Hysteroscopic Myomectomy Near Richmond, VA

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What is a Hysteroscopic Myomectomy?

If you’re in Richmond, VA and struggling with heavy menstrual bleeding or pelvic pain due to fibroids, know that minimally invasive options are available to help you find relief. One such solution is a hysteroscopic myomectomy, a procedure that removes fibroids from the uterine cavity without requiring any incisions. During this procedure, a thin, lighted instrument called a hysteroscope is gently inserted through the vagina and cervix into the uterus. Specialized tools are then passed through the hysteroscope’s channel to carefully remove the fibroids. This approach is especially effective for addressing submucosal fibroids, those located inside the uterine cavity, with minimal impact on the uterine wall and virtually no downtime, allowing you to return to your daily life in Richmond without delay.

Why is a Hysteroscopic Myomectomy Done?

This type of procedure is often advised for individuals experiencing fibroid-related symptoms such as:

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

It may also be considered when non-surgical therapies fail to deliver results, offering a less invasive alternative to more extensive surgical interventions like laparoscopic or abdominal myomectomy.

Who Needs a Hysteroscopic Myomectomy in Richmond, VA?

A hysteroscopic myomectomy may be advised for patients in Richmond, VA who:

Are dealing with fibroid-related symptoms that interfere with daily functioning or well-being
Have been diagnosed with submucosal fibroids or fibroids that partially extend into the uterine wall (intramural fibroids)
Have tried noninvasive options without sufficient relief or improvement

What are the Risks?

A hysteroscopic myomectomy is typically considered a low-risk procedure with a strong safety profile. Possible complications may include:

Temporary discomfort felt during the procedure itself
Mild cramping or light bleeding following treatment
Development of intrauterine scar tissue as a result of healing
Uncommon issues such as infection, heavy bleeding, or injury to the uterus

What To Expect

If you're in Richmond, VA and considering a hysteroscopic myomectomy, your healthcare provider will walk you through the procedure and answer any concerns you may have.

To ensure your comfort during the procedure, you'll receive either anesthesia or appropriate pain relief. The physician will gently insert a hysteroscope, a slim, illuminated tube, through the vagina and cervix into the uterus. Using specialized tools, the fibroids will be carefully removed in small sections.

Since this is an outpatient procedure, most patients in Richmond can return to their usual routines within just a few days. It's normal to experience minor cramping, light bleeding, or discharge following the procedure, but these symptoms typically resolve quickly. You'll need to avoid vaginal intercourse for a few weeks while your body heals. A follow-up appointment will be scheduled by your provider to evaluate your recovery and determine if any additional care is needed.

Why Choose The Center For Advanced Gynecology for Your Hysteroscopic Myomectomy

If you're in the Richmond, VA area, The Center for Advanced Gynecology is here to support your health with expert gynecologic care and advanced treatment options. Since 2018, we’ve been committed to serving individuals like you with a focus on both non-surgical solutions and state-of-the-art surgical techniques when necessary.

You’ll find specialized care for chronic pelvic pain, painful intercourse, pudendal neuralgia, and ongoing vaginal, vulvar, or bladder pain, all delivered in a compassionate and understanding environment.

As part of the Richmond community, we also understand the importance of routine care. That’s why we offer services including cancer screenings, Pap smears, menopause and hormone management, breast health, contraception, urinary incontinence treatment, and pelvic organ prolapse care. Our goal is to provide you with complete, accessible, and personalized gynecological support right where you live.

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Frequently Asked Questions

Uterine fibroids, also referred to as leiomyomas, are benign tumors that form in the muscular tissue of the uterus and are remarkably common among women. In fact, studies suggest that by age 50, as many as 70–80% of women will have developed fibroids at some point in their lives (Am J Obstet Gynecol. 2003;188(1):100–107).

Although many fibroids are asymptomatic and remain undetected, others can cause significant health concerns. Symptoms may include excessive menstrual bleeding, persistent pelvic pain, a feeling of pressure or fullness in the pelvic area, and, in some cases, reproductive complications. The classification of fibroids is typically determined by their location within the uterus:

Pedunculated: On a stalk either inside or outside the uterus.
Submucosal: Just below the (mucosal) lining of the uterus and partially or entirely inside the uterine cavity.
Intramural: In the middle of the uterine wall.
Subserosal: Under the outer covering of the uterus and protruding into the abdominal cavity.

Unlike more invasive procedures that require abdominal incisions, a hysteroscopic myomectomy allows fibroids to be removed directly from the uterine cavity through a small instrument called a hysteroscope. This tool is introduced via the vagina and cervix, eliminating the need for external cuts. In contrast, laparoscopic and abdominal myomectomies require surgical access through the abdominal wall and uterus to extract fibroids.

This method is ideal for addressing submucosal fibroids that grow into the uterine cavity. It is generally not the preferred choice for fibroids that are embedded within the uterine muscle or those that are particularly large or located deeper in the uterine wall.

Patients typically experience a quick recovery, with many resuming light activities within one to three days. However, for optimal healing, it is advised to abstain from vaginal intercourse for several weeks post-procedure.

There are several other treatment options available for managing fibroids. These include uterine artery embolization, which cuts off the fibroid’s blood supply; laparoscopic surgery for less invasive removal through small incisions; fibroid ablation using heat energy to shrink fibroids; and other medical therapies that can reduce symptoms. A consultation at a gynecologic clinic in Richmond, VA, can help determine which approach is most appropriate for your situation.