Surgical treatment options for HMB
If medical management is not working to treat your HMB, surgical intervention may need to be considered. The most common surgical procedures for HMB include:
Uterine artery embolisation (UAE)
If HMB is caused by fibroids, this procedure will aim to shrink the fibroids in the uterus. UAE involves inserting a small tube into the groin and injecting small plastic beads through the tube into the arteries supplying blood to the fibroid. This blocks the arteries, stopping blood flow to the fibroid and causing it to shrink.
This procedure involves surgical removal of uterine fibroids. Depending on the size, number and location of the fibroids, your surgeon may choose to perform the myomectomy using open abdominal surgery, through several small incisions (laparoscopically), or through the vagina and cervix.
With endometrial ablation, the lining of the uterus is permanently destroyed using laser beams or microwave energy. This procedure is only appropriate if you do not wish to conceive in the future.
A hysterectomy is a surgery to remove your uterus and cervix. This is a permanent procedure that causes sterility and ends menstrual periods. It is not usually used as a first-line treatment solely for HMB.