The Uterine Cavity and Fibroids Clinic provides diagnosis and treatment for a range of conditions, including uterine fibroids, polyps, congenital uterine abnormalities, uterine niche and retained pregnancy tissue. The clinic offers consultations on both treatment with medication and innovative surgical methods. We work closely with the Gynecological Ultrasound Institute, the in-clinic Hysteroscopy Clinic, Gynecology Operating Room and the Gynecology Department.
Several conditions affecting the uterine cavity may require evaluation and intervention:
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Fibroids - Benign tumors of the uterus which can cause symptoms such as excessive bleeding, bleeding between periods, pain, pressure on the urinary or digestive system, abdominal bloating, abdominal pain, menstrual pain, pain during intercourse.
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Congenital uterine anomalies - Such as bicornuate uterus, unicornuate uterus, uterus didelphys.
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Niche following cesarean section - A defect in the uterine wall at the site of the incision, which may lead to bleeding between periods and increase the risk of abnormal pregnancy implantation at this site.
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Polyps - Thickening of the uterine lining, which may be associated with menstrual disorders. Some polyps may require evaluation to rule out the possibility of uterine malignancy.
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Excessive menstrual bleeding or bleeding between periods without a clearly identified cause.
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Retained pregnancy tissue in the uterine cavity after childbirth or miscarriage.
The symptoms of these conditions vary from woman to woman. In most cases, further evaluation and/or treatment is necessary to resolve the issue.
Clinic Evaluation
During your visit to the clinic, the physician will review the reason for referral, your symptoms, and obtain additional information such as your medical, family, gynecological and obstetric history. A technician will perform an ultrasound and, if necessary, an additional ultrasound with a specialist will be scheduled.
Depending on the reason for referral, if required, a sample of the uterine lining may also be taken.
After completing these steps, the physician will provide a summary of the findings, propose treatment options, and a decision will be made regarding the preferred treatment method.
Treatment options:
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Regular follow-up at the clinic without intervention, for example for long-standing fibroids that are asymptomatic, depending on the woman’s age.
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Medication therapy appropriate for the woman's age, symptoms, fertility planning and personal preferences. The main goal is usually to alleviate symptoms.
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Surgical treatment:
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In-clinic minimally invasive uterine surgery performed while awake - for removal of findings such as retained pregnancy tissue and polyps.
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Minimally invasive uterine surgery performed under anesthesia (outpatient surgery) - for example, for fibroid removal, removal of large, retained tissue, correction of uterine anomalies and repair of a uterine niche.
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Surgical intervention using advanced methods such as laser or ultrasound waves - to treat fibroids, large polyps, uterine niche, etc. These surgeries can be performed while the woman is awake or under anesthesia, depending on the findings and the woman's preference.
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Laparoscopic abdominal surgery - for fibroid removal, uterine niche repair, etc.
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Open abdominal surgery - for fertility-preserving fibroid removal or hysterectomy for various reasons. |