The treatment and surgical options to address uterine fibroids, which are non-cancerous growths of the uterus, can vary depending on the size, location, and symptoms associated with the fibroids. Here are some common treatment and surgical options for dissolving or removing uterine fibroids:

Medications:

Hormonal Therapy: Birth control pills, hormonal IUDs, or hormone-based injections can help regulate heavy menstrual bleeding and reduce the size of fibroids.

GnRH Agonists: These medications induce a temporary menopausal state, which can shrink fibroids. They are usually used before surgery to make fibroids easier to remove.

Minimally Invasive Procedures:

Uterine Artery Embolization (UAE): A procedure in which small particles are injected into the uterine arteries to block blood flow to the fibroids, causing them to shrink.

Myomectomy: This surgical procedure involves the removal of individual fibroids while preserving the uterus. It can be done through various techniques, including laparoscopy (small incisions) or hysteroscopy (through the cervix).

Surgical Removal:

Hysterectomy: In cases where other treatments are ineffective or if the patient no longer wishes to have children, a hysterectomy, which is the removal of the entire uterus, may be recommended. This is a definitive treatment for fibroids but results in the loss of fertility.

Myolysis: A minimally invasive procedure that uses heat or cold to destroy fibroids.

Endometrial Ablation: This procedure aims to destroy the lining of the uterus and is sometimes used to treat small fibroids that are causing heavy menstrual bleeding.

MRI-Guided Focused Ultrasound Surgery (MRgFUS): This non-invasive procedure uses high-intensity ultrasound waves to target and destroy fibroids. It's suitable for certain types of fibroids and is done without incisions.