Submucous fibroid

Hysteroscopic resection of a submucous fibroid

The patient presented with heavy menstrual bleeding due to a submucous fibroid. She was given 2 doses of GnRH agonist as pre-operative preparation. Resection was incomplete on the 1st hysteroscopic attempt due to fluid deficit. She was given a 3rd dose of GnRH agonist and a repeat hysteroscopic resection was done 4 weeks later. The submucous fibroid was completely removed and she conceived 2 years later and delivered a healthy term baby boy.