This procedure involves the removal of fibroids surgically, without uterus removal.3 Your surgeon may select to do a myomectomy using open abdominal surgery, through several small incisions (laparoscopically) or through the vagina and cervix (hysteroscopically) depending upon the size, number and location of the fibroids.2
During this procedure, the doctor opens (dilates) the cervix and then scrapes tissue from the lining of the uterus. Even though this procedure is common and often treats acute and active bleeding successfully, if HMB reappears one may require repeated D&C procedures.2
This procedure involves surgically removing the entire uterus. A woman who undergoes this surgery will no longer become pregnant and will stop having her periods.1
Women in whom heavy menstrual bleeding is caused due to fibroids, this procedure aims to shrink the fibroid in the uterus by blocking the uterine arteries and cutting off their blood supply. During this procedure, a catheter is inserted into femoral artery which is the large artery of the thigh and guides it to the uterine arteries.2 There the blood vessel is injected with polyvinyl alcohol which reduces the blood flow to the fibroid.2
In this procedure, the lining of your uterus (endometrium) is destroyed (ablated).2 The goal of endometrial ablation is to reduce the menstrual flow. Endometrial ablation does not require any incisions. Your doctor passes slender tools through the opening between your vagina and uterus (cervix). The tools vary, depending on the method used to ablate the endometrium. Methods might include extreme cold, heated fluids, microwave energy, or high-energy radio frequencies. Selection of the most appropriate endometrial ablation method depends on factors such as the size and condition of your uterus.5