Myomectomy surgery is a surgical procedure that helps to remove uterine fibroids while also preserving the uterus. It is often chosen by women who want to treat fibroid-related symptoms but still maintain their fertility. In this blog, we will mention everything about this surgery, including when it is recommended, the different techniques used, and more. All this information will help you to have a complete understanding before making any decision.
There are many women with fibroids who experience discomfort, heavy menstrual bleeding, or even problems in getting pregnant. Myomectomy surgery offers a better way to manage these issues while also keeping reproductive health in focus. Today, we will cover each aspect of the surgery in detail to give you clear, reliable, and easy to understand information.
What is Myomectomy Surgery?
Myomectomy Surgery is a treatment where fibroids are removed from the uterus without removing the uterus itself. Fibroids are noncancerous growth that can grow in or on the uterus and may cause issues like heavy bleeding, pain, or issues in getting pregnant.
This surgery is usually chosen by women who want to treat these problems but still keep their uterus for future pregnancy. The way the surgery is done can be different and it depends on the size, number, and place of the fibroids.
Why is Myomectomy Surgery Done?
Myomectomy surgery is done to remove fibroids that are causing health problems. There are many women who choose this surgery when fibroids can cause symptoms like heavy or long periods, pain or pressure in the lower belly, frequent urination, or difficulty in getting pregnant.
Sometimes, fibroids can also cause repeated miscarriages or make it difficult for a pregnancy to continue safely. The main reason for having this surgery is to get relief from these symptoms while keeping the uterus, especially for women who still want to have children in the future.
Types of Myomectomy Surgery
There are different types of Myomectomy surgery and the choice depends on the size, number, and location of the fibroids, as well as the patient’s health and future pregnancy plans. The main types are as follows:
Abdominal Myomectomy
In this method, the surgeon makes a cut in the lower abdomen to reach and remove the fibroids. It is usually done when fibroids are large, numerous, or deep inside the uterus.
Laparoscopic Myomectomy
This is a minimally invasive surgery where about 1.5 cm small cuts are made in the abdomen. Through these cuts, special instruments with a camera are used to remove the fibroids. It is almost scarless, causes less pain, involves less blood loss, and usually allows a faster recovery compared to open surgery.
Hysteroscopic Myomectomy
In this method, no cuts are made on the skin. Instead, the surgeon removes fibroids through the vagina and cervix using a thin device called a hysteroscope, which is inserted into the uterus. This method is mainly used for fibroids that are located inside the uterus and can be reached directly this way.
Preparation Before the Surgery
There are a few important steps that are taken to ensure the Myomectomy procedure goes smoothly and safely. The doctor checks the patient’s overall health, reviews the fibroids’ details, and gives specific instructions to follow before the surgery.
Preparation steps include the following:
- Getting tests like ultrasound or MRI to locate and measure fibroids
- Doing blood tests to check for anemia or other health concerns
- Taking medicines (if advised) to shrink fibroids or reduce bleeding
- Following eating and drinking restrictions before surgery
- Informing the doctor about all medicines, allergies, and past surgeries
How Myomectomy Surgery is Performed?
Myomectomy Surgery is done under general anesthesia so the patient stays comfortable. The method which is used depends on the size, number, and location of the fibroids.
There are different ways that the surgery can be done:
- Abdominal Myomectomy: A cut is made in the lower belly to remove large or deep fibroids.
- Laparoscopic Myomectomy: Small cuts are made and a camera with special tools is used to remove fibroids.
- Hysteroscopic Myomectomy: No outside cuts; fibroids are removed through the vagina and cervix by using a thin instrument.
Recovery After Myomectomy Surgery
The recovery after myomectomy surgery depends on the type of surgery done and the patient’s overall health. There are many women who may need to stay in the hospital for a few days after an open surgery. However, in the first few days, rest is important, and some pain, swelling, or tiredness is normal.
Here are some recovery tips after the surgery:
- Follow the doctor’s instructions on medicines and wound care
- Avoid heavy lifting or any heavy activities for a few weeks
- Eat healthy foods and drink enough water to help in healing
- Attend all follow-up appointments to check recovery progress
- Most women return to normal activities in 2–6 weeks and it depends on the surgery type
Possible Risks and Complications
Myomectomy Surgery also has some possible risks and complications like any surgery. These risks may vary depending on the patient’s health, the size and location of fibroids, and the type of surgery performed.
Some possible risks include the following:
- Possible conversion to hysterectomy
- Bleeding during or after the surgery
- Infection at the incision site or inside the uterus
- Scarring in the uterus, which may affect future pregnancies
- Damage to nearby organs such as the bladder or intestines (rare)
- Fibroids growing back over time
- Reactions to anesthesia
- Fever can occur after surgery
- May require blood transfusion
Final Words
Myomectomy surgery can be a life-changing option for women who want relief from fibroid-related problems while keeping their uterus intact. It not only helps in improving symptoms like heavy bleeding and pelvic pain but can also increase the chances of a healthy pregnancy for those who are planning to conceive. So, it’s important to choose the right treatment by understanding your options and getting guidance from an experienced specialist.
At Risaa IVF, Dr. Rita Bakshi, our Senior IVF Specialist, offers expert guidance and advanced treatments for couples who are facing infertility issues. If you have any questions or wish to speak with our doctors, you can email us at doctor@risaaivf.com or call us at 95555 44421 / 22 / 23. We are always here to guide you every step of the way.
Frequently asked questions (FAQs)
Is myomectomy a major surgery?
It depends on the type. Abdominal myomectomy is considered major surgery, while laparoscopic or hysteroscopic methods are less invasive.
Will fibroids come back after myomectomy?
Yes, in some cases fibroids can grow back over time, especially if the patient is still in her reproductive years.
How long does it take to recover from myomectomy?
Recovery can take 2–6 weeks, depending on the type of surgery and the patient’s overall health.
Can I get pregnant after myomectomy surgery?
Yes, many women are able to conceive after a myomectomy, but it’s best to discuss your individual chances with your doctor.