Hysteroscopic Myomectomy Near Lynchburg, VA

Receive expert gynecological care in a compassionate and safe setting.

What is a Hysteroscopic Myomectomy?

If you are dealing with heavy bleeding or pelvic pain due to fibroids, a minimally invasive solution like hysteroscopic myomectomy may provide significant relief. This procedure involves the removal of fibroids from the uterine cavity with no incisions. Using a hysteroscope, a thin, lighted tube inserted through the vagina and cervix into the uterus, surgeons can access the fibroids. The hysteroscope is equipped with an operative channel that allows the insertion of surgical instruments to remove the fibroids. This method is especially effective for treating submucosal fibroids, which are located within the uterine cavity. It offers the advantage of minimal disruption to the uterine wall and typically involves no recovery time, allowing for a quick return to daily activities with reduced risks of complications such as scarring or infection.

Why is a Hysteroscopic Myomectomy Done?

A hysteroscopic myomectomy is usually recommended when fibroids are causing symptoms that negatively impact a person's health and quality of life. These symptoms may include:

Heavy menstrual bleeding
Pelvic pain
Abnormal bleeding
Excessive bleeding
Recurrent miscarriages
Infertility
Recurring fibroids

It is also considered when nonsurgical treatments have failed to provide adequate relief and when a less invasive alternative to more extensive procedures, such as laparoscopic myomectomy or abdominal myomectomy, is preferred. This allows patients from Lynchburg to benefit from a safer, quicker recovery while still addressing the underlying fibroid issues effectively.

Who Needs a Hysteroscopic Myomectomy?

A hysteroscopic myomectomy may be suggested for those who:
Suffer from fibroid-related symptoms that interfere with daily activities
Have submucosal or partially intramural fibroids
Have not found relief through nonsurgical treatments

What are the Risks?

A hysteroscopic myomectomy is typically considered a safe procedure with few risks. Possible risks include:

Mild discomfort experienced during the procedure itself
Cramping or light spotting that may occur after the procedure
The potential formation of scar tissue within the uterine cavity
Rare complications such as infection, excessive bleeding, or injury to the uterus

What To Expect

If you are eligible for a hysteroscopic myomectomy, your healthcare provider will take the time to thoroughly explain the entire procedure to you. They will address any questions or concerns you may have, ensuring you are fully informed and comfortable with the treatment plan before moving forward.

Throughout the procedure, you will receive either anesthesia or pain-relieving medication to ensure that you remain comfortable and relaxed. The surgeon will carefully insert the hysteroscope through the vagina and cervix into the uterus, utilizing specialized tools to remove the fibroids in small, manageable pieces to minimize any disruption to the surrounding tissues.

Following the outpatient procedure, most individuals from Lynchburg, Virginia and surrounding areas are able to return to their regular activities within a few days. You may experience mild cramping, spotting, or light discharge, but these symptoms should resolve within a short period, and it is crucial to refrain from vaginal intercourse for several weeks to promote healing; your healthcare provider will schedule a follow-up appointment to assess your recovery and determine if any additional treatments are necessary.

Why Choose The Center For Advanced Gynecology for Your Hysteroscopic Myomectomy

Founded in 2018, the Center for Advanced Gynecology is committed to enhancing your well-being through a comprehensive range of services. Specializing in gynecological care, the center provides advanced surgical options when surgery is required, ensuring that patients receive the highest level of expertise and personalized care.

Our dedicated team offers specialized knowledge in the non-surgical management of chronic pelvic pain, painful intercourse, pudendal neuralgia, as well as vaginal, vulvar, and bladder discomfort. We focus on providing targeted treatment options designed to alleviate these conditions and improve overall quality of life, ensuring each patient receives the best care possible.

Since the beginning, we have recognized a broader need within the Lynchburg community for not only specialized care but also comprehensive gynecological services. Our practice has steadily grown to include routine care such as cancer screenings, Pap smears, menopausal management, addressing hormonal imbalances, hormone replacement therapy, breast care, contraceptive options, urinary incontinence, and pelvic organ prolapse, providing patients with well-rounded, compassionate healthcare.

Frequently Asked Questions

Uterine fibroids, also referred to as leiomyomas, are benign growths that develop in the uterus and impact millions of women globally. Research indicates that the lifetime prevalence of fibroids can range from 70% to 80% by the time a woman reaches the age of 50 (Am J Obstet Gynecol. 2003;188(1):100–107). Although many women with fibroids may not experience noticeable symptoms, for some, the condition can lead to significant discomfort and complications. These symptoms may include heavy menstrual bleeding, chronic pelvic pain, pressure in the pelvic area, and, in certain cases, issues with fertility. Fibroids are classified based on their location within the uterus:

Pedunculated: Fibroids attached to the uterus by a stalk, which may be located either inside or outside of the uterine cavity.
Submucosal: These fibroids are situated just beneath the uterine lining and may extend partially or fully into the uterine cavity.
Intramural: Found within the muscular wall of the uterus, these fibroids are embedded in the middle layer of the uterine wall.
Subserosal: Located beneath the outer covering of the uterus, these fibroids protrude into the abdominal cavity.

A hysteroscopic myomectomy is a minimally invasive procedure that involves the removal of fibroids from the uterine cavity using a hysteroscope, which is inserted through the vagina and cervix. Unlike laparoscopic myomectomy and abdominal myomectomy, which require incisions on the abdomen and uterus to reach the fibroids, this procedure is performed without any external cuts. The key difference lies in its less invasive nature, allowing for quicker recovery and reduced risk of complications compared to traditional surgical approaches.

Hysteroscopic myomectomy is particularly effective for treating submucosal fibroids, which are located within the uterine cavity, as these fibroids can be accessed and removed with minimal disruption. However, this procedure may not be suitable for larger or intramural fibroids, which are situated deeper within the uterine walls, as they may require more invasive surgical methods to be fully treated.

The recovery time after a hysteroscopic myomectomy is generally brief, with most patients able to return to their usual activities within 1-3 days; however, it is advised to refrain from vaginal intercourse for a few weeks to allow adequate healing and minimize the risk of complications.

There are several alternatives available for removing uterine fibroids, including uterine artery embolization, which works by cutting off the blood supply to the fibroids, as well as laparoscopic procedures, which involve small incisions for minimally invasive surgery. Other options include fibroid ablation, where electrosurgical energy is used to shrink fibroids, along with various nonsurgical treatments, and your healthcare provider can help guide you in choosing the most suitable approach based on your individual needs.