Fibroid Treatments in Singapore: A Beginner’s Guide 2026

If you have just been told you have uterine fibroids, take a breath — you are far from alone. Fibroids are the most common benign growth of the female reproductive system, affecting an estimated 20–30% of women, most often between the ages of 30 and 50. Many women carry fibroids for years without ever knowing it. Others experience heavy periods, pelvic pressure, or fertility struggles that finally send them looking for answers.

Whichever camp you are in, the sheer number of treatment options — from “just monitor it” to surgery — can feel overwhelming when you are new to all this. This beginner’s guide walks through what fibroids are, the fibroids symptoms to watch for, and a clear breakdown of fibroids treatment in Singapore, so you can walk into your next appointment with a gynaecologist feeling informed rather than anxious.

At Eden Women’s Health, we believe every woman deserves care that is both expert and accessible. If any of this sounds familiar, book a consultation with our team — we will talk through your options in plain language, together.

What Are Uterine Fibroids?

Uterine fibroids (medically known as leiomyomas or myomas) are non-cancerous growths that develop in or around the muscular wall of the uterus. They range enormously in size — from a pea to, in rare cases, something the size of a melon — and a woman can have just one or several at once.

Fibroids are generally classified by where they grow:

• Intramural fibroids — the most common type, growing within the muscular wall of the uterus itself.
• Subserosal fibroids — develop just beneath the outer surface of the uterus and can grow large enough to press on the bladder or bowel.
• Submucosal fibroids — grow just beneath the inner lining of the uterus and are most likely to cause heavy or prolonged bleeding.
• Pedunculated fibroids — attached to the uterus by a thin stalk, which can cause sudden sharp pain if the stalk twists.

The type and location of a fibroid strongly influences both the symptoms it causes and which treatment makes sense — which is exactly why “just get it removed” is not always the first or best answer.

Common Fibroids Symptoms

Many women with fibroids have no symptoms at all, and their fibroids are only discovered incidentally during a routine pelvic ultrasound. When fibroids symptoms do show up, they typically include:

• Heavy or prolonged menstrual bleeding — soaking through pads or tampons quickly, or passing large clots.
• Anaemia-related symptoms — fatigue, dizziness, or breathlessness linked to ongoing blood loss.
• Pelvic pain or pressure — a persistent feeling of fullness or heaviness in the lower abdomen.
• Frequent urination or constipation — caused by a fibroid pressing on the bladder or bowel.
• Pain during intercourse
• Fertility difficulties or recurrent pregnancy loss — particularly with submucosal fibroids that distort the uterine cavity.

Related reading: Ovarian Cyst Symptoms: Causes, Diagnosis & Treatment Explained — fibroids and ovarian cysts are different conditions, but the symptoms can feel remarkably similar, which is why an ultrasound is so useful for telling them apart.

If any of these symptoms sound familiar — especially heavy bleeding that is affecting your daily life, or pain that is new or worsening — it is worth getting checked rather than “just living with it.”

How Are Fibroids Diagnosed?

Diagnosis usually starts simply and only escalates if needed:

• A pelvic examination, to check for an enlarged or irregularly shaped uterus.
• Ultrasound (transvaginal or abdominal) — the primary tool for confirming fibroids, and for measuring their size, number, and location.
• MRI scanning, occasionally used for larger or more complex fibroids, especially when planning surgery.
• Blood tests, to check for anaemia if bleeding has been heavy.

From there, your gynaecologist will talk you through whether — and how — to treat what is found.

Fibroids Treatment in Singapore: Your Options

This is usually the part that feels most overwhelming, so let us break it down step by step. Fibroids treatment in Singapore generally falls into four categories, and your gynaecologist will help you choose based on your symptoms, fibroid size and location, age, and whether you are hoping to have children.

Watchful Waiting

If your fibroids are small and not causing symptoms, the simplest approach is often to do nothing but monitor them with a repeat ultrasound every so often. Many fibroids stay stable for years, and some even shrink on their own — especially as women approach menopause.

Medication

For symptom control rather than removal, options include:

• Hormonal birth control (pills, or a hormonal IUD) to manage heavy bleeding.
• Tranexamic acid, a non-hormonal medication that reduces menstrual blood loss.
• GnRH agonists, which temporarily shrink fibroids by lowering oestrogen — usually used short-term, often before surgery, due to menopause-like side effects with prolonged use.

Minimally Invasive & Non-Surgical Procedures

• Uterine Fibroid Embolisation (UFE), also called Uterine Artery Embolisation — a non-surgical, catheter-based procedure that cuts off the blood supply to fibroids so they shrink over time, with a much shorter recovery than surgery.
• Hysteroscopic myomectomy — for submucosal fibroids inside the uterine cavity, removed through the vagina and cervix with no external incisions at all.
• Laparoscopic (keyhole) myomectomy — removes fibroids through a few small incisions, preserving the uterus, with a shorter recovery than open surgery.

Surgery

• Myomectomy — surgical removal of fibroids while keeping the uterus intact, generally the preferred option for women who wish to preserve their fertility.
• Hysterectomy — removal of the uterus entirely; this is a definitive, permanent solution for fibroids, but it also ends the possibility of future pregnancy, so it is typically reserved for women who have completed their families or have severe, recurrent symptoms.

A Note on Cost & Affordability

One of the most common questions we hear is simply: how much will this cost? Fibroid care doesn not have to mean a stressful, unclear bill — costs can vary quite a bit depending on which treatment path you and your doctor decide is right for you. As an affordable women’s clinic in Singapore, Eden Women’s Health believes cost transparency is part of good care — we will walk you through what to expect financially and answer your questions clearly, before you commit to any treatment, so there are no surprises.

Fibroids and Perimenopause

If you are in your 40s and newly dealing with both heavier periods and other new symptoms, you might be wondering whether fibroids or perimenopause is to blame — often, it is a bit of both. Fibroids are fuelled by oestrogen, so the hormonal fluctuations of perimenopause can sometimes make fibroid symptoms feel more intense before they eventually improve. The encouraging news is that fibroids typically shrink once oestrogen levels drop after menopause, and existing fibroids rarely grow significantly once you are past it.

Untangling which symptoms belong to fibroids and which belong to the broader perimenopause transition in Singapore is exactly the kind of thing worth discussing with a gynaecologist rather than guessing at home.

Related reading: Perimenopause: A Guide for Female Working Professionals

Choosing the Right Gynaecologist in Singapore for Fibroid Care

Not every case of fibroids needs a specialist, but if your symptoms are significant, fertility is a concern, or you are weighing procedural options, it is worth choosing your gynaecologist in Singapore carefully. A few things worth asking about at your first visit:

• Do they routinely manage the full range of options — from watchful waiting to myomectomy — rather than defaulting to one approach?
• Can they clearly explain how your specific fibroid type and location affect your options?
• Will they walk you through expected costs clearly before you commit to any treatment?
• If fertility matters to you, do they have experience preserving it during treatment?

At Eden Women’s Health, these are exactly the conversations we aim to have with every patient — no rushed appointments, no guesswork.

Related reading: When Should a Woman First See a Gynaecologist? and When Should You See an Obstetrician-Gynaecologist Specialist Rather Than a GP?

Take the Next Step With Confidence

Fibroids are common, and in most cases, very manageable — but “common” does not mean you should have to just put up with heavy bleeding, pelvic pain, or endless uncertainty. At Eden Women’s Health, we are committed to being an accessible, affordable women’s clinic in Singapore, helping you understand your fibroids, your fibroids treatment options, and your costs clearly, so you can make the decision that is right for you.

Book an appointment with Eden Women’s Health to learn more about how we can help.