What is Myomectomy ?
Myomectomy is a surgical procedure performed to remove uterine fibroids while preserving the uterus. It is often recommended for women who experience significant symptoms from fibroids or wish to maintain their fertility. Unlike hysterectomy, myomectomy removes only the fibroids, allowing the uterus to remain intact.
When Is Myomectomy Recommended?
• Heavy or prolonged menstrual bleeding
• Severe pelvic pain or pressure
• Rapidly growing fibroids
• Fertility problems linked to fibroids
• Recurrent pregnancy loss associated with uterine fibroids
Types of Myomectomy
Hysteroscopic Myomectomy
Performed through the vagina and cervix without external incisions. It is suitable for fibroids located inside the uterine cavity (submucosal fibroids).
Laparoscopic Myomectomy
A minimally invasive procedure using small abdominal incisions and a camera to remove fibroids. It offers quicker recovery and less postoperative discomfort.
Open Myomectomy (Laparotomy)
Recommended for large or multiple fibroids. It involves a larger abdominal incision and a longer recovery period.
Procedure Overview
Anesthesia
The surgery is typically performed under general anesthesia.
During the Procedure
The surgeon carefully removes the fibroids and repairs the uterine wall to preserve its strength and function.
Duration
The surgery may take one to three hours, depending on the size, number, and location of the fibroids.
Recovery
• Mild to moderate discomfort for several days
• Hospital stay may vary depending on the surgical method
• Most women resume normal activities within 2–6 weeks
• Regular follow-up to monitor healing
Benefits of Myomectomy
• Relief from heavy bleeding and pelvic pain
• Preservation of the uterus
• Improved fertility outcomes in selected cases
• Enhanced quality of life
Possible Risks
As with any surgery, risks may include bleeding, infection, scar tissue formation, or recurrence of fibroids over time. An experienced specialist minimizes these risks.
When to Consult a Doctor
Seek medical advice if you experience heavy periods, pelvic pressure, difficulty conceiving, or symptoms suggestive of fibroids. Early evaluation helps determine the most suitable treatment approach.
Myomectomy is a safe and effective option for women seeking relief from fibroid-related symptoms while maintaining reproductive potential and uterine health.
Frequently asked questions
Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat conditions inside the uterus, such as polyps, fibroids, adhesions, or abnormal uterine bleeding. It is performed using a thin hysteroscope inserted through the cervix without external incisions. The procedure offers faster recovery, minimal discomfort, and helps improve overall uterine health and reproductive outcomes.
Hysteroscopic surgery may be recommended for women with abnormal uterine bleeding, uterine polyps, fibroids, infertility, recurrent pregnancy loss, or uterine adhesions. After a detailed evaluation, your gynecologist determines whether the procedure is appropriate. Early diagnosis and timely treatment can improve symptoms, fertility outcomes, and overall reproductive health.
Ovarian cystectomy is a surgical procedure that removes an ovarian cyst while preserving the healthy ovarian tissue. It is commonly performed using minimally invasive laparoscopic techniques, allowing faster recovery and less postoperative discomfort. The procedure helps relieve symptoms, prevent complications, and preserve fertility whenever possible.
Ovarian cystectomy may be recommended when an ovarian cyst is large, persistent, painful, or appears complex or suspicious on ultrasound. It may also be advised if the cyst affects fertility or causes complications such as twisting or rupture. Your gynecologist will recommend surgery based on your symptoms, imaging findings, and overall reproductive health.
Myomectomy is a surgical procedure performed to remove uterine fibroids while preserving the uterus. It is commonly recommended for women who wish to retain their fertility or keep their uterus. Depending on the size and location of the fibroids, the procedure may be performed laparoscopically, hysteroscopically, or through open surgery for the best outcom
Myomectomy may be recommended for women with symptomatic uterine fibroids causing heavy menstrual bleeding, pelvic pain, infertility, or recurrent pregnancy loss. It is often considered for women planning future pregnancies. Your gynecologist will evaluate the number, size, and location of fibroids before recommending the most appropriate treatment approach.
