The Center for Research and Advanced Fibroid Treatment
The Center for Research and Advanced Fibroid Treatment (CRAFT) at Columbia University Medical Center, Sloane Hospital for Women’s Health seeks to provide a comprehensive multidisciplinary approach to fibroid treatment.
CRAFT’s goal is to coordinate the health care for women with this condition and engage in innovative research on this topic. With a world-class faculty and decades of experience we can guide you through the process of finding a solution that meets your needs with the concierge service that you deserve.
Fibroids are benign tumors of the smooth muscle cells of the uterus. The incidence increases with age, reaching 40-60% of women by age 35. Although some women are asymptomatic, others can present with excessive bleeding, pain, urinary symptoms and subfertility ultimately seeking treatment.
Fibroids are a common cause of abnormal uterine bleeding. They are benign tumors that grow from the muscle layers of the uterus. Fibroids occur with a surprising frequency – up to 70 percent of all women have fibroids.
Fibroids can develop throughout the uterus:
- Intramural – in the uterine wall
- Submucosal – in the uterine lining
- Subserosal – on the uterine surface
It is important for your doctor to determine if fibroids are the cause of your symptoms.
In a recent study it was estimated that one out of every five women who undergo hysterectomy may not have needed it at all.
Symptoms of Fibroids
- Bleeding between periods
- Heavy bleeding with periods
- Fatigue & anemia from chronic bleeding
- Passage of clots
- Pelvic pain
Tests and Diagnostic Workup
- Physical exam
- Blood tests & hormonal studies
- Endometrial biopsy to diagnose pre-cancer or cancer of the uterine lining
- Radiologic imaging, such as an ultrasound or MRI
The goal of treatment is restore health status, to become symptom-free; this can be achieved through medical or surgical management:
- Endometrial ablation
- Hormonal medications & intrauterine devices
- Laparoscopy & robotic assisted surgery
- Myomectomy or fibroid excision
- Non-hormonal medications
- Uterine artery embolization