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At Bridgeport Hospital’s Fibroid Center, our multidisciplinary team of experts work with patients to provide treatment options customized to their specific medical needs and wishes, from medical to interventional radiology to minimally invasive procedures or radiofrequency ablation of fibroids.
We recognize that uterine fibroids and adenomyosis can seriously impact physical and emotional well-being. That is why we listen to our patients and focus on each individual’s preferred treatment and outcome, whether it be retaining fertility or improving specific symptoms. For most, major surgery isn’t necessary.
Uterine fibroids are noncancerous growths that can develop on the inside or outside of the muscular wall of your uterus. Typically, they do not require treatment. However, uterine fibroids can grow large and cause problems. Even small fibroids can be problematic, depending on their location and cause pelvic pain, pressure, infertility and abnormal uterine bleeding.
When uterine fibroids become too large, too numerous or start pressing against another organ, patients may experience pelvic pain or pressure and changes with menstruation. Additional symptoms include:
Pain relievers may work to reduce the pain of menstrual cramps; birth control pills and other hormonal methods can control heavy periods. An intrauterine device that releases progestogen hormone may be prescribed to reduce heavy bleeding. Medications called gonadotropin-releasing hormone (GnRH) agonists will reduce the size of uterine fibroids and stop menstrual bleeding. Because of side effects, GnRH agonists are typically used for up to six months, and fibroids will usually return to their previous size after the drug is stopped. A generation of medications known as GnRH antagonist are also being used to reduce the size of fibroids. They can also help decrease bleeding but should only be used for a certain period of time as there is a risk of osteoporosis with prolonged use.
In this procedure a thin inner layer of the uterus is destroyed, reducing menstrual bleeding. It is only indicated for patients that competed their family and do not desire future fertility, it has the limitation in patient with large fibroids distorting the cavity.
often referred to as “Acessa®” procedure is a same-day, outpatient minimally invasive procedure that uses radiofrequency and heat to destroy individual fibroids one by one and turns their consistency from a hard baseball to a marshmallow and gradually reduces their size. By shrinking the fibroids and changing the consistency, patients enjoy less severe symptoms including pelvic pain and bleeding.
This procedure is used to alleviate severe symptoms such as anemia, cramps or incontinence. Small particles are injected into the bloodstream around the uterine vessels to block the flow to fibroids and resulting in shrinkage of fibroids.
This technique has been shown to reduce severe symptoms associated with uterine fibroids. The MRI machine is used to direct ultrasound therapy to the fibroid.
In rare cases, the surgical removal of the uterus (hysterectomy) may be the best option for treating a patient’s uterine fibroid.
After learning that these symptoms were caused by uterine fibroids, Charlene went to Bridgeport Hospital in December 2021 to become the first person in Connecticut to have her fibroids treated with laparoscopic radiofrequency ablation, a minimally invasive treatment for symptomatic uterine fibroids.
Learn MoreA procedure that has long been used in the treatment of certain cancers may be worth a closer look for some women suffering from uterine fibroids. For Paulette Schmidt, the Acessa® Laparoscopic Radiofrequency Ablation (Lap-RFA) procedure offered at Bridgeport Hospital was life-changing.
Learn MoreYale New Haven Health is proud to be affiliated with the prestigious Yale University and its highly ranked Yale School of Medicine.