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What to Expect Before, During, and After a Myomectomy Surgery?


A myomectomy is a treatment that allows surgeons to remove uterine fibroids. The procedure is done in several ways. Every technique preserves your uterus so that you can conceive in the future. Most people are very skeptical about Myomectomy Surgery. 

If you have bothersome fibroids that interfere with your typical activities, your doctor may advise a myomectomy. If you require surgery for uterine fibroids, there are several reasons to select a myomectomy rather than a hysterectomy:

  • You want to have kids.

  • Uterine fibroids may be affecting your fertility, according to your doctor.

  • You desire to retain your uterus.  

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What Should I Anticipate Before a Myomectomy?

Whatever preparations you need to make before surgery will be explained to you by your healthcare professional. This includes guidelines for when to cease drinking and eating and when to stop taking specific drugs.

Your healthcare physician will go through post-operative instructions with you, including how long you should plan to stay in the hospital or surgical facility and the kinds of lifestyle changes you should make while you recover. To prepare for surgery, ask your doctor any questions you may have.

The following may occur on the day of surgery: 

  • Your healthcare professional will place an intravenous line (IV) into a vein in your hand or arm. During surgery, this provides you with fluids and medication. 

  • You also receive an anesthetic through an IV to avoid discomfort throughout the surgery. 

  • During surgery, your surgeon will attach monitors to take your heart rate and other critical signs. 

  • Your healthcare practitioner might introduce a catheter to empty your bladder during surgery.

How Long is a Myomectomy Procedure? 

The procedure is chosen, and the location of the fibroids and the number of fibroids your surgeon needs to remove will all be factors. You may typically anticipate the procedure to last two to three hours. To be sure, ask your healthcare professional what to expect on the day of the process.

Does a Myomectomy Hurt?

Myomectomy may cause discomfort. However, there are methods for managing pain during and after surgery. Discuss with your surgeon what to anticipate following surgery and pain management options.

What Side Effects Can Fibroid Treatments Cause?

There is a chance of complications with any operation. As a result, your doctor could advise nonsurgical methods first. Nonsurgical procedures could be:

Diligent waiting: If no symptoms appear, your doctor will reevaluate you in six to twelve months.

Hormone therapy stops your ovaries from producing eggs: Both the volume of vaginal bleeding and the size of the fibroids may diminish as a result.

What to Expect During Surgery? 

Depending on your fibroids' size, quantity, and location, your surgeon may select one of three surgical methods for performing a myomectomy:

Myomectomy of the Abdomen

To remove fibroids, your surgeon makes an open abdominal incision during an abdominal myomectomy (laparotomy). Whenever possible, your doctor will typically want to make an incision along the "bikini line," which is low and horizontal. The requirement for vertical incisions arises with larger uteruses. 

After a Myomectomy Surgery

Your doctor will give oral pain medicine, instruct you on caring for yourself, and go through any dietary and activity limitations when you are discharged. Depending on your operation, you should anticipate vaginal spotting or stains for a few days to six weeks.

Results: A Myomectomy May Have the Following Effects

Pain alleviation. Most women with myomectomy surgery report improvement from troublesome signs and symptoms such as heavy menstrual blood, pelvic pressure, and pain.

Improvement in fertility: Within a year of surgery, women who have a laparoscopic myomectomy, whether with or without robotic aid, have successful pregnancies. It is advised to wait three to six months after a myomectomy before getting pregnant to give your uterus time to heal. 

Does Myomectomy Alter Your Physique in Any Way? 

Apart from getting relief from the discomfort your fibroids were causing, there shouldn't be any apparent changes to your body after a myomectomy. You won't experience menopause because your uterus is still typically producing eggs. Therefore your period should start up again soon after surgery.

When Should I Schedule a Visit With my Doctor?

If you have any of the following signs after having a myomectomy to remove fibroids, get in touch with your doctor very away:

  • Bleeding a lot.

  • Additional flu-like symptoms such as fever or chills.

  • Unable to be controlled by medicines.

  • Breathing difficulties or chest discomfort.

  • Legs that are cramping, red, or swollen.


Your doctor may advise a myomectomy to treat uterine fibroids that produce symptoms like irregular vaginal bleeding and pelvic pain. The location and size of the fibroids will determine the kind of myomectomy you have. As it's not the only option for treating fibroids, discuss the procedure's advantages and disadvantages with your healthcare professional.

jasleen.k Author Name

Jasleen Kaur is a creative content writer. She finds content writing as a way to develop & express her thoughts on different aspects of the world. She aims to achieve excellence through her writing & abundance of knowledge.

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Dr. Nishtha Kalra Reviewer Name
Dr. Nishtha Kalra

Dr. Nishtha Kalra is a healthcare specialist who has been assisting patients with their medical needs for the past 12 years. She is dedicated to bridging the gap between complex medical information and the general public. She looks forward to contributing her expertise to ensure that individuals can access trustworthy, well-informed, and accessible healthcare knowledge.

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