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Uterine Fibroids

Uterine Fibroid Care at UVM Health

Uterine fibroids are common, noncancerous growths on or in the uterus. They can range in size from very small to large masses that enlarge or change the shape of the uterus. While fibroids are rarely dangerous, they can cause uncomfortable symptoms for some people. Many treatment options are available to help manage symptoms or remove fibroids and improve quality of life.

Why Choose UVM Health?

At University of Vermont Health, our gynecologists provide high-quality care in a supportive, compassionate environment. We listen carefully to your concerns and use a personalized approach to protect your health and quality of life. With locations across Vermont and northern New York, expert care is always within reach.

As a leading gynecology program in the region, we offer:

  • Experienced gynecologic professionals: Our board-certified gynecologists have extensive experience diagnosing and treating a full range of gynecologic conditions, including complex cases of uterine fibroids.
  • Access to subspecialists: As part of a health system anchored by an academic medical center, your care team can easily collaborate with other medical specialists when needed. Our shared medical record ensures coordinated referrals and seamless access to advanced gynecologic care.
  • Supportive whole-person care: Gynecologic conditions can affect many aspects of daily life. We connect patients with supportive services — physical therapy, pain management, social work and psychological counseling — available throughout UVM Health and in local communities.

Uterine Fibroid Symptoms

Some people with fibroids have no symptoms at all. When symptoms do occur, they may include:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Frequent urination
  • Difficulty emptying the bladder
  • Constipation
  • Pain during intercourse
  • Lower back pain
  • A feeling of fullness or swelling in the abdomen

The type and severity of symptoms often depend on the size, number and location of the fibroids.

Diagnosing Uterine Fibroids

Your provider will ask about your symptoms, menstrual cycles, medical history and family history. A pelvic exam may be performed to check for tenderness or masses.

Testing may include:

  • Ultrasound: To identify and measure fibroids  
  • MRI: To provide detailed images of pelvic organs
  • Hysteroscopy: A minimally invasive procedure to view inside the uterus

Uterine Fibroid Treatment

Treatment depends on your symptoms, the size and location of the fibroids and your personal goals, including whether you want to become pregnant. If fibroids are small and not causing symptoms, you may not need treatment. Your provider will work closely with you to design a treatment plan that fits your needs and helps manage symptoms effectively.

Options include:

Medication
  • Hormonal birth control: To reduce bleeding
  • Nonsteroidal anti-inflammatory drugs (NSAIDs): To relieve pain
  • Iron supplements: To treat anemia caused by heavy periods
  • Hormonal therapies: To shrink fibroids temporarily
Minimally Invasive Procedures
  • Uterine Artery Embolization (UAE): Blocks blood flow to shrink fibroids
  • Radiofrequency Ablation: Uses heat to shrink fibroids
  • MRI-Guided Focused Ultrasound: Uses ultrasound waves to destroy fibroids
Surgery
  • Myomectomy: Removes fibroids while preserving the uterus
  • Hysterectomy: Removes the uterus; this is the only cure for fibroids but is only considered when other treatments aren’t appropriate

Locations Near You

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University of Vermont Medical Center

111 Colchester Ave
Burlington, VT 05401

802-847-0000

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111 Colchester Ave
Burlington, VT 05401

802-847-0000

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130 Fisher Road
Berlin, VT 05602

802-371-4100

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75 Beekman Street
Plattsburgh, NY 12901

518-561-2000

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75 Park Street
Elizabethtown, NY 12932

518-873-6377

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133 Park Street
Malone, NY 12953

518-483-3000

Porter Medical Center

115 Porter Drive
Middlebury, VT 05753

802-388-4701

Home Health & Hospice

1110 Prim Road
Colchester, VT 05446

802-658-1900

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