What is the primary treatment for a symptomatic benign uterine fibroid?

The primary treatment for a symptomatic benign uterine fibroid is often surgical intervention, specifically hysterectomy or myomectomy. Hysterectomy involves the removal of the uterus, which is a definitive solution for women who have completed childbearing or do not wish to preserve their uterus. Myomectomy, on the other hand, is the surgical removal of the fibroids while preserving the uterus, which is a preferred option for women who wish to retain their fertility.

The approach taken will depend on factors such as the size and location of the fibroids, the severity of symptoms, and the patient's reproductive goals. Myomectomy can alleviate symptoms like heavy menstrual bleeding, pelvic pain, or pressure symptoms caused by the fibroids, making it a suitable option for those who wish to maintain their reproductive capacity.

Other treatment modalities such as hormonal therapy may help manage symptoms temporarily, but they do not remove the fibroids and are generally not considered definitive treatments. Watchful waiting could be appropriate for asymptomatic fibroids or those with mild symptoms, but for symptomatic cases, more active treatment is warranted. Endometrial ablation can be effective for controlling bleeding but does not remove the fibroids themselves and may not be suitable if the fibroids are structurally significant