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With uterine fibroids, which procedure is better - laparoscopic or regular myomectomy?


My main concern is to preserve fertility. I don't care too much about a possible scar or blood loss.

From what I know it depends on the location of the fibroids, outside of the uterus, inside of the vagina, or on the wall of the uterus?

If on wall you need myomectomy. If outside laparoscopic. Because you cannot pierce the uterus and can't be removed with laparoscope if on wall of uterus.

If main concern is fertility don't do the uterine embolization, it may induce menopause.

How big are they, how many?

I think it depends on the size of the tumors, i.e., if they are over a certain size, they are too big for a laparoscopic procedure.

There is a procedure i heard about where they don't do surgey but somehow stop the blood flow to the fibroids therefore shrinking them. Google it. I had the number but lost it. Good luck!

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