Symptoms
- Heavy and prolonged periods and resulting anaemia
- Bleeding between periods
- Difficulty getting pregnant or recurrent miscarriage
Diagnosis and classification
Transvaginal ultrasound, sonohysterography and hysteroscopy show the position of the fibroid and how much of the uterine cavity it occupies. Whether the fibroid lies entirely within the cavity or partly within the uterine wall determines whether hysteroscopic treatment is suitable.
Hysteroscopic myomectomy
Using a hysteroscope with a cutting loop at its tip (resectoscope), passed through the cervix, the fibroid is removed in small pieces. The procedure is done under anaesthesia, there is no abdominal incision and most patients go home the same day.
- Large fibroids extending deep into the uterine wall may need two sessions.
- For very large fibroids, medication to shrink the fibroid may be used before surgery.
- Fibroids within or on the outside of the uterine wall are treated by laparoscopic myomectomy.
Complications such as perforation of the uterus, problems related to the fluid used during the procedure, and adhesions inside the uterus are rare.
Frequently asked questions
Can I get pregnant after hysteroscopic myomectomy?
Yes. Removing fibroids that distort the uterine cavity in particular can improve the chances of pregnancy. How long to wait depends on the extent of the procedure.
Can fibroids come back?
Because the uterus is preserved, new fibroids may develop in later years; regular check-ups are recommended.
How long is recovery?
Most patients return to daily activities within 1–2 days. There may be mild cramping and discharge for a few days.
Book a consultation
Prof. Dr. Derya Sivri Aydın sees patients at Medical Park Bahçelievler Hospital, Istanbul. International patients are supported by the hospital's International Patient Services Center.
The information on this page is for general guidance only; the right diagnosis and treatment for you are decided after a consultation. Last updated: November 2026.