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Can Fibroids Return After Treatment? Here’s What You Need to Know

woman sitting on a couch holding her tummy in pain

Dealing with uterine fibroids can feel like an endless cycle. After undergoing treatment, you might wonder, Can fibroids return? It’s a common question, and for good reason. Fibroids can be a major source of pain, heavy periods, and even infertility, so understanding the possibility of recurrence is crucial.

Let’s explore some of the treatment options available to women with Fibroids.

Fibroids are non-cancerous growths in or around the uterus, caused by hormonal imbalances, especially estrogen. They can grow as small as peanuts or as big as a Pomelo.

Can Fibroids Return After Treatment?

It hurts to say, but yes, fibroids can return after treatment. Whether or not they do depends on the type of treatment and your specific health situation. Here’s a quick rundown of your options:

1. Surgical Treatments Include:

Myomectomy: This surgery removes fibroids but keeps the uterus intact. Women who are not considering having children often choose this option; however, Fibroids can return, especially if not all were removed.

Hysterectomy: This removes the uterus entirely, meaning fibroids can’t come back. If part of the uterus is left behind, fibroids might reappear in that tissue.

2. Non-Surgical Treatments include:

Uterine Artery Embolization (UAE): This blocks blood flow to fibroids, causing them to shrink. Although this method proves effective, they can still grow back, with studies showing a recurrence rate of 10-30% in the first few years.

MRI-guided Focused Ultrasound (MRgFUS): This procedure uses sound waves to destroy fibroid tissue. Recurrence is rare but still possible if not all fibroids are treated.

 A 2021 study in Obstetrics & Gynecology found that 30% of women who had myomectomy experienced recurrence within 5 years. The NHIS also found higher recurrence rates in Black women compared to other groups.

Factors influencing recurrence include:

  • Age: Younger women are more likely to see fibroids return.
  • Size and Number of Fibroids: Larger or multiple fibroids have a higher chance of regrowing.
  • Hormonal Imbalances: Fibroids thrive on estrogen, so hormonal changes can contribute to recurrence.

How to Reduce the Risk of Recurrence

While you can’t completely prevent fibroids from coming back, there are things you can do to lower the chances:

1. Manage Hormonal Health: Work with your doctor to monitor hormones, especially estrogen.

2. Healthy Lifestyle: Maintain a healthy weight, stay active, and reduce stress. These factors help minimize fibroid growth.

3. Consider Alternative Therapies: Some find relief through herbal remedies, acupuncture, or diet changes—but always make sure to work with your doctor for the best options.

Fibroids can come back after treatment, but it’s not always guaranteed. With the right treatment, lifestyle choices, and regular monitoring, you can manage your health and reduce the chances of recurrence. Stay informed, keep up with follow-ups, and remember, honey: you’re not alone on this journey.

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