Fibroids Treatment Options in London: What Women Need to Know

Uterine fibroids are one of the most common gynaecological conditions, affecting around 1 in 3 women at some point in their lives. According to the NHS, fibroids (also called leiomyomas or myomas) are non-cancerous growths of the uterus, often developing during a woman’s reproductive years. While some women remain symptom-free, others experience severe discomfort and complications that require medical attention.

For women seeking fibroids treatment in London, understanding the causes, symptoms, and evidence-based treatment options is vital. With access to highly trained specialists and advanced facilities, London offers a wide range of treatments tailored to individual needs.

What are Fibroids?

Fibroids are made up of muscle and fibrous tissue and can vary greatly in size. Some are so small they go unnoticed, while others may grow large enough to distort the uterus.

Types of Fibroids

As defined in UK medical guidelines, fibroids are classified by their location:

• Intramural fibroids – develop within the muscular wall of the uterus.
• Subserosal fibroids – grow outside the uterus into the pelvic cavity.
• Submucosal fibroids – grow just under the inner lining of the womb and may protrude into the uterine cavity.

Symptoms

Not all fibroids cause symptoms, but when they do, the most common include:

• Heavy or prolonged menstrual bleeding (menorrhagia)
• Pelvic pain or pressure
• Abdominal bloating
• Pain during sex (dyspareunia)
• Frequent urination due to bladder pressure
• Constipation caused by bowel pressure
• Fertility difficulties and pregnancy complications

The NICE guidelines recommend that women with troublesome symptoms should be assessed and offered appropriate treatment.

Why Seek Fibroid Treatment in London?

London is home to leading consultant gynaecologists and advanced diagnostic services. Women choosing private care can access faster appointments, individualised treatment plans, and a wide range of procedures not always available through the NHS.

The choice of treatment depends on:

• The size, number, and position of fibroids
• Severity of symptoms
• Future fertility plans
• Age and proximity to menopause
• General health

Fibroids treatment options in London

Treatment for fibroids is guided by NHS and NICE recommendations. Options range from monitoring to medication, minimally invasive therapies, and surgery.

1. Watchful Waiting (Monitoring Only)

If fibroids are small and cause no symptoms, treatment may not be required. Many women only need regular ultrasound scans to check for growth or new symptoms. This is particularly appropriate for women nearing menopause, as fibroids often shrink naturally when hormone levels fall.

2. Medication for Fibroid Symptoms

Medication cannot eliminate fibroids but may help control symptoms, especially heavy bleeding and pain. Common treatments include:

• Levonorgestrel-releasing intrauterine system (LNG-IUS) – recommended by NICE to reduce heavy menstrual bleeding.
• Tranexamic acid and NSAIDs – taken during periods to control bleeding and pain.
• Combined oral contraceptives or progestogen-only contraception – regulate bleeding patterns.
• Gonadotrophin-releasing hormone (GnRH) analogues – shrink fibroids temporarily, often used before surgery.
• Selective progesterone receptor modulators (SPRMs) – such as ulipristal acetate, although its use is restricted in the UK due to rare risks of liver injury.

3. Minimally Invasive Procedures

Uterine Artery Embolisation

A procedure performed by interventional radiologists where the blood supply to the fibroid is blocked, causing it to shrink. Uterine Artery Embolisation is effective for heavy bleeding and pressure symptoms and can be an alternative to surgery for women not planning pregnancy.

MRI-Guided Focused Ultrasound

A non-invasive treatment that uses high-frequency ultrasound waves to destroy fibroid tissue under MRI guidance. Availability in the UK is limited, but it is an option in selected London centres.

4. Surgical Options

Myomectomy

This operation removes fibroids while preserving the uterus, making it suitable for women who wish to maintain fertility.
Types include:

• Hysteroscopic myomectomy – for submucosal fibroids accessed via the cervix.
• Laparoscopic (keyhole) myomectomy – for moderate-sized fibroids.
• Open myomectomy – for very large or multiple fibroids.

Hysterectomy

The surgical removal of the uterus. This is the only definitive cure for fibroids and may be recommended for women with very large fibroids, severe symptoms, or those who no longer want children. NICE guidance states hysterectomy should only be considered if other options are unsuitable or have failed.

Choosing the Right Fibroids Treatment in London

Selecting the right treatment involves a careful assessment of symptoms, medical history, and future reproductive plans. At our clinic, we provide comprehensive diagnostic services including pelvic ultrasound and MRI scans to tailor a treatment plan to your needs.

If you are exploring private fibroids treatment in London, our team of expert gynaecologists can provide personalised options based on the latest UK guidelines.

Self-Care and Lifestyle Support

Although lifestyle changes cannot cure fibroids, the NHS highlights that maintaining a healthy lifestyle may help reduce symptoms. Recommendations include:

• Eating a balanced diet rich in fruit, vegetables, and whole grains
• Maintaining a healthy weight, as fibroids are more common in overweight women
• Regular exercise to support general health and reduce stress
• Keeping track of symptoms with a menstrual diary

Final Thoughts

Fibroids are common, and while not life-threatening, they can significantly affect daily life and fertility. The good news is that women in London have access to NICE-recommended treatments ranging from medical management to advanced surgical options.

A consultation with a specialist gynaecologist ensures you receive a diagnosis and treatment plan based on your personal needs, fertility wishes, and medical history.

Take Control of Your Health

Experiencing fibroid symptoms? Book your gynaecologist appointment for tailored fibroids treatment in London today.

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