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Myomectomy is surgery that removes uterine fibroids. The uterus is left in place. This option may be recommended if you want to get pregnant in the future or want to keep your uterus. In some cases, it may improve chances of pregnancy.
Before myomectomy, gonadotropin-releasing hormone analogue (GnRH-a) therapy may be used to shrink fibroids and the uterus. This may allow your doctor to use a smaller cut during the surgery. And it can also improve anemia before surgery by stopping uterine bleeding for several months.
There are different ways to do the surgery. In a hysteroscopic myomectomy, a lighted tube is inserted through the vagina and into the uterus. In a laparoscopic myomectomy, a lighted tube and surgical tools are put through small cuts in your belly. In an abdominal myomectomy, the fibroids are removed through a larger cut in the belly.
The method used depends on the size, location, and number of fibroids.
The length of time you may spend in the hospital varies.
Recovery time depends on the method used for the myomectomy:
Myomectomy keeps the uterus while treating fibroids. It may be a reasonable treatment option if you have:
Myomectomy decreases pelvic pain and bleeding from fibroids.
Myomectomy is the only fibroid treatment that may improve your chances of getting pregnant. It is known to help with a certain kind of fibroid called a submucosal fibroid. But it does not seem to improve pregnancy chances with any other kind of fibroid.
After myomectomy, a caesarean section may be needed for delivery. This depends in part on where and how big the myomectomy incision is.
Fibroids can return after surgery, depending on the original fibroid problem. Fibroids that were larger and more numerous are most likely to recur. Talk to your doctor about whether your type of fibroid is likely to grow back.
Risks may include the following:
Current as of: August 2, 2022
Author: Healthwise Staff
Medical Review:Sarah Marshall MD - Family Medicine & Kathleen Romito MD - Family Medicine & Martin J. Gabica MD - Family Medicine & Divya Gupta MD - Obstetrics and Gynecology, Gynecologic Oncology
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