Hysteroscopic myomectomy is a day-care, no-incision procedure that removes fibroids growing inside the uterine cavity (submucosal fibroids) using a thin camera-guided instrument passed through the vagina and cervix. At Femmenest in Delhi NCR, our gynecologic surgeons use this technique to treat heavy bleeding, pelvic discomfort, and fibroid-related fertility issues — while preserving the uterus, with most patients going home the same day.

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What is Hysteroscopic Myomectomy?

Hysteroscopic myomectomy is a minimally invasive surgery used to remove uterine fibroids that bulge into the uterine cavity. Unlike open or laparoscopic surgery, it is performed entirely through the natural passage of the vagina and cervix — there are no cuts on the abdomen, no visible scars, and no overnight hospital stay in most cases.

The surgeon uses an instrument called a resectoscope, which carries a small wire loop powered by electrical energy, to shave away fibroid tissue piece by piece until the growth is cleared from the uterine lining.

It's important to know this procedure only works for one specific type of fibroid. Submucosal fibroids — the kind that protrude into the uterine cavity — make up roughly 1 in 10 fibroid cases, and they're the only type accessible this way. Fibroids embedded deep in the uterine wall (intramural) or growing on the outer surface (subserosal) need a different surgical approach.

Am I a Candidate for Hysteroscopic Myomectomy?

Your gynecologist will usually recommend this procedure if you have:

• Heavy or prolonged periods caused by a submucosal fibroid
• Pelvic pain, pressure, or a frequent urge to urinate linked to fibroid bulk
• Difficulty conceiving or repeated early pregnancy loss where a cavity-distorting fibroid is suspected
• A fibroid confirmed (via ultrasound, saline sonography, or diagnostic hysteroscopy) to be submucosal and generally under 4–5 cm

Fibroids that are larger, deeply embedded in the muscle wall, or numerous in count are usually not ideal candidates for this approach — your doctor may suggest a laparoscopic or robotic technique instead in those cases.

How is the Procedure Performed?

1. Diagnosis and imaging — An ultrasound, saline infusion sonogram, or hysteroscopy confirms the fibroid's size, number, and exact position.
2. Anesthesia — The procedure is done under general or regional anesthesia, so you won't feel anything during it.
3. Resection — The resectoscope is guided through the vagina and cervix into the uterus. Smaller fibroids (under 2 cm) are shaved off directly; larger ones are broken into fragments (morcellation) and removed in pieces.
4. Recovery room observation — Most patients are monitored for a few hours post-procedure and discharged the same day. Overnight stays are uncommon but occasionally advised for larger or more complex resections.

The entire procedure typically takes between 30 minutes and just over an hour, depending on fibroid size and number.

Recovery After Hysteroscopic Myomectomy

Because there's no abdominal incision, recovery is much faster than with open or laparoscopic surgery:

• Most patients go home within a few hours of the procedure
• Mild cramping or spotting for a few days is normal and usually manageable with the pain relief your doctor prescribes
• Many women return to light routine activity within 1–2 days, though your doctor will advise on when it's safe to resume exercise, intercourse, and attempts to conceive
• A follow-up hysteroscopy is sometimes recommended 6–8 weeks later to check the uterine cavity has healed well

If fertility is a goal, your doctor will guide you on timing — current evidence suggests resection of submucosal fibroids can improve pregnancy outcomes, though this should be discussed individually, as not every case sees the same benefit. You can read more about what to expect in our blog on hysteroscopic myomectomy recovery and pregnancy chances.

Benefits of Choosing the Hysteroscopic Approach

• No abdominal incision or visible scarring
• Shorter procedure and day-care discharge in most cases
• Faster return to daily routine compared to laparoscopic or open myomectomy
• Preserves the uterus and fertility potential
• Can be combined with a diagnostic hysteroscopy in the same sitting if needed

Research published in peer-reviewed gynecology journals reports that hysteroscopic resection relieves heavy bleeding in roughly 70–99% of patients, though outcomes vary by fibroid size, number, and how long after surgery patients are followed up — so results aren't guaranteed and depend on your specific case.

Risks and Things to Know

No surgery is entirely risk-free, and it's worth going in with realistic expectations. Possible risks of hysteroscopic myomectomy include:

• Uterine perforation (rare, but a recognized risk of the technique)
• Fluid absorption imbalance during the procedure
• Bleeding or, uncommonly, the need for a blood transfusion
• Infection
• Scar tissue (adhesions) forming inside the uterine cavity, which can occasionally affect fertility
• Fibroids recurring or new ones developing over time, particularly in women still in their reproductive years

Your surgical team will take precautions to minimize these risks, and most patients recover without complications — but no one should be told the procedure is risk-free or guaranteed to resolve symptoms permanently.

When to Contact Your Doctor After Surgery

Reach out to your care team promptly if you notice any of the following after the procedure:

• Heavy bleeding (soaking through a pad in under an hour)
• Fever or chills
• Severe or worsening pelvic pain not controlled by prescribed medication
• Foul-smelling vaginal discharge

These can be signs of infection or another complication that needs prompt attention.

Why Choose Femmenest for Hysteroscopic Myomectomy in Delhi NCR

If you've been searching for "myomectomy surgery near me" in East Delhi, Indirapuram, Vaishali, or Ghaziabad, Femmenest brings together experienced gynecologic surgeons, modern hysteroscopic equipment, and a care team that walks with you from the first scan through recovery.

• Experienced gynecologic surgeons trained in minimally invasive hysteroscopic techniques
• Personalized treatment planning based on your imaging, symptoms, and fertility goals
• Transparent discussion of cost and procedure details before you decide
• A full range of related services under one roof — from diagnosis to general gynaecology care

Meet the doctors who'll be looking after you on our team page, or read more about gynecology care in the area on our gynecologist in Indirapuram page.

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Other Fibroid and Hysteroscopic Treatment Options

Hysteroscopic myomectomy isn't the right fit for every fibroid. Depending on your case, your doctor may discuss:

• Laparoscopic myomectomy — for intramural or subserosal fibroids that can't be reached vaginally
• Robotic myomectomy — for larger or more complex fibroid patterns needing greater surgical precision
• Hysteroscopic removal of a uterine septum — a different condition treated with similar hysteroscopic tools

Your gynecologist will recommend the option best suited to your fibroid size, location, and fertility plans.