A Randomized Controlled Trial of High-Intensity Focused Ultrasound (HIFU) Versus Myomectomy for the Treatment of Symptomatic Uterine Fibroids
The goal of this clinical trial is to learn if High-Intensity Focused Ultrasound (HIFU) is as effective as myomectomy for treating symptomatic uterine fibroids in women aged 18 to 50. The main questions it aims to answer are: Is HIFU as effective as myomectomy in improving quality of life for women with uterine fibroids? How do the recovery times and complications compare between HIFU and myomectomy? Researchers will compare the outcomes of women receiving HIFU treatment to those undergoing myomectomy to see if HIFU offers similar or better results with fewer complications. Participants will: Undergo an initial medical assessment, including ultrasounds and blood tests. Receive either HIFU treatment or myomectomy based on random assignment. Complete questionnaires about their symptoms and quality of life before treatment and at follow-up visits (3 and 6 months post-treatment). Be monitored for any complications and recovery progress during follow-up.
• Age 18 - 50 years-old
• Pre or peri menopausal with FSH less than 25 mIU/ml
• BMI \< 33 kg/m2 or abdominal wall thickness \< 5 cm
• Uterine size ≤18 weeks based on physical exam assessment
• Dominant intramural fibroid ≥ 3cm and ≤ 10cm on imaging
• Symptomatic fibroids cause menorrhagia, pressure, or pelvic pain
• Willing and able to give informed consent