Women who suffer heavy periods caused by fibroids or polyps can have these removed using a number of treatments including a hysteroscopic morcellation e.g. with Myosure. You can be considered for fibroid removal if you are not pregnant, do not have pelvic infections or abnormalities of the cervix and do not have cervical cancer.
Hysteroscopic Morcellation
This is a minimally invasive procedure that is used to remove both fibroids and polyps. The procedure can be carried out using a local anaesthetic in an outpatients setting so you can go home the same day. The gynaecologist inserts an instrument, which removes the fibroids or polyps, into the uterus via the vagina. It usually takes 10 minutes to remove a fibroid of approximately 3 centimetres. You can usually resume your daily activities the following day.
Polyps can grow back, and the treatment therefore sometimes needs to be repeated. You can become pregnant following hysteroscopic morcellation.
Hysteroscopic Resection
This is a minimally invasive procedure that is used to remove both fibroids and polyps under a general anaesthetic. The gynaecologist inserts an instrument, which removes the fibroids or polyps, into the uterus via the vagina. You can usually resume your daily activities the following day.
Polyps can grow back, and the treatment therefore sometimes needs to be repeated. You can become pregnant following hysteroscopic resection.
Embolisation
If the fibroid is in the uterine wall, embolisation, where the blood vessels to the fibroid are cauterised or blocked, is often carried out. Blocking the blood vessels causes the fibroid to shrink over the next six months. The operation will involve a general anaesthetic, so you may need to spend a night in hospital.
If you plan to get pregnant in the future, you may choose not to have an embolisation, as there are potential risks to your fertility. You may need to repeat the procedure again.
If heavy periods are dictating your life and you’re unsure of their cause, book an appointment to see your GP. To get the most out of your appointment, take a look at the Talking to your GP section.