What we treat

London Hormone Clinic

Fibroids

These are benign growths in the uterus, also called myomas or leiomyomas and are made of muscle and fibroid tissue. They can vary in size from a pea to a small football. They are stimulated to grow by high oestrogen levels or low progesterone.  They can be asymptomatic or they can cause symptoms as listed below.

Fibroids often grow in pregnancy due to increased levels of oestrogen in the body. They shrink after the menopause.

Symptoms

Heavy or painful periods Bloating Abdominal pain
Back pain Bowel problems Urinary frequency
Painful intercourse Infertility

Management options

Things you can do at home Conventional approach Our approach at LHC
– Healthy diet
– Decrease coffee intake
– Limit exogenous oestrogen exposure
– Iron supplementation as directed by a doctor
– Oral contraceptive pill
– Drugs to control the heavy or painful periods such as tranexamic acid
– The IUS/mirena coil
– For large fibroids, GnRH analogues (gonadotrophin releasing hormone analogues) are used which stop oestrogen production by acting on the pituitary gland. This approach has many unwanted side effects.
– Ullipristal (Esmya) can be used to shrink fibroids.
– Surgery- uterine artery embolization, fibroid resection surgery or in severe cases hysterectomy.
– We prescribe bio-identical progesterone to counteract the effects of oestrogen.
– Supplements to help restore hormonal balance such as DIM. Also to address deficiencies such as iron caused by heavy bleeding.
– Referral for surgery if indicated if fibroids are extremely large.