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Myomectomy (Fibroid Removal Surgery)

If you long for relief from fibroid-related symptoms but still want to become pregnant in the future, our highly trained and trusted gynecologists at Maiden Lane Medical in Manhattan, NY can help! There is a treatment option available that can provide relief and maintain your future pregnancy goals. Schedule an appointment with us today!

What Is a Myomectomy?

A myomectomy is an outpatient, minimally invasive procedure used to remove uterine fibroids while preserving fertility. Fibroids are very common, affecting over 26 million women between the ages of 15-50.

A woman talking to her gynecologist about fibroid removal surgery.

Although many women don’t have fibroid-related symptoms, approximately 15 million women will experience the following:

Myomectomies are an effective way to relieve pelvic pain and heavy menstrual bleeding and remove fibroids. However, there is a chance that new fibroids may develop. Depending on the location and size of your fibroids, your doctor may recommend either hysteroscopy or laparoscopy

Types of Myomectomy Procedures

There are three main types of myomectomy procedures that your doctor may recommend. They include the following:

  • Laparoscopic myomectomy—Your surgeon will make a few small incisions in your abdomen and use specially designed instruments, including a laparoscope, to remove the fibroids. While there will be less trauma to your abdominal wall, there may be an increased risk of uterine rupture during pregnancy and labor depending on the location and size of your fibroids.
  • Hysteroscopic myomectomy—A hysteroscope is used to access your uterine cavity through your cervix and remove fibroid tissue. This method doesn’t require any incisions and has no scarring or increased risk during pregnancy. Risks include infection and bleeding. Only women with submucosal fibroids are eligible for this procedure.
  • Abdominal myomectomy—This major surgical procedure may be recommended to remove large fibroids. The risks of abdominal myomectomy include infection, excessive bleeding, longer recovery time, scarring, and possible uterine rupture during pregnancy and labor.
A happy pregnant woman after her successful myomectomy in Manhattan, NY.

Would I Make a Good Candidate for a Myomectomy?

You may make a good candidate for a myomectomy if you have uterine fibroids and would like to have a baby in the future, have heavy or painful periods, or have very large fibroids. Your gynecologist will use ultrasound tests to determine the best treatment for your condition. Depending on your symptoms, your physician may suggest alternative treatments such as:

Myomectomy Preparation

Your doctor will give you personalized instructions to prepare you for your fibroid removal surgery, including not eating for at least eight hours prior to surgery and arranging for a loved one to drive you to and from your appointment. Be sure to inform your doctor about any vitamins, medications, or supplements you are taking.

How Long Will it Take to Recover From a Myomectomy?

The recovery time for a hysteroscopic myomectomy is potentially within just one to two days. You’ll need two to four weeks to recover from a laparoscopic myomectomy. Since an abdominal myomectomy is a major surgery, the recovery time may require up to six weeks.

You will have some pain, soreness, and abdominal or pelvic tenderness. Be sure to attend your follow-up appointments and follow your doctor’s advice, which may include:

  • Avoid lifting heavy objects
  • Avoid strenuous activities
  • Avoid having sexual intercourse until your physician says it is safe

How Does a Myomectomy Affect Pregnancy?

In most cases, women can still get pregnant after having a myomectomy. Additionally, if you have been struggling with infertility, removing your fibroids may help with conception. Inform your doctor about your plans to conceive because they may recommend delaying pregnancy until your uterus heals completely.  

Our team of experienced gynecologists offers expert, individualized fibroid treatment to help relieve your fibroid symptoms and restore your reproductive and overall health. Schedule an appointment at Maiden Lane Medical in Manhattan, NY today!

Medically Reviewed By

Fernando Mariz, MD
Obstetrics and Gynecology

Expert Medical Services

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