The Fibroid FilesJessica Thomas, MPH
Decision aid · Treatment options

Compare your fibroid treatment options.

Fibroids are growths in the uterus that aren't cancer. There's no single right treatment. This guide helps you compare your options against what matters most to you, then bring your notes to your next appointment.

It's not just about making a decision. It's about making an informed decision.

This guide is for education and doesn't replace advice from your health care team. Last reviewed October 28, 2026.

Where you're starting

Your answers shape which options apply to you. Skip anything you don't know.

What bothers you most?

Pick all that apply.

Which parts of your life do fibroids affect?

Pick all that apply.

Do fibroids affect sex for you?

This is a common symptom that often goes unmentioned. Pick all that apply. Your answers aren't saved or sent anywhere.

Do you want to get pregnant in the future?
Are you close to menopause?

For example, your periods have started to change, or you're in your late 40s or older.

Do you know where your fibroids are?

Pick all that apply. Many people have more than one type. Your imaging report may say submucosal (inside the uterus), intramural (in the wall), or subserosal (on the outside).

About how many fibroids do you have?

Your ultrasound or MRI report may list them.

How big is your largest fibroid?

Reports usually list size in centimeters (cm).

Was your iron low at your last appointment?

Your doctor may have called it anemia or low ferritin. You don't need the exact number.

Was your vitamin D low at your last appointment?

You don't need the exact number.

Your life right now

Cost, time off, and support at home shape which options are realistic. These answers add notes and questions. They don't change how options rank.

Do you have health insurance?
How much time could you take off work or daily duties?
Do you have someone who could drive you home and help for a few days after a procedure?
Do you care for kids or other family members?

About this guide

Who made it
Jessica Thomas, MPH, a public health professional and fibroid patient, created this guide for The Fibroid Files.
Funding
This guide has no sponsors or outside funding.
Conflicts of interest
Jessica has no financial ties or partnerships with any company, product, or provider mentioned here. If that changes, it will be disclosed on this page.
Sources
Each option lists its sources under "Show details." The full list is below. Where recent research is limited, older or smaller studies are named as such.
Clinical review
This guide hasn't been reviewed by a clinician yet.
Last reviewed

References

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