2024-01-01 · gynecology, fibroids, uterus

Myomectomy FAQ

What Is a Myomectomy?

Myomectomy is a surgical procedure to remove uterine fibroids while preserving the uterus. It is often chosen by patients who want symptom relief but wish to maintain fertility or avoid hysterectomy.

Why Is a Myomectomy Performed?

Myomectomy may be recommended for:

• Heavy or prolonged menstrual bleeding
• Pelvic pressure or pain
• Frequent urination or constipation from fibroid pressure
• Infertility or recurrent pregnancy loss related to fibroids

The decision depends on fibroid size, location, and overall health goals.

What Are the Types of Myomectomy?

There are several approaches, including:

• Hysteroscopic myomectomy for fibroids inside the uterine cavity
• Laparoscopic or robotic myomectomy for smaller or moderate fibroids
• Abdominal (open) myomectomy for large or numerous fibroids

Your surgeon will recommend the best approach based on your anatomy.

What Happens During the Procedure?

Myomectomy is performed under anesthesia. The surgeon removes fibroids and repairs the uterine muscle to preserve normal structure. The duration and complexity depend on the number and size of fibroids.

What Is Recovery Like?

Recovery varies by surgical approach. Hysteroscopic recovery may take only a few days, while abdominal surgery can require four to six weeks. Most patients experience some cramping and fatigue during early healing.

What Are the Risks or Complications?

Potential risks include:

• Bleeding or need for transfusion
• Infection
• Adhesion formation
• Fibroid recurrence over time
• Rare need to convert to hysterectomy

Discuss risks and future pregnancy plans with your surgeon.

Can I Get Pregnant After Myomectomy?

Many patients successfully conceive after myomectomy. Depending on the depth of uterine repair, a cesarean delivery may be recommended for future pregnancies. Your care team will provide individualized guidance.

When Should I Seek Medical Attention?

Call your doctor if you have heavy bleeding, worsening pain, fever, or signs of infection during recovery.