Women who have more than six fibroids removed are less likely to get pregnant than those who have fewer fibroids removed. Because this procedure can weaken your uterus, there is a chance that your uterus could tear as your pregnancy progresses or during labor. Your doctor will likely recommend that you have a cesarean delivery to prevent this complication. They may recommend scheduling this shortly before your actual due date. Your cesarean might be able to be performed through your myomectomy incision site.
This can reduce the number of scars you have. If you have uterine fibroids that are causing symptoms, myomectomy can be used to remove them and relieve your symptoms. Make sure you understand all the possible benefits and risks before you decide to go ahead with the procedure. Gynecologic laparoscopy is an alternative to open surgery. It involves using a laparoscope to look inside your pelvic area. We'll explain causes of an enlarged uterus and when you should seek treatment.
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What to Expect from Myomectomy. Your doctor might recommend this surgery if your fibroids are causing symptoms such as: pelvic pain heavy periods irregular bleeding frequent urination A myomectomy can be done one of three ways: Abdominal myomectomy lets your surgeon removes your fibroids through an open surgical cut in your lower belly. Laparoscopic myomectomy allows your surgeon to remove your fibroids through several small incisions. This may be done robotically. Hysteroscopic myomectomy requires your surgeon to use a special scope to remove your fibroids through your vagina and cervix.
Who is a good candidate? How do you prepare for surgery? What happens during the procedure? What is recovery like? How effective is it? What are the complications and risks? What will the scar be like? Vertical incisions are needed for larger uteruses. In laparoscopic or robotic myomectomy, both minimally invasive procedures, your surgeon accesses and removes fibroids through several small abdominal incisions. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery.
There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. Sometimes, the fibroid is cut into pieces morcellation and removed through a small incision in the abdominal wall. Other times the fibroid is removed through a bigger incision in your abdomen so that it can be removed without being cut into pieces. Rarely, the fibroid may be removed through an incision in your vagina colpotomy.
To treat smaller fibroids that bulge significantly into your uterus submucosal fibroids , your surgeon may suggest a hysteroscopic myomectomy.
Your surgeon accesses and removes the fibroids using instruments inserted through your vagina and cervix into your uterus. At discharge from the hospital, your doctor prescribes oral pain medication, tells you how to care for yourself, and discusses restrictions on your diet and activities.
You can expect some vaginal spotting or staining for a few days up to six weeks, depending on the type of procedure you've had. Fibroids that your doctor doesn't detect during surgery or fibroids that are not completely removed could eventually grow and cause symptoms. New fibroids, which may or may not require treatment, can also develop. Women who had only one fibroid have a lower risk of developing new fibroids — often termed the recurrence rate — than do women who had multiple fibroids.
Women who become pregnant after surgery also have a lower risk of developing new fibroids than women who don't become pregnant. Women who have new or recurring fibroids may have additional, nonsurgical treatments available to them in the future. These include:. Some women with new or recurring fibroids may choose a hysterectomy if they have completed childbearing.
Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Myomectomy my-o-MEK-tuh-me is a surgical procedure to remove uterine fibroids — also called leiomyomas lie-o-my-O-muhs. Request an Appointment at Mayo Clinic.
Fibroid locations Open pop-up dialog box Close. Fibroid locations There are three major types of uterine fibroids. Share on: Facebook Twitter. Show references Knuttinen M-G, et al. Journal of the American College of Radiology. Fortin C, et al. Alternatives to hysterectomy: The burden of fibroids and the quality of life. Uterine fibroids: Diagnosis and treatment. American Family Physician. Ferri FF. Uterine fibroids. In: Ferri's Clinical Advisor Philadelphia, Pa. Accessed March 5, Merck Manual Professional Version.
Uterine fibroids: Treatment. Rochester, Minn. Parker WH. Techniques to reduce blood loss during abdominal or laparoscopic surgery. The scar on the uterus heals in about 3 to 6 months with a myomectomy. Here are a few tips to keep in mind that may help you have a successful pregnancy after myomectomy. This will help the scar to start healing from the very first day and help strengthen the uterus.
Resuming Exercise When you feel healthy enough, you should gradually restart exercising as this helps increase your stamina. Your doctor will review your progress and may check the uterine lining. A uterine lining more than 10 mm thick is considered the normal size of endometrium for pregnancy. If you have a good lining and your periods are back on track, you may be able to conceive naturally. If your doctor thinks that natural conception may not be possible, this would be the best time to plan for IVF.
How long after myomectomy can I do IVF? About six months after surgery would be an appropriate time to try. The signs of pregnancy after myomectomy are the same as with any other pregnancy. Some women also tend to feel nauseous, light-headed or tenderness in the breasts. One of the many success stories we have seen of women achieving pregnancy after myomectomy is of Anusha Saxena, 27 who conceived six months after surgery.
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