Uterine fibroids: assessment and options in Seville
Dr. Carlos Jiménez Rámila leads the fibroid unit at the Hospital Universitario Virgen Macarena. At our Seville clinic we review your case calmly and explain every option, from watchful waiting to treatment.
What are fibroids?
Fibroids (myomas) are benign tumors of the uterus and are very common in women of childbearing age. Many cause no symptoms and only need monitoring.
Most common symptoms
- Heavy or prolonged periods, which can sometimes lead to anemia.
- Pelvic pain or a feeling of heaviness.
- Pressure on the bladder or bowel.
- In some cases, difficulty conceiving.
Options for your case
There is no single answer: it depends on your symptoms, the size and location of the fibroids and your plans for the future. Options may include:
- Regular monitoring.
- Medical treatment.
- Radiofrequency ablation (RFA) of uterine fibroids.
- Uterine fibroid embolization.
- Surgery, when indicated.
If you want to understand your situation before deciding, there is the fibroid advisory service.
Frequently asked questions
Do all fibroids need treatment?
No. If they cause no symptoms, they are usually checked periodically.
How are they diagnosed?
With an ultrasound and, if needed, an MRI scan.
Can I consult from outside Seville?
Yes, you can do so by video call.
Published research
Jiménez-Rámila C, Redondo-Villatoro A, Ruiz-Salmerón RJ, Rodríguez de Leiras-Otero S, Jiménez-Caraballo A. Transradial uterine artery embolization for the treatment of symptomatic fibroids: a ten year experience. AJOG Global Reports. 2025;5(4):100582. doi.org/10.1016/j.xagr.2025.100582
Ruiz-Salmerón R, Jiménez-Caraballo A, Jiménez-Rámila C, Vidal-Martín JM, Caparrós C, Micceli A. Embolización de los miomas uterinos por vía transradial [Uterine fibroid embolization using the transradial approach]. Progresos de Obstetricia y Ginecología. 2016;59(4):211-217. doi.org/10.1016/j.pog.2015.08.007
Redondo-Villatoro A, Jiménez-Rámila C, Jiménez-Caraballo A. Embolización de arterias uterinas para el manejo de miomas sintomáticos [Uterine artery embolization for the management of symptomatic fibroids]. Clínica e Investigación en Ginecología y Obstetricia. 2023;50:100830. doi.org/10.1016/j.gine.2022.100830
The information on this page is for general guidance and does not replace a medical consultation. Every case is different and any technique is only recommended after assessing you.
Book your appointment
Call us on 954 22 58 59 or email info@jimenezginecologia.es and we will arrange your appointment.