Hysteroscopic Myomectomy

Submucous fibroids, sometimes associated with increased menstrual bleeding or infertility, may often be removed hysteroscopically. Other etiologies for bleeding or infertility should be considered before treatment is initiated (5). Classification of submucous fibroids is based on the degree of the fibroid within the cavity: Type 0 fibroids are entirely intracavitary, type I fibroids have >50% of the fibroid within the cavity, and Type II fibroids have <50% of the fibroid within the cavity (Fig. 3) (85).

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