Fibroid treatment options that don't require open surgery.
✍️ By Dr. Patsama Vichinsartvichai, MD, MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG, FACOG — Reproductive Medicine Specialist · Updated August 2026
Many fibroids can be managed with medication, image-guided procedures, or focused energy techniques that preserve the uterus and shorten recovery time.
Hormonal medications, GnRH analogues for short-term control, uterine artery embolization, transvaginal radiofrequency ablation, and active surveillance for selected fibroids.
Choice depends on fibroid size and location, fertility goals, symptoms, and patient preference. We discuss benefits and limitations of each.
Dr. Patsama Vichinsartvichai, MD, MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG, FACOG is a board-certified reproductive endocrinology & infertility specialist, former head of the Vajira IVF unit at Navamindradhiraj University, and founder of LIFE by Dr. Pat in Bangkok. His published research focuses on the dysmorphic (T-shaped) uterus and uterine-factor infertility.
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