Myomectomy

Myomectomy hysteroscopy is a specialized procedure used to remove uterine fibroids (myomas) that are located within the uterine cavity. This minimally invasive technique allows a gynecologist to remove fibroids while preserving the uterus, making it an excellent option for women who wish to maintain fertility or avoid more invasive surgery.

Why is Myomectomy Hysteroscopy Performed?

This procedure is recommended for women experiencing:

• Heavy or prolonged menstrual bleeding
• Infertility due to fibroids
• Recurrent pregnancy loss
• Pelvic pain or pressure symptoms caused by fibroids
• Suspected submucosal fibroids (fibroids growing into the uterine cavity)

Myomectomy hysteroscopy is often performed after diagnostic tests like ultrasound, MRI, or hysterosalpingography (HSG) confirm the presence and location of fibroids.

Procedure Overview

Myomectomy hysteroscopy is typically performed on an outpatient basis. During the procedure:

1. A hysteroscope (a thin, lighted telescope) is inserted through the vagina and cervix into the uterus.
2. The uterine cavity is gently expanded using a saline or carbon dioxide solution for better visualization.
3. A specialized instrument (such as a resectoscope or morcellator) is used to remove fibroids from the uterine lining.
4. The procedure does not require external incisions, minimizing scarring and recovery time.

Benefits of Myomectomy Hysteroscopy

• Minimally Invasive: No external cuts or stitches, reducing surgical risks.
• Fertility Preservation: Helps improve reproductive outcomes by removing fibroids while keeping the uterus intact.
• Quick Recovery: Most patients resume daily activities within a few days.
• Effective Symptom Relief: Reduces heavy bleeding, pain, and other fibroid-related symptoms.

What to Expect After the Procedure?

After myomectomy hysteroscopy, mild cramping, spotting, or watery discharge may occur for a few days. Most women recover quickly and can return to normal activities within 1-2 days. Your doctor may recommend pain relief medications if needed.

When to Seek Medical Attention?

Though complications are rare, consult a doctor if you experience:

• Severe abdominal pain
• Heavy or prolonged bleeding
• Fever or foul-smelling discharge (signs of infection)

Conclusion

Myomectomy hysteroscopy is a safe and effective procedure for removing fibroids while preserving uterine function. It offers a minimally invasive solution for women dealing with fibroid-related symptoms and infertility.

For expert consultation, Dr. Apoorva Pallam Reddy provides advanced treatment options tailored to each patient’s unique needs, ensuring optimal uterine health and reproductive outcomes.