Hysteroscopic myomectomy is a procedure that removes fibroids growing into the inside of the uterus (submucosal fibroids) using a thin camera passed through the cervix. There are no skin incisions and the uterus is preserved. It is mainly used for heavy bleeding or fertility problems, and most patients go home the same day.
- Duration
- About 20–60 minutes
- Anesthesia
- Sedation or brief general
- Hospital stay
- Usually same day
- Back to desk work
- 1–3 days
- Best for
- Submucosal fibroids inside the cavity
- Cost guide
- ₩2,000,000–5,000,000
What is a hysteroscopic myomectomy?
A myomectomy removes fibroids (myomas) while keeping the uterus. In the hysteroscopic approach, a slim telescope is passed through the cervix and the fibroid is shaved or cut away from inside the cavity using fine instruments, with sterile fluid used to open the cavity for a clear view.
For an overview of fibroid types, symptoms and all treatment choices, see uterine fibroids. If you are visiting from abroad, our fibroid treatment guide for foreigners covers logistics.
Which fibroids can be removed this way?
| Fibroid location | Description | Usual approach |
|---|---|---|
| Submucosal, mostly inside the cavity | Bulges into the uterine cavity | Hysteroscopic myomectomy |
| Submucosal, partly in the wall | Half or more within the muscle | Often hysteroscopic; larger ones may need two sessions |
| Intramural | Within the uterine wall | Laparoscopic or open myomectomy, or other options |
| Subserosal | On the outer surface of the uterus | Laparoscopic myomectomy if treatment is needed |
Size and depth are assessed with ultrasound and often a diagnostic hysteroscopy before surgery is planned. Very large or deep fibroids may be better treated another way.
Who may benefit?
- Women with heavy or prolonged periods caused by a submucosal fibroid
- Bleeding between periods linked to a fibroid in the cavity
- Difficulty conceiving or repeated miscarriage where a submucosal fibroid may be a factor
- Women who want to keep their uterus
Small fibroids without symptoms usually do not need removal. Medication may be used beforehand to reduce bleeding or correct anemia.
A fibroid bulging into the uterine cavity can cause heavy bleeding and affect implantation.
The fibroid is removed through the cervix and the uterus is preserved with no skin incision.
Your procedure at Yoonho, step by step
- Consultation and ultrasound Symptoms and history are discussed in English and a transvaginal ultrasound maps the fibroid on the same day when possible.
- Planning Blood tests check for anemia. The procedure is usually scheduled shortly after a period.
- Preparation Fast for about 6–8 hours if sedation or general anesthesia is planned. A pregnancy test is done beforehand.
- The procedure The hysteroscope is passed through the cervix; the fibroid is removed in pieces and fluid balance is monitored throughout.
- Recovery room You rest for 1–3 hours and usually go home the same day with written aftercare.
- Results Tissue is sent for pathology; results, usually ready in about a week, are explained in English.
Recovery and risks
- Day 0–1 Period-like cramps and light bleeding or watery discharge are common.
- Day 1–3 Most women return to desk work and light activity.
- Up to 2 weeks Spotting may continue. Avoid intercourse, tampons, baths and swimming for about 2 weeks or as advised.
- Follow-up Review of pathology, bleeding pattern and, if relevant, fertility plans; sometimes a check hysteroscopy is suggested.
Possible risks include bleeding, infection, uterine perforation, fluid overload from absorbed fluid, scar tissue inside the uterus and incomplete removal requiring a second procedure. New fibroids can develop in the future.
Cost and insurance for international patients
As a general guide, hysteroscopic myomectomy costs about ₩2,000,000–5,000,000, depending on fibroid size, anesthesia and pathology. A written estimate is given after consultation.
- NHI-enrolled residents may have this medically necessary surgery partly covered — see health insurance for foreigners.
- Request English receipts, a diagnosis and an operation certificate for travel insurance claims.
At Yoonho Women's Hospital in Apgujeong, Seoul, the procedure is performed within our surgical gynecology service by Dr. Jung-Ho Seo, whose background is in laparoscopic and hysteroscopic surgery.
Why international patients choose Yoonho
Frequently asked questions
Will I have any scars?
No skin scars. The instruments pass through the vagina and cervix.
Can I get pregnant after hysteroscopic myomectomy?
Yes, the uterus is preserved, and removing a submucosal fibroid may improve the chance of conception for some women. Your doctor will advise how long to wait before trying.
Can fibroids come back?
The removed fibroid does not regrow, but new fibroids can develop over time, especially before menopause.
How soon can I fly?
Many patients can fly within a few days after an uncomplicated procedure. Tell us your travel dates when planning surgery.
Do I need to stay overnight?
Usually not. Most patients go home the same day with a companion.
OB-GYN Specialist · Ph.D. · Medical Director
Former Professor of OB-GYN, Chung-Ang University College of Medicine · Former editorial board member, AAGL · 11th President, Korean Society of Aesthetic Gynecology
Last reviewed: . This page is for general information and does not replace an in-person consultation.
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