A Discussion Regarding Uterine Fibroids

Dr. Liz Bartman

Uterine fibroids (UFs) are noncancerous growths affecting up to 70% of women in their reproductive years. Around 50% of affected women are asymptomatic, while 20-30% can experience debilitating symptoms. Black women are 3x more likely to be affected than women of other ethnicities and can be seen to have more extreme symptoms, often requiring surgery. 

Symptoms of UFs include pelvic fullness, abnormal uterine bleeding, reproductive issues, heavy menstrual flow, increased urinary frequency, and anemia. A comprehensive evaluation involves assessing UF size and location, considering age, symptoms, pregnancy desires, and treatment access.

Diagnostic steps include a physical exam, endometrial biopsy, pelvic ultrasound, and laboratory tests. Genetic factors, such as variants in COMT and CYP17, are associated with UF development. Various treatment modalities are considered based on symptoms and fertility desires, including medications, surgical procedures, and noninvasive treatments. 

Research is ongoing for natural support options, such as Vitamin D2, EGCG, berberine, curcumin, dietary modifications, acupuncture, and Chinese formulations.

The combination of Vitamin D2 and EGCG shows the most promising results in preventing fibroid growth and reducing symptoms. 

Research has shown that a diet rich in antioxidant fruits and vegetables, higher in fiber, and lower in red meat and refined or processed foods can reduce both the development and growth of a UFs. Environmental avoidance of bisphenols and xenoestrogens, as well as reducing carbon monoxide exposure, may impact UF growth. Acupuncture and Chinese formulations have shown improvements in symptoms and UF size. 

Conventional treatments can support symptoms, but aside from surgery, very few medication options will fully resolve a UF. Ongoing research offers hope for evolving natural support options tailored to individual needs, emphasizing the importance of collaboration between patients and healthcare professionals.

Uterine fibroids are a common gynecological condition that can significantly impact a woman’s quality of life. While conventional medical treatments are available, an increasing number of women are exploring natural approaches to manage their fibroids and alleviate associated symptoms. Dietary modifications, herbal remedies, lifestyle changes, alternative therapies, and mind-body practices all hold promise in providing natural support for uterine fibroids.

It is crucial to note that the effectiveness of these natural approaches varies from person to person, and scientific research is ongoing to better understand their mechanisms of action. Before embarking on any natural treatment regimen, it is advisable for clinicians to work in collaboration with a patient’s OB/Gyn to ensure all treatment options or weighed effectively and a safe and supportive program is initiated for the patient. With ongoing research, there is hope that natural support options for uterine fibroids will continue to evolve, providing more effective and personalized solutions for women dealing with this condition.