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Complex Gynecologic Services

At NYU Langone, we offer tailored treatment plans and support services to women with complex gynecologic conditions, which require a high level of expertise to diagnose and a team of specialists to manage.

Our team includes internationally recognized gynecologic surgeons, who perform complex procedures, including 1,000 robotic-assisted surgeries each year, and who are among the most experienced in the country. Our surgeons collaborate with experts in fertility services, nutrition, mental health, and physical therapy to help manage these conditions:

  • endometriosis
  • chronic pelvic pain
  • uterine fibroids
  • adenomyosis, which is when the uterine lining grows into the muscular wall of the uterus
  • adenomyomas—masses in the uterine lining that result from adenomyosis

We offer the latest and most-advanced treatments, including fertility-preserving options for women with fibroids. Our patients also have access to the newest therapies through our research and clinical trials.

Surgeon Using Robotic Tools in Operating Room

Each year our surgeons perform more than 1,000 robotic-assisted surgeries, which allow for smaller incisions, less pain, and quicker recovery time.

Personalized Care for Endometriosis and Pelvic Pain

A team of healthcare providers at the Endometriosis Center takes an integrative care approach to managing endometriosis. Our specialists are also available to treat the many other causes of chronic pelvic pain.

Our team includes highly trained gynecologic surgeons who specialize in minimally invasive techniques, including robotic-assisted surgery, to help reduce postoperative pain, infection rates, and healing time. Pelvic imaging specialists, nutritionists, complementary medicine specialists, fertility doctors, psychologists, sexual health therapists, pain management specialists, and pelvic floor physical therapists are also part of the care team. Together, they create personalized treatment plans tailored to each patient’s health goals.

Uterine-Preserving Treatments for Fibroids

When treating fibroids, adenomyosis, or adenomyomas, our doctors, including specialists from NYU Langone’s Center for Fibroid Care, talk with you about options for preserving the uterus based on your care preferences and plans for future pregnancy. This can include medication to alleviate symptoms, as well as minimally invasive approaches to remove or reduce these growths.

Medications

Noninvasive approaches to care may include medication for fibroids to relieve symptoms such as pain and heavy menstrual bleeding. Some of these same medications, including nonsteroidal anti-inflammatory drugs (NSAIDs) and oral contraceptives, may be used to alleviate pain and bleeding caused by adenomyosis and adenomyomas.

Robotic-Assisted Surgery

If symptoms caused by fibroids don’t improve, our doctors may recommend a robotic-assisted myomectomy or another minimally invasive surgical approach to remove the growths. Such methods leave the uterus intact.

Embolization and Ablation

Gynecologic surgeons also work with interventional radiologists to provide minimally invasive procedures such as uterine artery embolization to shrink fibroids and to treat adenomyosis and adenomyomas. Our specialists offer radiofrequency ablation (RFA), delivered through the cervix, to destroy fibroids with heat from high-energy electromagnetic waves. Our doctors may use RFA delivered through the peritoneum, a layer of tissue that covers the pelvic area, to treat adenomyosis and adenomyomas.

Doctors may also combine one of these ablative procedures to shrink large fibroids and then remove any remaining tissue with minimally invasive robotic surgery.

Access to Clinical Studies

Women with complex gynecologic conditions have access to ongoing clinical studies at NYU Langone. Our doctors conduct research on safer and less painful surgical procedures that help patients to return to their daily activities more quickly than conventional open surgery. We are also investigating new pain relief medications for chronic pelvic pain.