Treatment of Fibroids

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Uterine fibroids (also known as myomas) affect 30% of women.  While many fibroids do not need treatment, others can cause abnormal uterine bleeding, pressure, pain, or other symptoms.  

Myomectomy is a procedure in which uterine fibroids are surgically removed from the uterus.  Removing the entire uterus (hysterectomy) is frequently done to treat fibroids, but many women are looking for alternatives to hysterectomy if they wish to have children or simply do not want to lose their uterus.  Unfortunately, many gynecologists are hesitant to recommend myomectomy.  As with any procedure, there are both advantages and disadvantages to myomectomy.  This site will provide information to help you make an informed decision.

What information do you need?

Types of uterine fibroids What Are Fibroids?  Explains what fibroids are, and why fibroids in different locations require different treatment.
Diagnosis of uterine fibroids Diagnosis of uterine fibroids.  Explains the role of pelvic exam, ultrasound, MRI, and hysteroscopy in accurately diagnosing fibroids.  Inaccurate diagnosis can lead to inappropriate treatment.
  Abdominal myomectomy - removal of uterine fibroids

Abdominal myomectomy.  Explains what an abdominal myomectomy is, and how and why it is done.  Shows detailed photos of an actual abdominal myomectomy.
Laparoscopic myomectomy

Laparoscopic myomectomy.  Discusses laparoscopic myomectomy, and advantages and disadvantages compared to abdominal myomectomy.
 

Robotic Myomectomy for removal of uterine fibroids

    Robotic Myomectomy.    A minimally invasive procedure that combines many of the advantages of Abdominal myomectomy with the rapid recovery of Laparoscopic myomectomy!  Click here to learn more!   
Hysteroscopic myomectomy Hysteroscopic myomectomy.  Hysteroscopic myomectomy removes fibroids through the cervix without making an incision.  Explains how it is done and when it is appropriate.

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 Is myomectomy the best choice for me?  Would I better off with a hysterectomy? Should I consider Uterine Artery Embolization (UAE) — the newest treatment for fibroids.
FAQ Frequently Asked Questions.  How do I select a surgeon?  Are fibroids cancerous?  Will my fibroids grow back?  What can you tell me about shrinking fibroids with Depo-Lupron? (Will open in new window)

Another personal note...

Dear Reader,

I have written this site in order to help my patients and women around the globe make informed decisions about treatment of fibroids.   I designed and created the site myself, without professional assistance, in order to be able to maintain it and keep it current.  I wish to thank my patients who allowed me to take the photographs so that you can see pictures of actual fibroids.  

I am hoping that after reading this site you will have a better understanding of the role of myomectomy.  And of course, if you would like a personal consultation, I am always happy to see new patients.

 

Sincerely,

Paul D. Indman, M.D. 
 
 
©2010, Paul Indman, MD. All Rights Reserved
15195 National Avenue, Suite 201; Los Gatos, CA 95032
Telephone : 408 358-2788; FAX : 408 356-5526

The medical information presented in this website represents the opinion of Dr. Indman,  and is based on his knowledge and experience. It is not applicable to all patients or physicians. Anyone visiting this or other related medical sites should discuss symptoms, findings, and alternatives with their personal gynecologist.