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November 18, 2017  
COMMUNITY: Frequently Asked Questions

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  • Fibroids1: What are the traditional treatments for fibroids?
    Dr. Neil Khilnani: For a long time, the only treatments for fibroids were hysterectomy, or myomectomy, which many Gynecologists feel uncomfortable performing. Medical therapy for fibroids has been relatively unsuccessful with the exception of several drugs, which chemically place patients into menopause. Drugs of that nature, which would include Lupron, essentially create a hormonal environment that stops the cyclical estrogen and progesterone stimulation of fibroid growth so they stop growing and they then shrink - a scenario that happens in menopause. These drugs work well in terms of reducing the fibroid size and controlling their symptoms; however, they do so at the expense of rapidly developing menopausal symptoms that most patients don't find tolerable. Several new drugs are being looked at which may have similar efficacy to Lupron but with less of the side effects. However, there is currently no data to substantiate this. Several minimally-invasive treatments have been developed that allow women to preserve their uterus, treat their fibroid symptoms, and get them back on their feet in shorter length of time than if they had had surgery. Fibroid embolization and focused ultrasound treatment are two of these options.
    Dr. Neil Khilnani: For a long time, the only treatments for fibroids were hysterectomy, or myomectomy, which many Gynecologists feel uncomfortable performing. Medical therapy for fibroids has been relatively unsuccessful with the exception of several drugs, which chemically place patients into menopause. Drugs of that nature, which would include Lupron, essentially create a hormonal environment that stops the cyclical estrogen and progesterone stimulation of fibroid growth so they stop growing and they then shrink - a scenario that happens in menopause. These drugs work well in terms of reducing the fibroid size and controlling their symptoms; however, they do so at the expense of rapidly developing menopausal symptoms that most patients don't find tolerable. Several new drugs are being looked at which may have similar efficacy to Lupron but with less of the side effects. However, there is currently no data to substantiate this. Several minimally-invasive treatments have been developed that allow women to preserve their uterus, treat their fibroid symptoms, and get them back on their feet in shorter length of time than if they had had surgery. Fibroid embolization and focused ultrasound treatment are two of these options.

    Dr. Neil Khilnani


    Dr. Khilnani is an Interventional Radiologist at Cornell Vascular and an Associate Professor at the Weill Medical College of Cornell University. He has been with Cornell since finishing his training at Columbia in 1992. His clinical interests are in the minimally invasive treatment of uterine fibroid tumors and lower extremity varicose veins. He currently performs all of the uterine fibroid embolizations at the New York Presbyterian Hospital-Weill Cornell Center and will be directing the clinical and research efforts of this institution in treating fibroids with MR Guided Focused Ultrasound.

    Dr. Neil Khilnani


    Dr. Khilnani is an Interventional Radiologist at Cornell Vascular and an Associate Professor at the Weill Medical College of Cornell University. He has been with Cornell since finishing his training at Columbia in 1992. His clinical interests are in the minimally invasive treatment of uterine fibroid tumors and lower extremity varicose veins. He currently performs all of the uterine fibroid embolizations at the New York Presbyterian Hospital-Weill Cornell Center and will be directing the clinical and research efforts of this institution in treating fibroids with MR Guided Focused Ultrasound.

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