Alternatives in Gynecology - hysterectomy alternatives, abnormal uterine bleeding, fibroids, endometrial ablation, myomectomy, hysteroscopy, laparoscopy, and hysterectomy

Often there are many possible approaches to such gynecologic problems as abnormal uterine bleeding, fibroid tumors, endometriosis, ovarian cysts, abnormal pap smears, and other gynecologic problems. It is important for women to understand all of the options that are available to them for diagnosis and treatment. It is often difficult to sort out what is real and what is "hype" when evaluating your options. What are the advantages and disadvantages of these new procedures when compared to traditional surgery such as hysterectomy?

Topics include:

Causes of abnormal uterine bleeding (menorrhagia and metrorrhagia). This includes hormonal problems, fibroids (uterine myomas, including types of myomas), adenomyosis, and endometrial polyps.

Rapid diagnosis of abnormal uterine bleeding. This includes hysteroscopy and ultrasound for diagnosing endometrial polyps, fibroids, and adenomyosis.

Treatment options for abnormal uterine bleeding and fibroids. This includes medical treatment, operative hysteroscopy, endometrial ablation, the resectoscope for uterine surgery, myomectomy, hysterectomy and hysterectomy alternatives.

Click here to check out Dr. Indman's new comprehensive web site: All About Myomectomy for the Removal of Uterine Fibroids NEW information about Robotic Myomectomy! (will open in new window)

Uterine Fibroid Embolization. Learn more about a treatment option for some fibroids.

Endometrial Ablation: Tired of bleeding? A rapid outpatient treatment of heavy menstrual bleeding.

Hysterectomy. Myths and reality about hysterectomy, and the effect of hysterectomy on sexuality are discussed. Also, different types of hysterectomy are discussed, as well as new procedures.

Answers about your abnormal pap smear. Confused about "cervical dysplasia, CIN, ASCUS, carcinoma-in situ, colposcopy? You won't be after reading this.

Menopausal and perimenopausal bleeding. What's normal and what's not. How is it diagnosed and treated?

Pelvic Pain. A practical approach to the causes and diagnosis of pelvic pain.

Although it is impossible to make specific recommendations without an individual consultation, this web site will explore some common gynecological problems and procedures, and attempt to help you in the decision process. Please remember that it is essential to consult a qualified physician, as it is impossible to make specific medical recommendations over the internet.

A personal note...

Dear Reader,

I have written this site in order to help women learn how advances in gynecology will help them to take control of their lives. Since introducing office laser surgery in 1982, I have had extensive experience in performing, researching, and teaching hysteroscopy, endometrial ablation and other advanced procedures. But even more important than advanced technology is taking the time to listen to my patients. By understanding my patients' symptoms, needs, and concerns, and by having advanced diagnostic and treatment methods right in the office, it is often possible to find the cause of and rapidly solve difficult gynecologic problems.

I am hoping that after reading this site you will have a better understanding of some of the recent advances in gynecology. And of course, if you would like a personal consultation, I am always happy to see new patients.

Sincerely,

Paul D. Indman, M.D.