The Center for Minimally Invasive Gynecologic Surgery (MIGS) at Newton-Wellesley Hospital provides women with benign gynecologic abnormalities relief from the symptoms of their conditions though advanced treatment alternatives and minimally invasive gynecologic surgery.
- Complete evaluation of their conditions, including ultrasound and diagnostic testing in a single location
- Expertise in the least invasive approaches for treatment of common gynecologic conditions
- Treatment options including office procedures, minimally invasive surgical techniques and minimally invasive approaches to hysterectomy alternatives
- Technologically-advanced, computerized, state-of-the-art equipment, including robotic surgery
- Office sterilization procedures
Providing High-Quality Care
Physicians at MIGS have significant experience handling a variety of gynecological conditions and work together to provide patients with a range of options for treatment.
Newton-Wellesley Hospital has been designated as a Center of Excellence in Minimally Invasive Gynecology by the AAGL (American Association of Gynecologic Laparoscopists) and Surgical Review Corporation. This signifies our ability to consistently deliver the safest, highestquality care to minimally invasive gynecologic surgery patients.
You may be a candidate for treatment if you experience symptoms like pelvic pain, or have been diagnosed with one of these conditions:
MIGS emphasizes comprehensive and expert consultations about your specific condition. The team works to provide patients with respectful and sensitive treatments and gynecological health care choices that improve quality of life and relieve pain and discomfort.
After a thorough evaluation, physicians will provide you with complete information about treatment choices available and the benefits and risks involved. They will work with you to make the best treatment decisions.
A Unique Partnership
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Commitment to Education
In addition to direct patient care, the Center also offers education and training to practicing gynecologists using advanced surgical technology and minimally invasive surgical techniques. The team is dedicated to advancing the practice of women's health care through practitioner education and new treatment options' development.
Our educational opportunities include:
- Fellowship in Advanced Gynecologic Laparoscopy: This is a one year fellowship matching program, sponsored by the American Association of Gynecologic Laparoscopists and The Society of Reproductive Surgeons.
- Residency Program: This is a full-time, senior OB/GYN residency opportunity. It is affiliated with Brigham and Women's Hospital/Massachusetts General Hospital and Harvard Medical School.
Commitment to Research
Health care professionals at the Center for Minimally Invasive Gynecologic Surgery are working toward testing and developing more sophisticated procedures to give patients alternatives to traditional methods. We participate in a variety of clinical trials on an on-going basis.
Abnormal Bleeding Causes, Symptoms & Treatment
There are many different reasons why women may have abnormal bleeding patterns. Some common causes are fibroids, polyps and adenomyosis. There are also other causes - therefore, it is important that a full evaluation is done to determine the reason for the bleeding. Serving communities throughout Greater Boston, the gynecologic surgeons at Newton-Wellesley Hospital’s Minimally Invasive Gynecological Surgery (MIGS) can provide patients with a comprehensive evaluation and multiple treatment options.
If you would like to arrange for a consultation and evaluation with one of our physicians, contact MIGS today.
- What are common symptoms of abnormal bleeding?
- What happens during an evaluation for abnormal bleeding?
- What are causes of abnormal uterine bleeding?
- What are treatment options for abnormal bleeding?
- Unpredictable bleeding patterns
- Bleeding between periods
- Very heavy periods
- Periods lasting longer than seven days
Any of these abnormal bleeding patterns or changes in typical bleeding pattern should be evaluated.
The nurse and doctor get detailed information about medical history and symptoms.
Depending on what symptoms are present, a physical exam may be needed to complete the evaluation.
Evaluation may include an office ultrasound, diagnostic office hysteroscopy, endometrial biopsy or other testing.
At the MIGS Center, the doctor performs his or her own ultrasounds. Depending on symptoms, a transvaginal ultrasound may be done. This helps to identify what is contributing to bleeding symptoms (such as fibroids, polyps, a thickened lining of the uterus). The uterus and ovaries are evaluated using ultrasound.
The MIGS Center also offers 3-D ultrasound, which allows better visualization and evaluation of the uterus in some cases.
Diagnostic Office Hysteroscopy:
A hysteroscopy is a minimally invasive procedure that uses a hysteroscope, or small camera, to look directly inside the uterus. Using advanced technology, we are able to perform this procedure in the office with minimal to no discomfort. A speculum is placed in the vagina in order to see the cervix (or opening to the uterus). The doctor guides a small camera (about the size of the tip of a pen) through the cervix and into the uterus while looking on a monitor.
Using this technique, the doctor can directly see and evaluate the endometrial cavity (the lining and inside of your uterus) in order to identify any abnormalities that could be causing your symptoms.
Depending on the timing in the menstrual cycle and what symptoms are present, a diagnostic office hysteroscopy may be performed at the initial visit. Taking ibuprofen before the procedure can reduce the cramping with this procedure.
Depending on age and bleeding symptoms, the doctor may perform an endometrial biopsy. An endometrial biopsy is a way of taking a sampling of the lining of the uterus (the endometrium). This is sent to a pathologist who examines it microscopically to make sure there are no pre-cancerous or cancerous cells.
Sometimes the doctor may recommend blood work, or other imaging studies (such as an MRI or CT Scan).
At the MIGS center, much of the evaluation, such as ultrasounds and office hysteroscopy, can be completed during the initial visit. By completing many of the necessary steps at one visit, the doctor will have most, if not all, of the information needed to discuss the different management and treatment options.
What are causes of abnormal uterine bleeding?
There are many different reasons why women may have abnormal bleeding patterns. Some common causes are fibroids, polyps and adenomyosis. There are also other causes - therefore, it is important that a full evaluation is done to determine the reason for the bleeding.
Some potential treatment options include:
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