If you are finished bearing children, you may choose to have an endometrial ablation after we have diagnosed the cause of your heavy and/or irregular bleeding. An endometrial ablation can be conveniently done in the office with a paracervical block and intravenous sedation. If you are having sedation, you can not have anything to eat or drink from midnight the night before your procedure. You will meet with the anesthesiologist in the office before the procedure. You will then go to sleep before a speculum is placed. I will place an appropriately sized speculum and numb your uterus. I will stabilize your cervix with an instrument and then introduce a camera into the uterus. Then, the ablation will be performed. The entire procedure takes only a few minutes. All instruments are then removed and you will have time to recover before going home. Someone will need to bring you to the office, bring you home and care for you for the remainder of the day.
Hysterectomy means removing the uterus. Today there are many options to consider before having a hysterectomy and even when you have decided to have a hysterectomy, you and Dr. Schapiro will have a conversation about the pros and cons of leaving or taking your cervix out at the time of your hysterectomy. If you are not yet menopausal and have no family history of ovarian cancer, you will probably want to keep your ovaries. These are all personal decisions that Dr. Schapiro will be happy to discuss with you. Another decision will be whether you opt for a traditional hysterectomy or a minimally invasive robotic hysterectomy.
Myomectomy means removing fibroids without removing the uterus. For fibroids within the uterine cavity, this can often be done with a hysteroscope, using the cervix to enter the uterus. A hysteroscopic myomectomy is an outpatient procedure and does not involve any incisions. Fibroids in the body of the uterus can be removed by traditional or minimally invasive methods. Dr. Schapiro is an expert in both traditional and robotic myomectomies and will be happy to discuss which of these options is best for you. https://www.youtube.com/watch?v=t5Go6UYTYto
Pelvic pain can be debilitating. Let our practitioners evaluate what might be causing your pelvic pain and work with you to come up with a treatment plan. After a thorough investigation, the plan may run the gamut from a change in diet, acupuncture, medication or even surgery. If you are coming in for pelvic pain, please let the scheduler know so that we can put on the ultrasound schedule to make the most of your time with us.