LYCOS RETRIEVER 
Fibroids: Surgeries
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MRI-guided focused ultrasound surgery (FUS), approved by the Food and Drug Administration in October 2004, is a newer treatment option for women with fibroids. Unlike other fibroid treatment options, FUS is noninvasive and preserves your uterus.
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Submucous fibroids can usually be treated by hysteroscopic resection provided they are less than 10 cm in diameter. Usually a gonadotrophin releasing hormone analogue GnRH-a (as used for pituitary suppression in IVF programmes) will be given by either nasal inhalation, or subcutaneous injection either daily or monthly for between two and eight weeks prior to surgery. This will cause low levels of oestrogen and may cause some shrinkage of the fibroid together with thinning of the endometrium, which will make the operation easier.
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Because fibroids aren't cancerous and usually grow slowly, you have time to gather information before making a decision about treatment. The option that's right for you depends on a number of factors, including the severity of your signs and symptoms, your plans for childbearing, how close you are to menopause, and your feelings about surgery. Before making a decision, consider the pros and cons of all available treatment options in relation to your particular situation. Remember, most women don't need any treatment for uterine fibroids.
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The standard operation for removing fibroids is called a myomectomy. This was traditionally done through open surgery; and can ... be performed laparoscopically. However, this is of very limited use in infertile women, because this surgery removes only subserosal and intramural fibroids, most of which can be left alone in infertile women.
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Myomectomy - this is the removal of individual fibroids, leaving the uterus intact. It is usually only considered for women who still wish to have a baby. This may be done with through small cuts in the belly, using a laparoscope (keyhole surgery), but may require an open operation.
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For some women who have large fibroids or uncomfortable symptoms from fibroids, surgery may be the only option. Before making this decision with your doctor, you can learn about the variety of surgical options and other procedures available, and what to expect with each.
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