. In some cases, it can lead to infertility and may even require removal of the uterus.

Gynecology and Obstetrics Specialist Prof. Dr. Taner Usta said that fibroids can be treated according to their location, size and types. “There is no need for treatment as long as fibroids do not cause any complaints, but they should be followed up,” Usta said, “especially women who want to have children can be offered treatments to protect the uterus. Treatment should be started if complaints such as excessive bleeding during menstrual periods, anemia, pain during sexual intercourse, frequent urination, constipation, pain in the lower back or coccyx occur during fibroid follow-ups.

Fibroid treatments with medication

In drug treatment for fibroids, painkillers may be recommended to control severe pain and reduce the severity of bleeding. Hormone therapy with medication can also be used to reduce the size of fibroids and/or to keep the size under control.

“One of the health problems caused by these formations is anemia,” Prof. Usta said, “In order to prevent anemia, iron supplementation or, in advanced cases, blood transfusion may be required. For women with severe bleeding, the insertion of a hormonal spiral placed in the uterus can prevent bleeding. Myoma treatment with medical methods is generally preferred to improve the quality of life and control the condition. In some women, if the menopause period is close, it is expected that they will enter menopause instead of surgical intervention, and it is seen that fibroids shrink in this period.

It is possible to intervene in fibroids with hysteroscopy, laparoscopy and robotic surgery. There may be a single fibroid or multiple fibroids in a uterus. Which of these techniques will be preferred is decided by looking at the number, types, location and size of fibroids. It is possible to preserve the uterus. Although many women are shy because they think that the uterus will be removed completely or partially in such operations, it should not be forgotten that the slightest possibility that will harm fertility should be evaluated on the table before the operation.