Surgical Therapies

Myomectomy

Myomectomy is the surgical removal of fibroids. Fibroids can cause a variety of symptoms including pain, abdominal pressure, bladder irritation, painful intercourse, abnormal bleeding, and difficulty becoming pregnant. When considering treatment for fibroids, it is very important to understand the limitations of each surgical method and the goal of surgery, if necessary.

Salpingectomy

Sometimes one or both fallopian tubes may be damaged beyond repair. They may appear enlarged or swollen (hydrosalpinx) on ultrasound or on hysterosalpingogram, When this occurs, the damaged tube will increase your chance of ectopic pregnancy, decrease your chance of becoming pregnant, and increase your miscarriage rate (even through IVF). In this case, your physician may recommend removing the tube to increase your chances of becoming pregnant.

Removal of Ovarian Cysts

Ovarian cysts are very common, especially in young women. Cysts that grow large often resolve on their own without requiring any treatment. Sometimes they may grow larger or persist and require surgery. The majority of cysts are benign. However, a small percentage of cysts may prove to be cancer. Surgical therapy is the only way to make an absolute diagnosis.

Endometriosis

Endometriosis is common in reproductive age women. Endometriosis can make it harder for women to become pregnant. It can also cause chronic pain and painful intercourse. Surgical therapy combined with medical therapy can improve pain symptoms. In addition, surgical removal of endometriosis can help improve your chances of conceiving.