Myomas have to be removed surgically if they grow quickly and/or cause issues (heavy, painful, or long menstruation, pressure on the bladder or intestines, pain during sexual intercourse, repeated miscarriages). If you no longer wish to have children, the entire uterus is usually removed; for younger women who do wish to have children, we are more conservative with surgeries and remove the myomas gently via hysteroscopy (see below) or laparoscopy.
Polyps—growth on the uterine mucous membrane
Unlike myomas, polyps are benign growths on the mucous membrane of the uterus (meaning the inner lining of the uterine cavity). Both myomas and polyps can cause bleeding disorders and sterility (inability to conceive).
1. Intramural myoma: grow within the uterine wall.
2. Subserous myoma: grow outward and protrudes toward the peritoneum.
3. Submucosal myoma: extend into the uterine cavity. This type of myoma can cause bleeding disorders and infertility (works more or less like an IUD).