Myomectomy means removing fibroids without removing the uterus.
Do you think you have fibroids?
Has someone told you that you have fibroids?
Are you worried about fibroids?
For fibroids within the uterine cavity, this can often be done with a hysteroscope, using the cervix to enter the uterus. A hysteroscopic myomectomy is an outpatient procedure and does not involve any incisions. Fibroids in the body of the uterus can be removed by traditional or minimally invasive methods.
Fibroids are tumors, or over growths, of uterine muscle, often with the consistency of a rubber ball. Fibroids can be big or small. They can be in the lining of the uterus, in the uterine muscle, just under the surface or hanging on a stock. Some women never have any fibroids. Other women have anywhere from one to well over 20. A small fibroid in the lining of the uterus can cause pain, heavy bleeding and difficulty getting pregnant while a fibroid the size of a baseball or even a grapefruit might not cause any problems at all. Often large fibroids cause pelvic pressure and many women have to run to the restroom frequently because the fibroid is pressing on their bladder. The largest uterus Dr. Schapiro has removed weighed 11 pounds.
When you come to see us at Ideal Gynecology to discuss fibroids, we will talk to you and find out why you think you might have fibroids, what type of problems they are causing and what your treatment goals are. Are they causing heavy periods? Are they causing pelvic pressure? Are they causing pain?
Your evaluation will also include a physical exam. Even the most annoying fibroid may not be able to be felt on exam. Most likely, we will want you to have an ultrasound. If we suspect the fibroid is inside the uterine cavity, we may suggest a sonohysterogram. You may need an endometrial biopsy.
Some women just want to know if they have fibroids. Other women want to find out what their treatment options are. The treatment you choose will depend on where you are in life as it relates to having children, how long you have been at your job and how much time off you have, what vacations or other plans do you have? We will tailor your plan to your life and your concerns.
Sometimes fibroids don't require any treatment at all. Sometimes the symptoms can be alleviated with medication. In her practice, Dr. Schapiro has done a variety of surgeries for fibroids, including open myomectomies, open hysterectomies, robotic myomectomies and robotic hysterectomies and was voted a top robotic surgeon. She now specializes in noninvasive surgeries without incisions, so she is an excellent person for a second opinion to find out which procedure may be best for you whether you opt for surgery, medication, or a uterine fibroid embolization.
Fibroids that are inside the uterine lining can cause heavy bleeding, long periods, miscarriages and difficulty getting pregnant. These are often the easiest to remove and can be removed with no incisions. Click below to watch a video of Dr. Schapiro removing a fibroid no incisions. The procedure is called a hysteroscopic myomectomy.
If your fibroid can not be removed without incisions, our practitioners are happy to discuss your option options with you and refer to current expert surgeons in the field.