What Are Uterine Fibroids?
Common symptoms include:
- Heavy or prolonged menstrual bleeding
- Pelvic pressure or bloating
- Frequent urination
- Pain during intercourse
- Back or leg pain
- Difficulty with conception or pregnancy
While not usually dangerous, fibroids can negatively affect daily life and fertility —making treatment essential for many women.
Why Choose Hormone Therapy for Fibroids?
Hormonal therapy helps shrink fibroids, reduce heavy bleeding, and relieve pain without the need for surgery. It’s ideal for women who:
- Want to avoid or delay surgery
- Wish to preserve fertility
- Are nearing menopause(fibroids often shrink post-menopause)
- Have mild to moderate symptoms
Korean clinics offer a wide range of hormonal options, from temporary medical suppression to long-term symptom control.
Types of Hormone Treatments Available in Korea
Here are the main types of hormone therapy commonly used for fibroid management:
1. Gonadotropin-Releasing Hormone (GnRH) Agonists
- Temporarily "shut down" the ovaries to reduce estrogen production
- Cause fibroids to shrink significantly over 3–6 months
- Often used before surgery to reduce bleeding and fibroid size
- Common side effects: hot flashes, mood changes, bone thinning
2. Oral Contraceptives ( Birth Control Pills)
- Regulate periods and reduce menstrual flow
- Do not shrink fibroids, but help manage symptoms
- Suitable for long-term use in women not seeking pregnancy
3. Progestins or Progesterone-Releasing IUD(e.g., Mirena)
- Controls heavy bleeding
- May reduce fibroid-related pain
- Mirena IUD offers long-term (up to 5 years) relief with localized hormone delivery
4. Selective Progesterone Receptor Modulators (SPRMs)
- Newer class of drugs that shrink fibroids and reduce bleeding
- Not yet as widely used in Korea as in some other countries, but available at select clinics
5. Aromatase Inhibitors
- Used less frequently, but may help in special cases by reducing estrogen levels
Cost of Hormonal Fibroid Treatment in Korea
The cost depends on the type of therapy and duration of use. Below is a general estimate in KRW:
- Initial consultation: ₩30,000–₩60,000
- GnRH injections (monthly): ₩150,000–₩250,000
- Oral contraceptives (monthly): ₩20,000–₩50,000
- Mirena IUD (5-year duration): ₩250,000–₩500,000
- Ultrasound monitoring: ₩70,000–₩150,000 per session
Some treatments may be partially covered under Korea’s National Health Insurance for residents. Most major women’s health clinics in Seoul also offer English-speaking services and transparent pricing for international patients.
Top FAQs About Hormonal Treatment for Fibroids
Will hormone therapy cure fibroids? No, hormone therapy controls symptoms and may shrink fibroids temporarily, but it does not eliminate them permanently.
Can I get pregnant while on hormonal treatment? Some hormone treatments (like IUDs or birth control pills) prevent pregnancy. You’ll need to discuss fertility plans with your doctor before starting therapy.
Are there side effects? Yes, especially with GnRH agonists, which can mimic menopause. Side effects vary depending on the medication and dosage.
How long can I stay on hormone therapy? It depends on the type. Some, like IUDs, can be used for years, while others, like GnRH agonists, are limited to a few months due to side effects.
How to Prepare for Your Gynecology Appointment
- Keep a record of your menstrual cycle and symptoms
- Note any history of hormonal therapy or fibroid diagnosis
- Be ready to discuss fertility goals and family planning
- Bring a list of questions about treatment options and alternatives
