Fibroid Treatment Without Surgery

Fibroid treatment options — including one that doesn't require surgery.

Board-certified fibroid specialist. Outpatient. Your uterus stays intact.

Request an appointment

A fibroid specialist calls you back — usually the same day.

The fibroid doctor personally reviews your imaging before recommending anything.

Covered by Medicare & all PPO plans

The symptoms that bring most women here

Heavy or prolonged periods
Painful cramping
Pelvic or lower back pain
Pain during intercourse
Frequent urination or constipation
Difficulty conceiving

What women experience after fibroid embolization

Keep your uterus. Skip the fibroid surgery. Get back to your life.

~90%
of women report significant symptom improvement

Spies et al., Obstet Gynecol 2005

1–2 days

back to work for some women, using our method and pain protocol

Recovery varies with fibroid number and size

2,000+

embolizations performed by our fibroid specialist

Practice records

Five ways fibroids are treated

Every option is laid out the same way — what it is, what happens to your fibroid uterus, recovery, who it fits, and who it doesn’t. Including the cases where our fibroid procedure isn’t the right answer.

Surgical Hysterectomy Removes the uterus entirely
What it is
Surgical removal of the uterus, performed abdominally, vaginally or laparoscopically. It is the only treatment that guarantees fibroids can never return, because the organ they grow in is gone.
Your uterus
Removed. Permanent, and ends the possibility of pregnancy.
Recovery
One to two day hospital stay, then six to eight weeks of limited activity.
Who it fits
Cancer, or other special situations where removing the uterus is medically necessary. In those cases it is the right operation.
Who it doesn't
Anyone treating fibroids alone. Removing the uterus is a major operation with lasting consequences: hysterectomy is an established risk factor for pelvic floor problems — in long-term follow-up, a substantial share of women report bothersome pelvic floor symptoms such as prolapse, urinary leakage and bowel symptoms years afterward.1 It also ends fertility permanently, and requires general anesthesia and six to eight weeks of recovery.
Not sure which applies to you? An appointment starts with reviewing your imaging.
Read more about hysterectomy
Surgical Myomectomy Removes fibroids, keeps the uterus
What it is
Surgical removal of individual fibroids while leaving the uterus in place. Done hysteroscopically (through the cervix), laparoscopically, or through an open abdominal incision depending on fibroid size and position.
Your uterus
Preserved. Fertility is generally maintained, and this is often the preferred choice when pregnancy is the near-term goal.
Recovery
Days for a hysteroscopic procedure; four to six weeks for an open abdominal myomectomy.
Who it fits
Women planning pregnancy who prefer a surgical approach, and women with a small number of accessible fibroids.
Who it doesn't
Women with many fibroids, since each must be removed individually. It is still surgery with anesthesia and scarring, and fibroids can recur — up to a quarter of women need another treatment later.
Not sure which applies to you? An appointment starts with reviewing your imaging.
Read more about myomectomy
Surgical Radiofrequency ablation Heats and shrinks fibroids surgically
What it is
A laparoscopic procedure in which a needle is placed into each fibroid under ultrasound guidance and heat is used to destroy the tissue, which the body then reabsorbs over time.
Your uterus
Left in place, but heat is applied directly into the uterine wall. Fertility preservation after ablation is not established.
Recovery
Typically several days to about a week, though it still involves general anesthesia and laparoscopic incisions.
Who it fits
Women with a limited number of fibroids that are reachable laparoscopically, who want to keep the uterus and accept a surgical approach.
Who it doesn't
Anyone who wants to preserve fertility — ablation should be avoided, because it has not been shown to be fertility-preserving. Also women with numerous fibroids, since each must be treated individually, and it still requires general anesthesia and laparoscopic incisions.
Not sure which applies to you? An appointment starts with reviewing your imaging.
Read more about ablation
Non-surgical · what we specialize in Uterine fibroid embolization Cuts off fibroid blood supply — no surgery
What it is
Through a pinhole in the wrist or groin, a thin catheter is guided to the arteries feeding your fibroids and tiny particles block their blood supply. Starved of blood, the fibroids shrink and symptoms improve. All fibroids are treated in a single session, however many you have.
Your uterus
Preserved and left intact. No incision, no stitches, no general anesthesia — local anesthetic with moderate IV sedation.
Recovery
Outpatient, home the same day. Most women are back to normal activity in about one week. Expect cramping for the first day or two.
Who it fits
Most women with symptomatic fibroids — including women who:
• want to keep their uterus
• have multiple fibroids, or large ones
• were told hysterectomy was their only option
• want to avoid surgery, general anesthesia and a long recovery
• can't afford weeks away from work or family
• have already tried medication without relief
What happens next
You schedule an appointment. The doctor personally reviews your medical history, your symptoms and your imaging, walks you through both the non-surgical and surgical options, and gives you his best recommendation for your specific situation.
Not sure which applies to you? An appointment starts with reviewing your imaging.
Read more about uterine fibroid embolization
Non-procedural Medication and monitoring Manages symptoms without treating the fibroids
What it is
Anti-inflammatories for pain, hormonal contraceptives or a hormone-releasing IUD for heavy bleeding, iron for anemia, and periodic imaging to watch for growth.
Your uterus
Untouched — but so are the fibroids. Nothing here shrinks or removes them.
Recovery
No procedure, no recovery.
Who it fits
Women with mild symptoms, women close to menopause (when fibroids often shrink on their own), and women who want to defer a decision.
Who it doesn't
Anyone whose symptoms are already affecting daily life. Symptoms typically return when medication stops, and hormonal options carry their own side effects and prevent pregnancy while in use.
Not sure which applies to you? An appointment starts with reviewing your imaging.

Side by side

HysterectomyMyomectomyAblationEmbolization
Recovery time6–8 weeksDays–6 weeks~1 week~1 week
Uterus preservedNoYesYesYes
AnesthesiaGeneralGeneralGeneralLocal + IV sedation
Treats all fibroids at onceYesNo — one at a timeNo — one at a timeYes
Hospital stay1–2 daysOften overnightUsually noneNone — home same day

The doctor performs your procedure — and your appointment

Dr. Atabak Allaei, double board-certified vascular and interventional radiologist and Medical Director of the California Fibroid Center

Atabak Allaei, MD

Dual Board-Certified Vascular & Interventional Radiologist

Interventional radiology is the only specialty in medicine trained specifically to perform embolization. It’s not a sideline here — it’s the entire practice.

"Fibroid embolization is done through a pinhole, guided entirely by X-ray — a flat image of a three-dimensional vascular tree. Holding that anatomy in your head while you steer a catheter through it is a skill that experience sharpens but can't manufacture. It's why I do every case myself."

Every appointment is with the doctor. Not a physician assistant, not a nurse practitioner, not a rotating provider. Clinical decisions here are made by the physician who will perform your procedure — with no outside influence on your care, and no pressure to move you through a schedule.

Women who were told hysterectomy was the only option

Straight answers before you call

Yes — uterine fibroid embolization is covered by Medicare and all PPO insurance plans. Our team verifies your benefits before anything is scheduled, so you know exactly where you stand before you commit to anything.

This is where our practice differs. We use our own proprietary technique and pain-management protocol, developed specifically to minimize discomfort during and after the procedure. The procedure itself is done under local anesthetic with moderate IV sedation — you’re comfortable throughout, and you avoid general anesthesia entirely. Our protocol is also what drives the fast recovery our patients report.

Your uterus is preserved and left intact — nothing is removed and nothing is cut. There are many reports of successful pregnancies after embolization. If pregnancy is part of your plan, bring it up at your appointment so the doctor can review your imaging with that specifically in mind. By contrast, a hysterectomy ends fertility permanently.

Faster than most women expect, because of our proprietary method and pain protocolSome women are back in one to two days; others take five to seven days. What determines it is the number and size of your fibroids — which the doctor can tell you after reviewing your imaging. Either way there’s no hospital stay and no surgical incision, compared with six to eight weeks after a hysterectomy.

Not ready to book? Start with your insurance.

Send us your carrier and we’ll verify your fibroid treatment benefits and come back to you with what’s covered — no appointment required, no obligation.

Three locations — or see the doctor by video

Telehealth video appointment

From anywhere — out of town, out of state, or international

Travelling in for treatment? Many of our patients come from outside Southern California — other states and other countries included. Your appointment and imaging review happen by video, so you only travel once, for the procedure itself. Schedule with the fibroid expert near you. 

Request an appointment

Same four questions. A fibroid specialist reviews your imaging and history before recommending anything.
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