Use hormonal birth control to help reduce bleeding and sometimes slow fibroid growth
Use gonadotropin-releasing hormone agonists to temporarily shrink fibroids
Use gonadotropin-releasing hormone antagonists to reduce estrogen and progesterone levels
Use selective progesterone receptor modulators where available and appropriate
Consider tranexamic acid to reduce heavy menstrual bleeding
Maintain a healthy weight
Exercise regularly
Eat a balanced diet rich in fruits, vegetables, and whole grains
Limit red meat and high-fat processed foods
Reduce alcohol intake
Manage high blood pressure
Correct vitamin D deficiency if present
Consider iron supplementation if heavy bleeding has caused anemia
Undergo uterine artery embolization
Undergo radiofrequency ablation
Undergo MRI-guided focused ultrasound
Consider myomectomy
Consider hysterectomy if definitive treatment is needed
Consult a gynecologist for individualized treatment options