Not all women with uterine fibroids require treatment, and many cases only require medication. In cases where fertility is affected, surgery to remove fibroids (called a myomectomy) is usually recommended. This may be through the abdomen using a large incision, laparoscopy, or robotic surgery. If the fibroid is entirely or mostly in the uterine cavity, it may be removed using hysteroscopy, which is entirely a vaginal approach.
In rare cases, a patient with severe discomfort or bleeding due to uterine fibroids may undergo a hysterectomy, which removes the entire uterus. This eliminates the possibility of future pregnancies.
These are easily removed with a hysteroscopy, a minimally invasive procedure to view and remove abnormalities.
As with other uterine issues, treatment for uterine abnormalities depends upon the nature of the anomaly, its size, and whether or not it is affecting fertility or a woman’s health. Surgery is the usual treatment if needed.