Myomectomy causes a lot of bleeding, which can be hard to control. Women are treated with goserelin first for six months to shrink the fibroids and reduce their blood supply. It is important to realise there is a risk that the bleeding may become life threatening during the operation in which case the entire uterus has to be removed as an emergency. Selective embolisation is a new technique in which a tube is passed via an artery in the leg into the blood vessels that supply the fibroids. Tiny particles are sent down the tube to cut off the blood supply and the fibroids shrink and die.
Fibroids are extremely common.
Most women simply need to have regular internal examination to monitor the size of their fibroids. After the menopause the fibroids will shrink spontaneously and disappear.