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Surgical Options For Fibroid Removal

The fibroid treatment depending mainly on the amount of problems caused by their presence. Many women do not recognize the presence of fibroids unless they undergo medical examination. Most women also carry pregnancy easily even after most surgical options, making it difficult to carry a pregnancy.

o If fibroids do not cause problems and discomfort do not need any treatment other than regular medical examination.

o If fibroids cause pain, severe or prolonged menstrual bleeding, or other pregnancy-related problems, surgery may be required. The two most common types of surgery are hysterectomy and myomectomy.

o If fibroids appear before menopause then medications or surgery can easily be used to minimize them as they naturally shrink during menopause.

There are many treatment options available depending on the particular patient's condition and age:



3. hysteroscopic resection

4. Uniformity

5. Loparoscopic surgery

6.The award


Hysterectomy is a surgical procedure to remove the uterus, usually with the cervix. This is the most common and permanent fibroid healing. But the great drawback to this surgery is that women cannot treat or conceive a baby after this surgery. This option is only considered if the fibroids are too large. Hysterectomy is performed by splitting the abdomen. Occasionally the ovaries are also released along with the uterus and cervix. The decision to have an ovarian transplant depends on the extent of the woman's menopause or if the ovary is ill.

Vaginal hysterectomy or Laparoscopic vaginal hysterectomy can be performed if the fibroids are smaller in size, the uterus can be excreted through the vagina and not the stomach. The hospital stay for hysterectomy is 2-5 days. The patient fully recovered after 6 weeks. For six weeks, it is advisable to avoid driving, lifting weights, having sex and exercising. Complications after surgery can be infected, internal bleeding (bleeding) requires transfusion or injury to other pelvic organs such as the bladder, bowel, or ureter.


Myomectomy is a method for removing fibroids without removing the uterus. These surgeries allow women to give birth, but only 50% of women can have a successful pregnancy after undergoing myomectomy. Myomectomy is performed through an abdominal incision with the help of a laparoscope or


The risks after surgery include:

Great bleeding can happen. A woman is more likely to need a blood transfusion after myomectomy than after a hysterectomy.

oScarring may occur over the ovaries or block one or both fallopian tubes that do not allow the tube to take eggs after ovulation.

Surgery weakens the uterine wall. For baby delivery, the patient has to undergo a cesarean section because contraction of labor can tear or break the wall.


oBlood drops in the foot.

oReoccurrence fibroid

For small fibroid removal, a new type of surgery is available. The benefits of this option are

This option does not require abdominal surgery.

o They may need overnight hospital stay but most have no need to stay at all.

o They are cheaper and faster recovery and less painful.

o They also show better cosmetic results because almost no stitches are made.

o Patients recover completely within a week or two maximum

Heteroscopic resection

A thin telescope or hysteroscope is inserted through the cervix. Because it allows surgeons to see inside the uterus, fibroids can be removed using lasers, electric knives or wires. It does not require any slices.

This procedure is performed under general or local anesthesia.


Under this procedure fibroids are made to shrink when blood supply is cut. Using X-ray images, a small catheter is passed through the small flap at the base of the thigh to the main artery that supplies blood to the uterus. Small plastic particles are inserted through the catheter to prevent this blood vessel. As the smaller artery continues to connect to the uterus, no damage is done. This is all done under local or general anesthesia. This procedure takes an hour. It is necessary to lie on the back for 6-7 hours after surgery to stop the bleeding from slicing. It will take a week for a full recovery where some patients have a fever.

Laparoscopic surgery

Under this type of surgery a pencil-based surgical telescope called a laparoscope is inserted through one or more small shells in the abdomen to remove fibroids.

o Laparoscopic myomectomy is small and easily accessible by fibroids and the incision in the uterus is made to remove it.

oLaparoscopic myolysis is a procedure used to enlarge or difficult to reach fibroids. Laser or electric needles are used to destroy or minimize them.


1. Certain drugs called Gonadotropin releasing hormone agonists (GnRH agonists) can also be used to treat fibroids. They indirectly inhibit estrogen production that shrinks fibroids. Once it's size

The fibroids are reduced to a third, making it easier to remove them via vaginal hysterectomy or laparoscopic surgery, rather than more complicated abdominal surgery. It can also be used for women who approach menopause because fibroids shrink naturally after menopause. It is available as Lupron (leuprolide), Synarel (nafarelin) and Zoladex (goserelin)

The disadvantages and side effects of these drugs are: -

o If this medicine is used for more than 6 months, it causes bone loss that causes osteoporosis or joint pain.

oOs drug use ceases, fibroids grow back.

oMost women stop having menstruation during the course of drug use.

This drug has the same effect as menopause, thus causing all the problems seen during menopause such as hot flashes, vaginal dryness, irregular vaginal bleeding, mood swings and low sex drive

2.To reduce the heavy bleeding caused by fibroids, Progestogen or Androgen is also given as a synthetic hormone. But they do not shrink fibroids. Sometimes GnRH agonists are prescribed in combination with low doses of estrogen or progestogen, which reduces the side effects of GnRH agonists.


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