Uterine polyps and in some cases, also submucosal fibroids, can often be removed hysteroscopically (through the vagina). This eliminates the need for abdominal surgery and greatly reduces the recovery time.
Hysteroscopic surgery is only useful if the majority of the fibroid protrudes into the endometrial cavity, ensuring that the tumor defect will not be too large.
After hysteroscopic surgery, cyclical hormonal therapy can be prescribed based on the extent of the surgery and endometrial involvement to assist regeneration of the endometrial lining. A hysteroscopy should be performed afterwards to rule out scar tissue formation and to confirm a normal endometrial cavity.
Embolization of Uterine Fibroids
Embolization is a procedure in which small particles are injected into the arteries of the fibroid under radiological guidance to shut off the blood supply to the fibroids, in the hope that they will shrink.
Currently, embolization is not a recommended therapy for fibroids in women who still wish to conceive. It may be considered as an option for the treatment of fibroids in women who do not desire future fertility or have completed childbearing.