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The arguments FOR the pre-operative use of GnRHa are: There is strong research evidence to show that, for myomectomy or hysterectomy procedure, pre-operative GnRHa (such as Decapeptyl, Zoladex, Prostap) therapy reduces the size of fibroids and the
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After 6 weeks, you can start sexual intercourse if you have no pain or vaginal bleeding. If you experience pain or bleeding after sex, contact your GP for advice.
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Constipation is a frequent problem after pelvic surgery such as myomectomy or hysterectomy. About 3 days after your operation, the hospital usually ensures that you can open your bowel and may assist by showing you the correct way of emptying your
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Usually there is little loss of blood when a myomectomy is done by a surgeon with extensive experience in the procedure. There are a number of ways to reduce blood loss. I use a laser to make the incision into the uterus, which seals blood vessels
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Menopause can occur at any age after 35. There is evidence that women 45 and older may never have a period after UAE (15-20% of the time), and about half of these develop menopausal symptoms. - Dr. Worthington-Kirsch Myomectomy does not cause
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FAS addresses multiple disease processes of the female pelvis, not simply fibroid tumors. Many patients also have associated ovarian cystic disease, ventral hernias due to abdominal wall pressure, or uterine prolapse due to the weight of tumors and
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In women undergoing myomectomy for infertility, a large review of the published data found a pregnancy rate of 40-60%, the majority conceiving in the first year after treatment. Where myomectomy is performed for heavy periods, an 80% success rate is
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Endometrial ablation has traditionally been done using a hysteroscope. The procedure was developed by Dr. Goldrath in 1979 using a Nd:YAG laser. I did the first endometrial ablation in Northern California in 1985 using the laser. My results using
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We usually ask women to wait three months after myomectomy for the uterus to heal. This is the amount of time it takes for the incisions in the uterus to heal entirely, based on studies of how the muscle wall looks under the microscope. The
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The main benefits of these alternative procedures are the very rapid recovery and minimal surgical risk compared to hysterectomy. In the case of hysteroscopic myomectomy, an additional benefit is that a woman with childbearing potential retains the
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