Some of the most common are:
- Heavy periods that are not controlled on hormones or an inability to take hormones to control the period.
- Large fibroids that press on the bladder or the bowel, or are so large they can be felt on the abdomen.
- Endometriosis (usually if this is requiring a hysterectomy it is due to both pain and bleeding).
- Uterine artery embolization where microscopic plastic beads are inserted into the uterine arteries to block the majority of blood flow to the uterus. This causes the uterus to slowly shrink in size. The uterus may decrease to half of its normal size within 2-3 years. Initially there is a lot of inflammation of the uterus as it loses its blood supply. The pain associated with this will usually require ibuprofen and narcotics. Most women stay in the hospital for overnight, and it is usually about 2 weeks before you are feeling well enough to resume normal activities.
- Myomectomy, a surgical removal of the fibroids. There are two ...