Uterine fibroid care at Mayo Clinic

Your Mayo Clinic care team

At Mayo Clinic, gynecologists, radiologists and, when needed, fertility specialists and others work together to offer you options regarding your fibroid treatment. Mayo Clinic researchers study all aspects of uterine fibroids, including the epidemiology, economics and genetics of fibroids. Each year, Mayo Clinic doctors diagnose and treat more than 3,000 women with fibroids.

Advanced diagnosis and treatment

Mayo Clinic researchers investigate new diagnostic and treatment methods for uterine fibroids, such as research on genes and ways to use MRI scans to diagnose rare cancers that can mimic uterine fibroids. Mayo Clinic doctors also offer the most-advanced treatment options, including uterine artery embolization, radiofrequency ablation and MRI-guided focused ultrasound surgery.

Personalized care

Mayo Clinic offers a range of services and treatments, based on your needs and preferences, focusing on the least invasive treatment whenever possible.

Surgical treatment for uterine fibroids

Aakriti R. Carrubba, M.D. (Senior Associate Consultant, Obstetrics and Gynecology, Mayo Clinic in Florida): Hello, my name is Dr. Carrubba, and I'm one of the minimally invasive gynecologic surgeons at Mayo Clinic Florida. I see many patients with uterine fibroids, and I would like to spend a few minutes reviewing some of the new surgical treatment options, specifically fibroid radiofrequency ablation.

There are currently two FDA-approved products: Acessa and Sonata. Acessa is a laparoscopic-assisted device that uses an ultrasound probe to identify fibroids. Then a metallic device is inserted into individual fibroids which are directly heated with radiofrequency waves to induce coagulative necrosis. The fibroids shrink over time and reduce bleeding as well as bulk symptoms. Some surgeons perform this technique concurrently with a minimally invasive myomectomy to reach deeper fibroids that may be more difficult to remove. Recovery time is similar to myomectomy.

The Sonata procedure is a transcervical radiofrequency ablation that uses an ultrasound probe inside the uterus to identify fibroids. It can be performed in the office or in the operating room. Once the fibroids are identified, they are heated with radiofrequency waves using a similar metallic device.

There are safety measures used with both the Acessa and Sonata technologies to minimize thermal risk to surrounding tissue structures, like the bowel and bladder. The Sonata procedure has excellent recovery, as there are no abdominal incisions. And the fibroids tend to shrink by up to 50 percent over the following three months. It is important to note that neither Acessa nor Sonata are indicated for use in patients desiring pregnancy, due to lack of data. However, several women have had successful pregnancies after treatment.

At Mayo Clinic the Acessa procedure is currently offered at the Rochester, Minnesota, campus. And the Sonata procedure is offered in both Rochester and at the Jacksonville, Florida, campus. It is important to discuss the best surgical intervention with your doctor, as this may vary based on your age, fertility goals, size and location of fibroids, and medical comorbidities. If you are interested in discussing treatment options, please contact Mayo Clinic to schedule a consultation with our gynecology providers.

Expertise and rankings

  • Experience and expertise. Mayo Clinic doctors care for more than 3,000 women a year who have uterine fibroids. These doctors have experience and expertise in diagnosing women who have uterine fibroids and providing the latest treatment, if necessary.
  • Efficient care. Mayo Clinic coordinates your testing and doctor appointments to speed the process of diagnosis and treatment.
  • Cutting-edge clinical research. Because there are many unanswered questions about uterine fibroids, Mayo Clinic physicians are studying new approaches to give women with uterine fibroids better choices in the future. Mayo researchers are involved in clinical trials of minimally invasive uterine fibroid therapies, such as uterine artery embolization, MRI-guided focused ultrasound and myomectomy.

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Phoenix/Scottsdale, Ariz., rank among the Best Hospitals for gynecology in the U.S. News & World Report Best Hospitals rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

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Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

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Sept. 16, 2021