Foundation Team
Medical Editors
Karen J. Carlson, MD
Clinical Advisors
Steve Goldstein, MD
Katherine E. Hartmann, MD, PhD
Keith Isaacson, MD
Lee A. Learman, MD, PhD
Malcolm G. Munro, MD
William Parker, MD
Robert C. Reiter, MD
Elizabeth A. Stewart, MD
Ronald C. Strickler
Mary E. Wechter, MD
Robert Neuwirth, MD
Clinical Leads
Margaret Lynch, PhD
Many women develop uterine fibroids during their reproductive years. Although many do not experience any symptoms, some experience symptoms which may include heavy uterine bleeding, pelvic pressure or pain and frequent urination. To help women make an informed decision on the best treatment option for their fibroids, the Foundation has developed a Shared Decision-Making® program called Treatment Choices for Uterine Fibroids.
This program is for women considering treatment for uterine fibroids and is not intended for women with gynecological problems such as bleeding or pain from unknown causes, for women undergoing treatment for infertility, or for post-menopausal women. The program provides information on treatment options such as watchful waiting, medical therapy, uterine artery embolization, MR guided focused ultrasound, myomectomy and hysterectomy (both with and without removing the ovaries). This program discusses the benefits and risks of these treatment choices. It also raises other topics women might need to know, such as the additional decision for those undergoing hysterectomy about whether to also remove the ovaries.
Because every woman is different, the best treatment depends on how her symptoms impact her daily activities, how close she is to menopause (when symptoms usually goes away), and how she feels about the side effects of different treatment options, including the possible effects on fertility and pregnancy.
Interviews showcase real patients who have chosen the treatment options featured in this program. These women describe how they made their treatment decisions and how it has affected them both physically and emotionally. The program also features commentary by a gynecologist.
This program was developed with our production partner, Health Dialog. It is available as a DVD, a booklet and a web-based program (Health Crossroads®) for Health Dialog members.
