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Obviously, pregnancy is no longer possible following a hysterectomy.Myomectomy is an alternative surgical procedure for the treatment of fibroids.

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Hysterectomy is the complete removal of the uterus with or without removal of the ovaries.

In some cases hysterectomy can be performed through the vagina, avoiding an incision through the abdominal wall.

A surprising and wholly unexpected result of these uterine artery embolization procedures was that many of the patients had such significant improvement in their symptoms that surgery was postponed.

Over the course of months it became clear that the improvement noted in these women was not only significant, it was durable.

In this group, 2-month follow-up revealed an average 40% (22-61%) reduction in uterine volume with the dominant (largest) fibroid decreased by an average of 58% in 55% of the patients studied.

In one-third of the patients the fibroids were no longer visible by ultrasound.For nearly thirty years, embolotherapy has been used as a means of stopping uncontrollable bleeding from the uterus due to cancer, blood vessel malformations, trauma, and complications of pregnancy.In the early 1990's, investigators in France began using embolotherapy of the uterine arteries to prevent excessive bleeding in women about to undergo myomectomy for uterine fibroids.The object of myomectomy is to remove only the fibroid while leaving the uterus intact and preserving reproductive potential.Depending on the location and size of the fibroid, myomectomy may require an abdominal incision or may be done through a laparoscope (a telescope-like instrument inserted through an abdominal wall puncture) or a hysteroscope (a telescope-like instrument inserted through the vagina).It may take another course of treatment with bioidentical progesterone if your fibroids are large but by the end of the first year there will be a vast shrinkage of the fibroids.

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