2) Surgery:
- Dilatation and curettage(D&C):
The procedure is commonly and effectively performed by your doctor which opens the cervix and removes the tissue lining of your uterus to reduce menstrual bleeding. The results of this procedure are good and successful but may be repeated if this is indicated.
- Uterine artery embolization:
It is a procedure used to treat fibroids without surgery, when the uterine fibroids are the cause of menorrhagia. This procedure is useful to shrink fibroids and by occlusion of uterine arteries and the blood supply of fibroids will decrease and the fibroid will shrink. The surgeon injected special material through the uterine arteries to decrease blood flow.
‘Focused ultrasound surgery’ is a similar procedure to uterine artery embolization as it treats heavy bleeding by using the ultrasound waves to induce destruction of the fibroid tissue. No incisions needed for this procedure.
- Surgical excision of uterine fibroids:
‘Myomectomy’ is the medical term of surgical removal of uterine fibroids.
- Endometrial ablation:
The aim is to destroy the uterine lining (the endometrium).
The doctors use laser beams,radiofrequency or heat to destroy the tissue.
- Resection of endometrium:
Removal of the uterine lining by using a surgical wire loop. Both endometrial ablation and endometrial resection are beneficial for women who suffer so heavy menstrual bleeding.
- Hysterectomy:
It is a surgical operation to remove the uterus and cervix. It is considered definitive treatment of excessive menstrual bleeding. It is performed under general anesthesia. Ovaries if removed in this surgery may lead to early menopause.
