Treating with surgery
If you have tried medication treatments for your heavy periods with no improvement, surgery may be your next option.
You may consider surgery if you:
- tried medication but it didn’t help
- could not try medication because of other health issues
- have fibroids
- have other conditions which cause bleeding and pain (e.g. endometriosis).
Surgery aims to stop bleeding and pain completely by removing or reducing the cause (fibroids, polyps, or the lining of the uterus) or by removing the uterus completely.
There are three main operations used to treat heavy menstrual bleeding.
Endometrial ablation removes or destroys the lining of your uterus using heat or microwaves. A long, narrow instrument called a hysteroscope is put inside your uterus (through your vagina) to allow the doctor to see and to perform the ablation. This can be done under local or general anaesthetic.
Myomectomy removes fibroids from your uterus. Sometimes this involves one long cut across your belly (abdominal myomectomy) or several small cuts across your belly (laparoscopic or ‘keyhole’ myomectomy). Sometimes it is done using a hysteroscope and so there are no cuts at all (hysteroscopic myomectomy). This is done under general anaesthetic
Hysterectomy removes your entire uterus and sometimes your cervix, ovaries, and fallopian tubes. This can be done with one cut (abdominal hysterectomy), several small cuts (laparoscopic or ‘keyhole’ hysterectomy) or without any cuts (vaginal hysterectomy).
You and your doctor or surgeon will discuss the best course of action for you. Write down any questions or concerns about your possible treatment and discuss them and your options with your doctor.
Related Health Topics
Hysterectomy - Abdominal hysterectomy
A hysterectomy is an operation to remove the uterus. An abdominal hysterectomy means the operation is performed through a surgical incision or cut to the abdomen. This fact sheet explains the procedure, why it is recommended, what to you need to do after your surgery to take care of yourself.
- Hysterectomy - Abdominal hysterectomy
Hysterectomy - Total laparoscopic hysterectomy
A total laparoscopic hysterectomy (TLH) is an operation to remove the uterus with the aid of an operating telescope called a laparoscope. This fact sheet gives you information about the procedure and what to expect after the operation.
- Hysterectomy - Total laparoscopic hysterectomy
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