Treat the symptoms and goals, not the scan alone
A fibroid discovered incidentally may not need intervention. Treatment becomes more relevant when bleeding, anemia, pain, pressure symptoms, fertility problems or other clinically important effects are present.
Surgical and non-surgical procedures have different goals
Myomectomy removes fibroids while preserving the uterus. Hysterectomy removes the uterus and is a major operation generally reserved for selected patients with severe symptoms who do not need future fertility. Charité also publishes a non-operative uterine-fibroid embolization pathway through interventional radiology.
Fertility goals change the decision
The location of fibroids and the desire for pregnancy can influence whether treatment is recommended and which procedure is considered. A patient seeking pregnancy should discuss the expected effect of each option on the uterus and future fertility before choosing an intervention.
Records for a German treatment review
Useful information includes the number, size and location of fibroids and the symptoms they are causing.
- Pelvic ultrasound and/or MRI if performed
- Description of bleeding, pain or pressure symptoms
- Blood count and iron studies when heavy bleeding is present
- Previous gynecological surgery
- Fertility plans
- Current hormonal or other treatment
- A specific question about myomectomy, embolization or another option
Official sources
Sources last checked 2026-08-29. Treatment pathways and center requirements can change; confirm the current plan directly with the treating gynecology team.