What is a myomectomy surgery?

Myomectomy is a surgical procedure to remove uterine fibroids (leiomyomas)—noncancerous growths on the uterus—while leaving the uterus intact, acting as a fertility-preserving alternative to hysterectomy. It is used to treat heavy menstrual bleeding, pelvic pain, pressure, and infertility caused by fibroids. Common types include abdominal, laparoscopic, and robot-assisted approaches.

Recovery and Results :

Recovery Time : Varies by method; abdominal surgery usually takes 4–6 weeks, while laparoscopic methods may take 2–4 weeks.

Benefits : Relief from heavy bleeding and pain, improved fertility, and retention of the uterus.

Risks : Potential risks include bleeding, infection, scar tissue (adhesions), or the regrowth of new fibroids.

Will I get pregnant after a myomectomy?

The finding revealed that magnitude of fertility after myomectomy was significantly associated with age, number of incisions, location of incision, and infertility before surgery. Among female participated in this study 52.2% of the females got pregnant after myomectomy.

Can fibroids grow again after myomectomy?

Yes, uterine fibroids can grow back after a myomectomy. While the procedure removes existing fibroids, it does not remove the uterus or the underlying tendency for new ones to develop. Recurrence rates are estimated at 10–25% globally, with higher risks for younger patients or those with multiple, initial growths.

How painful is myomectomy surgery?

A myomectomy causes moderate to significant pain, which is manageable with medication and decreases daily. Pain levels depend heavily on the method: open surgery (laparotomy) is most painful, while laparoscopic, robotic, and hysteroscopic methods involve less discomfort. Recovery typically involves abdominal soreness, cramping, and sometimes shoulder pain from gas.