Myosure and Hysteroscopy

Young woman suffering from abdomen pain standing in kitchen

There was a time when if  pedunculated intracavity fibroid or a polyp was causing heavy menstrual bleeding, the treatment would have been usually by hysterectomy but with Myosure and Hysteroscopy Procedure, treatment now is as a daycase !

Reasons For Considering Myosure Treatment 

Many women suffer with abnormal uterine bleeding or prolonged, heavy bleeding during their monthly periods, sometimes to the extent that it impinges on daily life, restricting them to the home in case of flooding. They will frequently go to see their GP who will refer them onto a consultant gynaecologist like Mr Penman.  One of the diagnostic tools that Mr Penman will use is a pelvic ultrasound scan. This is a non-invasive scan which will diagnose fibroids and polyps.

Fibroids are almost always benign growths (non-cancerous) and made of the same muscular tissue of the uterus (myometrium).  If the muscle cells grow abnormally, it can form a mass that may stick out into the uterine cavity. There could be a single growth or multiple fibroids.  They may grow quickly/slowly/stay the same/shrink ! So very unpredictable. Fibroids can be as small as a seed, or as large as grapefruit and grow in different parts of the uterus, all the time increasing the surface area of the uterus, so creating more endometrium which causes the heavy bleeding during the period.

Likewise polyps are bulges in the tissue lining the uterus (endometrium). They form when the cells in the lining of the uterus grow abnormally. Again polyps are usually benign, (but all samples are always sent for histological examination to be absolutely sure). Polyps can be very tiny or the size of a golf ball, again increasing the lining area of the uterus and causing heavy, prolonged bleeding during the period.


What Does the Myosure  Do?

A Myosure procedure is a tissue removal treatment for polyps and pedunculated (on a stalk) intracavity fibroids. It is performed by a consultant Gynaecologist, like Mr Penman, under general anaesthetic, as a day case, so no overnight stay, or days off work.

Mr Penman performs a hysteroscopy first, to look around the uterine cavity, then assuming that all is as expected, Mr Penman will then perform the Myosure procedure.  Take a look at this video on how the procedure is performed.



These are images taken from a recent Myosure Hysteroscopic Myomectomy that Mr Penman performed.

Before The Procedure                                                                                      

Notice the large pedunculated fibroid filling the uterine cavity.

After The Procedure

The Uterine Cavity is now empty and of normal shape and size.












How Will I Be After The Procedure ? 

The procedure takes around 30 minutes, once you have recovered from the anaesthetic, you will be ready to go home.

The procedure is not a contraceptive, it doesn’t remove the uterine lining, so women having this procedure for polyps or fibroids, will still be able to have children and frequently infertility specialists recommend that women who are having difficulty becoming pregnant and have polyps or fibroids, they should have these treated first.

Myosure is a safe and proven method of managing intracavity fibroids and polyps.  The time scale for treatment and recovery is a matter of hours. This is a tremendous step forward for women who are plagued by severe, heavy periods every month.

If you would like to read more about the Myosure Endometrial Ablation, please follow this link…

If you would like to discuss Myosure with Mr Penman, please go to Book a Gynae Appointment  page and fill in the form.  One of Mr Penman’s appointment clerks will ring you, alternatively ring either the Spire Alexandra Hospital or KIMS to make your appointment. Their phone numbers are at the top right of this page. 

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