Hysteroscopic Myomectomy
Dr. Raanan Meyer specializes in advanced hysteroscopic techniques that preserve the uterus, reduce recovery time, and relieve symptoms like heavy bleeding and pelvic pain — all while supporting future fertility.
What Is a Hysteroscopic Myomectomy?
Hysteroscopic myomectomy is a minimally invasive surgical procedure used to remove fibroids located inside the uterine cavity (known as submucosal fibroids). It is performed through the cervix without any external incisions, using a thin, lighted instrument called a hysteroscope.
This approach allows for precise removal of fibroids while preserving the uterus—making it an excellent option for women experiencing heavy bleeding, infertility, or recurrent pregnancy loss due to fibroids, and who wish to avoid major surgery.
Why Remove Fibroids?
Uterine fibroids are non-cancerous growths of the muscle and connective tissue of the uterus. They are extremely common and can vary in size, number, and location. While many fibroids are harmless, those growing within the uterine cavity can cause significant symptoms, including:
Heavy or prolonged menstrual bleeding
- Irregular bleeding between periods
- Pelvic cramping or pain
- Infertility or recurrent miscarriage
- Difficulty with embryo implantation during IVF
- Anemia from excessive blood loss
Benefits of Hysteroscopic Myomectomy
- No external incisions or scarring
- Preserves the uterus and fertility
- Shorter recovery time compared to open surgery
- Performed on an outpatient basis in most cases
- Reduces or eliminates abnormal uterine bleeding
- Enhances outcomes for women undergoing fertility treatments
Dr. Raanan Meyer specializes in minimally invasive techniques that prioritize optimal outcomes, uterine preservation, and rapid recovery. His expertise ensures a safe, precise, and effective procedure tailored to each patient’s needs.
How the Procedure Works
Hysteroscopic myomectomy is performed under general or local anesthesia in a surgical suite or outpatient center. Here is how the process typically works:
- Cervical dilation: The cervix is gently dilated to allow entry of the hysteroscope.
- Hysteroscope insertion: A slender camera is inserted through the cervix into the uterine cavity.
- Saline infusion: Sterile fluid is used to expand the uterus for better visualization.
- Fibroid removal: Specialized instruments, such as a resectoscope or morcellator, are used to shave away or cut out the fibroid tissue.
- Cavity inspection: After removal, the cavity is carefully examined to ensure complete fibroid excision.
Types of Fibroids Treated with Hysteroscopic Myomectomy
Hysteroscopic myomectomy is effective for treating:
- Type 0 fibroids: Completely within the uterine cavity
- Type 1 fibroids: Mostly within the cavity, with less than 50% in the muscle wall
- Select Type 2 fibroids: Partially intramural but accessible via hysteroscopy
Dr. Meyer conducts thorough preoperative evaluations using advanced imaging (such as transvaginal ultrasound or sonohysterography) to determine whether hysteroscopic removal is appropriate or if another surgical approach is needed.
Who Is a Candidate for Hysteroscopic Myomectomy?
You may be a good candidate if you:
- Have submucosal fibroids causing heavy bleeding, pain, or infertility
- Are trying to conceive or preserve your uterus
- Have had imaging confirming the fibroid’s location and accessibility
Women undergoing fertility treatments such as IVF may also benefit from removing intrauterine fibroids to improve implantation and pregnancy rates.
What to Expect After a Hysteroscopic Myomectomy?
Recovery from hysteroscopic myomectomy is typically fast and straightforward. Most patients experience:
Mild cramping and spotting for a few days
- Return to normal activities within 1–3 days
- Light periods for the first cycle, with reduced bleeding over time
- Improved fertility outcomes in 3–6 months following healing
Dr. Meyer provides personalized post-operative guidance and collaborates closely with fertility specialists when needed. His goal is not only to resolve symptoms but also to support each patient’s reproductive goals.
Why Choose Dr. Raanan Meyer for Hysteroscopic Myomectomy
Dr. Meyer is a gynecologic surgeon with deep expertise in minimally invasive procedures and fertility-sparing surgery. His approach is built on:
- Advanced training in hysteroscopic and laparoscopic techniques
- A commitment to evidence-based care
- Attention to long-term reproductive outcomes
- Compassionate, patient-centered communication
He understands that every woman’s journey is unique—and so is her treatment plan.
Other Minimally Invasive Options for Fibroids
In cases where fibroids are too large or deeply embedded to be removed hysteroscopically, Dr. Meyer offers alternative treatments such as:
- Laparoscopic or robotic myomectomy
- Medical therapy for symptom control
- Uterine artery embolization (for non-fertility patients)
- Combined hysteroscopic and laparoscopic approaches
No matter the complexity of your case, Dr. Meyer will guide you through your options with clarity and confidence.
Schedule a Consultation with Dr. Meyer
If you’ve been diagnosed with fibroids and are seeking a minimally invasive, fertility-friendly solution, hysteroscopic myomectomy may be the right choice. Dr. Raanan Meyer brings advanced skill, surgical precision, and a deep understanding of women’s health to every patient interaction.
Contact our office today to schedule your consultation and take the first step toward relief, healing, and renewed reproductive potential.