James Macer M.D.

Premiere Women's Healthcare

Pasadena | 626-449-6223

Rolling Hills Estates | 310-541-8400

Uterine Fibroid Treatments

happy woman

Abnormal uterine bleeding can be a very frustrating condition for women. It can cause weakness, anemia, and fatigue.  Uterine fibroids are the most common cause of abnormal bleeding.  Fibroids are benign muscle tumors commonly found in or outside of the uterus. Although around 70-80 percent of women have uterine fibroids, many women do not know they exist unless they begin to cause symptoms and are diagnosed by a gynecologist. When symptoms including heavy and painful periods, pain during sex, abdominal fullness, urinary frequency or pressure in the lower abdomen begin to affect your quality of life, treatment is necessary. Uterine fibroids may also interfere with pregnancy and fertility, so their removal can be very important for women wanting to have children.


Not all fibroids need to be removed. In the past, hysterectomies were used to treat most cases of uterine fibroids. This is no longer the case.  Oftentimes medication or simple outpatient procedures can be used to treat the fibroids or heavy bleeding.  Outpatient procedures such as endometrial ablation, hysteroscopic myomectomy and the new FDA approved Acessa procedure give women a choice.  Dr. Macer helps women decide which if any procedure is best for them.

Dr. Macer is an industry leader in the treatment of uterine fibroids.  He is proud to offer the less invasive and innovative Acessa surgery in his practice.  Dr. Macer helped carry out the trials and studies that contributed to Acessa’s FDA certification and is one of the few surgeons experienced with this revolutionary technology.


The Acessa procedure uses radiofrequency ablation to target and destroy uterine fibroids without damaging the surrounding tissues. The procedure lasts about one to two hours and patients can return home to recover. Ninety-four percent of patients reported reduced or eliminated symptoms with no damage to the uterus. In one year, less than five percent of patients in clinical trials reported a recurrence of fibroids. Women typically return to their normal activity 3-5 days after the procedure.  Dr. Macer teaches this procedure to other physicians and is an authority on its use.


To learn more about this revolutionary procedure and to see the video as well as testimonials click here, or contact Dr. Macer’s office today.  To view published articles on Acessa by Dr. Macer, click here.


In cases where there are other mitigating circumstances surgery to remove uterine fibroids is another option. Dr. Macer is a specialist in minimally invasive laparoscopic hysterectomies and will help you choose a procedure that best fits your needs.  Dr. Macer is also well trained in Robotic and urogynecologic surgery.


Some cases of abnormal uterine bleeding can be treated with a procedure called Endometrial Ablation.  This is a simple outpatient procedure that ablates the glands in the lining of the uterus to stop or greatly diminish uterine bleeding.  The uterus and ovaries remain intact and the patient can resume her normal activities rapidly.


Hysteroscopic Myomectomy is an outpatient procedure using a camera to visualize the lining of the uterus thru the vaginal/cervical canal.  The fibroid is then removed from the cavity of the uterus without the need for any incisions.  The patient goes home the same day and can quickly resume her normal activities.


Since a number of Dr. Macer’s patients travel from outside of the Southern California area please see the accommodation section for help with your arrangements or contact our office today.

Schedule A Consultation Today


Pasadena Office

10 Congress St., Suite 400 | Pasadena, CA 91105

Phone 626-449-6223 | Fax 626-449-0035


macer medical

Promenade on the Peninsula

550 Deep Valley Dr., Suite 287

Rolling Hills Estates, CA 90274

Phone 310-541-8400 | Fax 310-541-7900

connect with us

Premier Women's Healthcare