Hysteroscopic myomectomy, also called hysteroscopic resection, can be a myomectomy method of choice if the fibroids are all (intracavitary) or for the most part (submucosal) on the inner wall of the uterus. The instrument used is called the resectoscope, and it is a special kind of hysteroscope. Hysteroscope goes through the cervix and there is no need for an incision at all in this method. Hysteroscope is a tiny camera, and the resectoscope part is a wire loop, which removes the fibroid. If the fibroid is particularly large, two procedures may be needed.
Sometimes, the surgeon will prescribe Gonadotropin-releasing hormone (GnRH) agonists, such as Depot Lupron, to be taken a month or two in advance. That will shrink the fibroids while being taken. The downside of using Lupron is a temporary menopause, with symptoms such as hot flashes, sweating and the like.