At Nile Women’s Health Care, our team of compassionate providers in Roswell and Johns Creek, Georgia, understands how personal fibroid care needs to be.
Dr. Hughan Frederick, Dr. Urania Davis, Dr. Jigish Sheth, and our experienced team walk with you through every stage of life, because fibroids don’t behave the same way in your 20s as they do in your 40s or 50s. That’s why treatment isn’t one-size-fits-all — it shifts as your hormones, health, and priorities change.
Uterine fibroids are noncancerous growths that thrive on estrogen and progesterone. While they can appear at any time, symptoms often intensify as hormone levels peak and eventually decline. Your age, fertility goals, and overall health all influence which treatments make sense for you.
Here’s how fibroid treatment evolves with age — and what options might fit your stage of life.
Many women in their 20s discover fibroids incidentally, since symptoms are often mild or nonexistent. In these years, we take a watchful approach. If you’re not experiencing heavy bleeding or pelvic pain, we may simply monitor your fibroids with routine check-ins.
When symptoms do appear, we often turn to gentle options like birth control pills, progestin-releasing IUDs, or anti-inflammatory medications to regulate bleeding and cramps. Fertility preservation is a top priority, so we avoid aggressive interventions unless symptoms are severe or your ability to conceive is at risk.
Hormones are in full swing during this stage, and fibroids often grow or become more symptomatic. You may notice heavier periods, pelvic pressure, urinary frequency, or fatigue from anemia.
We talk about your goals and build a plan that balances symptom relief with your future family plans. For some, medical therapy bridges the gap until they’re ready for a more definitive option. Others opt for minimally invasive procedures like uterine artery embolization or radiofrequency ablation to provide effective symptom relief.
If you still want children, myomectomy — a surgery that removes fibroids while preserving the uterus — is a common option. We carefully consider the size, number, and location of your fibroids before recommending this route and use the advanced technology of the da Vinci® system for precision and accuracy.
As menopause approaches, fibroids may naturally shrink due to falling hormone levels. Still, many women in this age group continue to struggle with heavy bleeding or pelvic discomfort.
For some, continued medical therapy or minimally invasive procedures can carry them through until symptoms ease. For others, particularly if fertility is no longer a concern, hysterectomy becomes an option.
We talk through the benefits and risks, always considering your health, preferences, and desire for a quick recovery.
Your age shapes your treatment plan for several reasons:
Fibroids are common — but the way we treat them should be anything but routine. At Nile Women’s Health Care, we tailor every treatment plan to your age, your health, and your goals, so you can feel confident about your options.
Call Nile Women’s Health Care in Roswell or Johns Creek today. We’ll help you find the right treatment for your life stage and guide you every step of the way.
