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
It is a minimally invasive surgical technique performed through small incisions using a camera, resulting in less pain and faster recovery.
Hysteroscopy is used to diagnose and treat uterine conditions such as polyps, fibroids, adhesions, and abnormal bleeding.
Most patients recover within a few days to 1–2 weeks depending on the procedure performed.
Yes, when performed by an experienced specialist, it is a safe and effective procedure to remove cysts while preserving ovarian function.
Myomectomy is advised when fibroids cause heavy bleeding, pain, infertility, or pregnancy complications.