Each woman’s medical situation and personal preferences will help determine which options are appropriate for her.

Hysteroscopy is a procedure involving the placement of a small telescope through the cervix and into the uterine cavity. Hysteroscopy can discover the cause of bleeding, such as polyps or fibroids. A diagnostic hysteroscopy using a thin and flexible scope, can usually be done in the office with little or no discomfort. UMHS offers an outpatient office hysteroscopy clinic. More complex operative hysteroscopies (to remove large polyps or fibroids) are done in the operating room under anesthesia.

Myomectomy is the removal of fibroid tumors from the uterus. The size and location of the fibroids will determine the type of myomectomy (laparoscopic, hysteroscopic or abdominal). For patients who are candidates for laparoscopy or hysteroscopy, this surgical approach allows a woman to avoid a large incision on her stomach.

A da Vinci®-assisted laparoscopic myomectomy is a robot-assisted surgical procedure that involves slender telescope-like instruments that can be placed through small incisions to remove fibroid tumors from the uterus. Robot-assisted surgery allows your surgeon to perform a precise, proper repair of the uterus through a minimally invasive approach.

An endometrial ablation is a procedure performed through the cervix which permanently removes the lining of the uterus (endometrium) by electrocautery, laser or heat energy.