Surgical treatment options for HMB

If medical management is not working to treat your HMB, surgical intervention may need to be considered. The most common surgical procedures for HMB include:

  • Uterine artery embolisation (UAE) If HMB is caused by fibroids, this procedure will aim to shrink the fibroids in the uterus. UAE involves inserting a small tube into the groin and injecting small plastic beads through the tube into the arteries supplying blood to the fibroid. This blocks the arteries, stopping blood flow to the fibroid and causing it to shrink.
  • Myomectomy This procedure involves surgical removal of uterine fibroids. Depending on the size, number and location of the fibroids, your surgeon may choose to perform the myomectomy using open abdominal surgery, through several small incisions (laparoscopically), or through the vagina and cervix (hysteroscopically).
  • Endometrial ablation With endometrial ablation the lining of the uterus is permanently destroyed using laser beams or microwave energy. This procedure is only appropriate if you do not wish to conceive in the future.
  • Hysterectomy A hysterectomy is surgery to remove your uterus and cervix. This is a permanent procedure that causes sterility and ends menstrual periods. It should not be a first line treatment solely for HMB.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in the package leaflet. You can also report side effects directly via the Yellow Card Scheme at or search MHRA Yellow Card in Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of medicines.

All contents © Bayer 2018. All rights reserved. Date of preparation: August 2018