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Paul Indman, M.D., FACOG, is a Gynecologist in private practice near San Jose, California.  Dr. Indman is involved in all aspects of Gynecology.  His major emphasis is offering rapid and accurate diagnosis of gynecologic problems, and providing a choice of treatment options.   The largest area of his practice is the treatment of fibroids and abnormal bleeding. He has extensive experience in performing myomectomy of various types and in hysteroscopic removal of fibroids.  

Dr. Indman has pioneered techniques of minimally invasive surgery, and has published in major medical journals and textbooks.  He gives lectures to physicians locally, nationally, and internationally on hysteroscopic, laparoscopic, and laser surgery, and is actively involved in giving uterine fibroid seminars and lectures at organizational events. 

Uterine Fibroids Blog — An Expert Speaks Out
Real Women, Real Stories, Real Answers
by Hope For Fibroids' Dr. Paul Indman

Hysteroscopy uses a hysteroscope, which is a thin telescope that is inserted through the cervix into the uterus.

Modern hysteroscopes are so thin that they can fit through the cervix with minimal or no dilation. Because the inside of the uterus is a potential cavity, like a collapsed air dome, it is necessary to fill (distend) it with a liquid in order to see.

I do most diagnostic hysteroscopy in the office using local anesthesia. If a patient is particularly anxious, or if I have a concern that she may be uncomfortable, I can do the procedure under mild sedation. 

Published Articles by Dr. Indman 

• "Hysteroscopic Treatment of Menorrhagia Associated With Uterine Leiomyomas", Obstetrics and Gynecology, 81:716, 1993.

• "Office Hysteroscopy", Chapter in Endoscopic Surgery, S. Cohen, Churchill Livingston. 1996.

• "Abnormal uterine bleeding: Accuracy of vaginal probe ultrasound in predicting abnormal hysteroscopic findings",  J Reprod Med. 1995 Aug; 40(8): 545-548.

• Indman PD, et al. "Complications of fluid overload from resectoscopic surgery",  J Am Assoc Gynecol Laparosc. 1998 Feb; 5(1): 63-67. 

• "Instrumentation and Distention Media for the Hysteroscopic Treatment of Abnormal Uterine Bleeding", Obstetrics and Gynecology Clinics of North America, 2000 27(2):6-1 to 6-11.

'Uterine Fibroids' on KQED Radio Station,  January 9, 2004. 

Please be aware that Dr. Indman is not able to offer medical advice over the internet or suggest referrals out of his area.