Alternatives to Hysterectomy

Dr. Lawrence Eisenhauer provides alternatives to hysterectomy in instances when a less invasive or more effective approach is needed.

What are some alternatives to hysterectomy?

Dr. Lawrence Eisenhauer provides alternatives to hysterectomy in instances when a less invasive or more effective approach is needed. A hysterectomy is the surgical removal of all or part of the uterus. In certain cases, the procedure may include the removal of the cervix, fallopian tubes, ovaries and the surrounding structures. They are performed to treat a number of pelvic health disorders, including uterine fibroids, endometriosis, chronic pelvic pain and heavy or irregular menstrual bleeding.*

Hysterectomy alternatives include:

  • Uterine artery embolization (UAE)
  • Myomectomy
  • Hysteroscopy
  • Laparoscopic surgery
  • Endometrial ablation by NOVASURE

What is uterine artery embolization (UAE)?

Uterine artery embolization (UAE) is a simple, minimally invasive procedure that aims to cut off the blood supply to uterine fibroids. Small particles (embolic agents) are injected into the uterine arteries to block the fibroid blood vessels. This will starve the fibroids, forcing them to shrink and die.* This particular procedure is done in order to avoid surgery and to keep the uterus intact.

What is myomectomy?

A myomectomy is the surgical removal of fibroids, while still leaving the uterus intact. Hysterectomy is usually only recommended for women who have reached menopause, since the surgery will eliminate the possibility of pregnancy. If fibroids need to be removed, a small incision can be made in the abdomen to give your doctor access to and/or a visual of the uterus. In order to make the smallest incision possible, your doctor may utilize hysteroscopy and laparoscopic surgery techniques.

What is hysteroscopy?

Hysteroscopy utilizes a hysteroscope (a thin device with a light) that is inserted through the vagina into the uterus to transmit images onto a screen for your doctor to review. Hysteroscopes allow surgeons to visualize and treat conditions in the uterus and the opening of the fallopian tubes

What is laparoscopic surgery?

Laparoscopic surgery, also known as bandaid or keyhole surgery, involves a tiny incision on the body (usually the abdomen). Next, a tiny camera is inserted through the incision to give your doctor a view of the internal area that he or she is operating in. As an alternative to hysterectomy, laparoscopic surgery helps to remove adhesions and endometrial tissue in a minimally invasive way.*

What is endometrial ablation?

Endometrial ablation by NOVASURE is a surgical procedure that damages the endometrium (the lining of the uterus) in order to reduce or stop menstrual flow.* If you are experiencing endometriosis, endometrial ablation can treat pelvic pain and excessive bleeding without the removal of the uterus. Instead, heat or extreme cold are used to damage endometrial tissue.* NOVASURE is a special bipolar (safer) device.*

Which prescription medications can help?

Often the first approach to treating fibroids is birth control pills. Birth control pills manipulate hormone levels and can actually shrink fibroids.* Other prescription medication can treat the symptoms associated with uterine fibroids, endometriosis, chronic pelvic pain and heavy or irregular menstrual bleeding. Your doctor will discuss these medications with you and can address any questions or concerns that you have about them.

Schedule a consultation in Encinitas, California

Dr. Eisenhauer can perform a comprehensive evaluation of your symptoms when you come in for a consultation at our office in Encinitas. He will diagnose your condition and can determine the best treatment option for you. There are plenty of alternatives to hysterectomy, and if you do want to avoid one, Dr. Eisenhauer can help. Schedule your consultation online or by calling (760) 753-8413. We are now accepting new patients in San Diego County. Call today!

  • I went to see Dr. Eisenhower, because I had a very difficult (to put it mildly) time dealing with my menopause many symptoms. The front desk treated me very courteous and considerate. I was very uncomfortable talking about how weird & miserable I was feeling, but Dr. Eisenhower took his time, explaining to me why I was feeling the way I was, and after taking a blood panel test explained to me the course of action. I didn’t know much about hormone replacement therapy, but he is the guy to have… Read more
    Gabrielle A.
  • Eisenhauer, MD
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