When treatment is needed, total or partial hysterectomy is the most traditional method, which means that the uterus is removed along with the fibroids. However, for young women who need to preserve their fertility, such an option is clearly inappropriate, so what other options are available for treating fibroids? The treatment options are determined by the patient’s age, fertility requirements, and the size of the fibroids, and include: Scraping If the fibroids are combined with irregular menstruation, diagnostic scraping should be performed to exclude endometrial lesions and also to temporarily treat the bleeding caused by the fibroids. Myomectomy is a procedure to remove the fibroids from the uterus and preserve the uterus. This procedure is suitable for young women who need to preserve their reproductive function; submucosal fibroids located in the uterine cavity can be removed vaginally by wringing out the fibroids if they have prolapsed outside the cervical opening. Uterine artery embolization With the help of angiographic techniques, a special catheter is inserted through the femoral artery, and under the guidance of angiography, the catheter is selectively placed into the uterine arteries bilaterally, and the vessels are blocked with special drugs or instruments to block the blood supply to the fibroids, thus causing necrosis or shrinkage of the fibroids. High Intensity Focused Ultrasound (HIFU) HIFU is a procedure that takes low-energy ultrasound from outside the body and focuses it precisely on the target tissue, which amplifies the energy thousands of times and produces instant high temperature (65°C-100°C) and cavitation effect, causing coagulative necrosis of the tumor. The cavitation effect is the rupture of cell membrane and nuclear membrane, and the loss of proliferation ability, thus achieving the purpose of destroying the lesion. Sex hormone therapy For patients with large or specially located fibroids (e.g. cervical fibroids and broad ligament fibroids) or anemia, gonadotropin-releasing hormone agonist (GnRHa) therapy is used to reduce estrogen levels, shrink the fibroids and reduce menorrhagia, which improves anemia and makes surgery less difficult. Although it is unfortunate to have fibroids, there is no need to be overly alarmed, as there are many ways to treat fibroids while preserving a woman’s fertility with current technology.