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Fibroid Treatment Options in Newport Beach

Uterine fibroids are extremely common among women. Some women experience mild to life-threatening symptoms due to their fibroids, while others never know they have them. Dr. Yu offers various fibroid treatments to help women eliminate their symptoms and live a comfortable, normal life.

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“It’s my personal and professional belief that too many women have had unnecessary hysterectomies. Based on my experience, this is a last resort for me after all other options have been explored.”

-Dr. Steve Yu

Common uterine fibroid symptoms include:

  • Heavy menstruation
  • Pelvic pain
  • Urinary frequency
  • Painful menstruation
  • Pain during sex
  • Infertility

Read our article about uterine fibroids for more information on what uterine fibroids are, the symptoms, who might get them, and ways to reduce your risk.

If you are experiencing symptoms from uterine fibroids, you may benefit from one of these procedures to treat your fibroids.

Dr. Steve Yu discusses minimally invasive gynecologic surgery (MIGS).

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The Acessa Procedure

The Acessa procedure uses two small incisions on the abdomen through which Dr. Yu inserts a small camera and a probe, which provides controlled heat into the fibroids. The heat will destroy the fibroid tissue and, over time, your body will absorb much of the fibroid tissue. The Acessa procedure has a very high success rate, is minimally invasive, and does minimal damage to the uterus.

Recovery and Results After Acessa Fibroid Removal

Recovery from the Acessa procedure for fibroid removal is relatively short, and you should be able to return to work and other daily activities after one week. Pain is minimal during your recovery, but soreness and discomfort in your abdomen can be addressed with prescription or over-the-counter pain medication.

The cost of the Acessa procedure varies between patients. However, the procedure is covered by some insurance companies. Please contact Dr. Yu’s office for more information.

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Myomectomy

Dr. Yu offers minimally invasive myomectomy surgery for women looking to treat the symptoms caused by uterine fibroids. A myomectomy removes uterine fibroids without removing or permanently damaging the uterus. This means that a myomectomy does not affect your ability to have children in the future. In fact, it will improve your chances of having a successful pregnancy if fibroids were the cause of infertility or miscarriage.

Another benefit of myomectomy surgery is that there are various procedure options available to fit your specific needs. The right myomectomy procedure option for you will be based on the severity and location of your fibroids.

Results from myomectomy surgery are almost immediate. You should expect relief from your symptoms within one to two menstrual cycles.

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Laparoscopic Myomectomy

A laparoscopic myomectomy removes uterine fibroids through several tiny incisions in the abdomen. A fiberoptic scope and camera are inserted into the abdominal cavity to help Dr. Yu visualize the fibroids for removal.

This option is used when the uterine fibroids are located within the muscle of the uterus. This is the most common technique used for fibroid removal, as fibroids are most commonly located within the uterine muscle.

Recovery from laparoscopic myomectomy surgery typically takes one to two weeks.

Robotic Myomectomy

A robotic myomectomy has similar fibroid removal techniques as a laparoscopic myomectomy. However, instead of Dr. Yu using his hands to control the instruments, he is sitting on a console next to the patient controlling the robotic arms that perform the surgery.

Recovery time from robotic myomectomy is the same as a laparoscopic myomectomy, which is one to two weeks.

Hysteroscopic Myomectomy

A hysteroscopic myomectomy is performed without the use of incisions since the uterine fibroids are directly removed through the vagina. A small fiberoptic scope with a camera is inserted into the vagina, reaching the cervix and uterus to remove the fibroids. This myomectomy option is used when fibroids are located inside the uterine cavity.

Recovery from a hysteroscopic myomectomy is fast and only involves one to two days of downtime.

Vaginal Myomectomy

A vaginal myomectomy is similar to a hysteroscopic myomectomy in that the fibroids are removed through the vagina and no incisions are needed. This myomectomy technique is used when the fibroids protrude into the vaginal canal.

Recovery from a vaginal myomectomy is the same as recovery from a hysteroscopic myomectomy, which only requires a couple days of downtime.

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Hysterectomy

A hysterectomy is a surgical procedure used to treat fibroids by entirely or partially removing the uterus. Dr. Yu believes that fibroids can most often be treated with the Acessa procedure or a myomectomy, and the need for a hysterectomy is rare and should only be used in extreme circumstances. After a hysterectomy, your symptoms will be alleviated within a month. Also, you will not have any menstrual bleeding. Since a hysterectomy does NOT involve removing the ovaries, you will not be in menopause even if you do not have bleeding.

There are many hysterectomy options available to fit your specific needs.

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Laparoscopic Hysterectomy

A laparoscopic hysterectomy uses a laparoscope and camera to remove the uterus. Incisions are made in the belly button and lower abdomen. The camera is inserted in the belly button, and the removal instruments are inserted into the abdominal incisions.

Robotic Hysterectomy

During a robotic hysterectomy, a small incision is made in the lower abdomen, and the instruments are inserted. The surgeon sits at a console next to the patient and uses a robotic arm to control the surgical instruments needed to remove the uterus.

Complete Hysterectomy

A complete hysterectomy removes both the uterus and the cervix. This technique can be  beneficial if you have a past medical history of HPV or cervical dysplasia.

Partial Hysterectomy

A partial hysterectomy removes only the uterus and the cervix is left intact. Since the cervix is not removed, you will still need to have routine pap smears. However, with an intact cervix, you can resume sexual activity after surgery significantly sooner.