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Related Experiment Video

Updated: Feb 14, 2026

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

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Hysteroscopic myomectomy.

Karolina Piecak¹, Paweł Milart¹

¹3 Chair and Department of Gynecology, Medical University, Lublin, Poland.

Przeglad Menopauzalny = Menopause Review

|February 28, 2018

Summary

Hysteroscopic myomectomy effectively treats submucosal fibroids, improving fertility and reducing menstrual bleeding. Recurrence of bleeding can occur, and larger fibroid size may require multiple procedures.

Area of Science:

Gynecology
Minimally Invasive Surgery
Reproductive Medicine

Background:

Submucosal fibroids (Types 0, 1, and 2) are a common indication for operative hysteroscopy.
Hysteroscopic resection aims for a single-step, well-tolerated procedure.

Purpose of the Study:

To evaluate the effectiveness of hysteroscopic myomectomy for submucosal fibroids.
To assess the impact on fertility and menorrhagia outcomes.
To identify factors influencing surgical success and recurrence.

Main Methods:

Review of hysteroscopic myomectomy procedures for submucosal fibroids.
Analysis of data on fertility outcomes and menorrhagia control.
Correlation of fibroid characteristics (e.g., size, type) with procedural outcomes.

Keywords:

hysteroscopic myomectomy submucous myomas

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Main Results:

Hysteroscopic myomectomy demonstrates effectiveness in improving fertility and managing menorrhagia.
Success rates for bleeding control range from 70-99% but may decrease over time.
Recurrence of menorrhagia is possible, particularly within the first year post-surgery.
Fibroid size, especially >3 cm for Type 2, increases the likelihood of requiring multiple procedures.

Conclusions:

Hysteroscopic myomectomy is an effective treatment for submucosal fibroids, enhancing reproductive outcomes and controlling bleeding.
Careful consideration of fibroid size is crucial for single-step surgical planning.
Long-term monitoring is advised due to potential menorrhagia recurrence.