In this article
South Island Interventional Radiology in Christchurch assesses patients from across the South Island for minimally invasive fibroid treatment. Surgery is one of several options for women seeking treatment for uterine fibroids. Contact our team to discuss which approach may be suitable for you.
What are fibroids?
Uterine fibroids are non-cancerous growths of muscle and fibrous tissue. They can grow within the wall of the uterus, project into its cavity or grow on its outer surface. Fibroids vary in size and number. Many cause no symptoms, while others affect health, lifestyle and wellbeing. Their exact cause is not fully understood, but hormones and genetics play a role.
Common symptoms
Symptoms vary with the size, location and number of fibroids. They may include heavy or prolonged menstrual bleeding, pelvic pain or pressure and frequent urination. Heavy bleeding can cause iron deficiency or anaemia. Some fibroids affect fertility or pregnancy, particularly those that distort the uterine cavity, but many women with fibroids conceive and have successful pregnancies.
Non-surgical fibroid treatments
Fibroids can often be managed without major surgery. Medicines may help control symptoms such as heavy bleeding and pain, and some hormonal treatments can temporarily shrink fibroids, but they do not usually provide a permanent solution.
Uterine fibroid embolisation (UFE), also known as uterine artery embolisation (UAE), is a well-established, minimally invasive treatment. An interventional radiologist guides a thin catheter into the arteries supplying the uterus and releases tiny particles to reduce blood flow to the fibroids. The fibroids then shrink over time, which can improve heavy bleeding, pelvic pressure and pain.
Focused ultrasound is offered for fibroids in some countries. Health New Zealand’s February 2026 guideline states that this treatment is not currently available in Aotearoa New Zealand. Surgery, including myomectomy or hysterectomy, may still be the most appropriate treatment for some patients.
Healthy lifestyle choices support general health, but they have not been shown to remove fibroids. The most suitable treatment depends on your symptoms, the size and location of your fibroids, your overall health, and whether you are considering a future pregnancy.
When a hysterectomy is not needed
Many women can manage fibroid symptoms while keeping their uterus. However, keeping the uterus does not guarantee fertility. The effects of UAE on future fertility and pregnancy remain uncertain, so anyone planning pregnancy should discuss UAE, myomectomy and other options with a gynaecologist and an interventional radiologist before choosing treatment.
How well non-surgical treatment works
Non-surgical treatments can help relieve fibroid symptoms while preserving the uterus. Studies have shown that uterine artery embolisation (UAE) can improve symptoms in many patients without major surgery, although results vary and some patients may need further treatment.