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Menorrhagia – Procedure Options

December 20, 2020


“There is also a myomectomy, which, depending on where your fibroid is located, depends on how the myomectomy is performed. If it is a submucosal fibroid, or we perform a submucosal myomectomy, it’s done through the vagina again with the aid of a hysteroscope. And there are fibroids that are also in the intramural or in the muscle and or in the underneath the glossy covering of the outside of the uterus called the serosa. Those two may warrant removal, the most common one, however, is that causes menorrhagia is the submucosal one done through the hysteroscope. There is also a form of ablation called an endometrial ablation, and they are various types of equipment that can be used for that, different brand names. However, it too is normally done through the vagina and by whichever device either, microwaves and or hot balloon and, or different, there are different methods of burning or resolve or, or ablating.

That’s why it’s called an ablation, removing the endometrium. And so that procedure again is done typically on an outpatient basis. It can be done in an office as well. Some do it under a general anesthesia and some provide just a local sedation. You can expect to have some cramping during that procedure. And it’s very common. It is only for people that have no desire for future childbearing, however, because it burns that lining that is called the endometrium. And that is what the placenta implants on when you become pregnant. So we don’t want to do that if you desire to have children.”

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