Myomectomy Surgery: Treatment Types, Recovery & Safety

Myomectomy surgery is a treatment that is used to remove uterine fibroids while keeping the uterus intact. It is often chosen by women who want relief from fibroid-related symptoms but also wish to preserve their fertility. In this blog, we will explain when this surgery is recommended, the different techniques used, and other important details. This information will help you to understand everything clearly before making any decision.

There are many women with fibroids who experience issues like heavy menstrual bleeding, pelvic discomfort, or trouble getting pregnant. Myomectomy is an effective option to manage these symptoms while keeping reproductive health in mind.

What is Myomectomy Surgery?

Myomectomy surgery is a procedure in which doctors remove fibroids from the uterus while keeping the uterus safe. Fibroids are noncancerous lumps that can grow inside or outside the uterus and may cause symptoms like heavy periods, pelvic pain, or difficulty in conceiving.

Many women choose this surgery when they want relief from fibroid-related problems but also want to maintain their ability to get pregnant in the future. The method used for myomectomy can vary based on the size, number, and location of the fibroids.

Myomectomy Surgery Types

Myomectomy can be performed in different ways, and the approach is chosen based on the size, number, and position of the fibroids, along with the patient’s overall health and future fertility plans. The main methods include:

• Abdominal Myomectomy: In this technique, the doctor makes an incision on the lower abdomen to access the uterus and remove the fibroids. This option is preferred when fibroids are very large, deeply embedded, or present in multiple numbers.

• Laparoscopic Myomectomy: This is a minimally invasive procedure where tiny cuts—usually around 1.5 cm—are made on the abdomen. A camera and special surgical tools are inserted through these cuts to remove the fibroids. This method leaves very small scars, causes less discomfort, reduces blood loss, and offers a quicker recovery compared to open surgery.

• Hysteroscopic Myomectomy: In this procedure, no external cuts are required. The surgeon removes fibroids by inserting a thin instrument called a hysteroscope through the vagina and cervix directly into the uterus. This method is suitable for removing fibroids that grow inside the uterine cavity and can be easily reached through this pathway.

How to Prepare Before Myomectomy Surgery?

There are a few essential preparations done to make sure the myomectomy surgery is safe and successful. The doctor assesses the patient’s health, studies the size and position of the fibroids, and explains the pre-surgery guidelines clearly.

Here are some common preparation steps that include the following:

• Getting imaging tests like an ultrasound or MRI to understand the exact location and size of the fibroids
• Doing blood work to check for anemia or any other medical issues
• Taking prescribed medicines (if needed) to help shrink the fibroids or reduce bleeding
• Following fasting or diet instructions given before the surgery
• Sharing details about all current medications, allergies, or previous surgeries with the doctor

How Doctors Perform Myomectomy?

Myomectomy surgery is carried out under general anesthesia, which means the patient remains asleep and pain-free during the procedure. The technique chosen by the doctor depends on how big the fibroids are, how many are present, and where they are located inside or around the uterus.

The surgery can be performed in different ways, including the following:

• Abdominal Myomectomy: A larger incision is made in the lower abdomen to access the uterus and remove big or deeply embedded fibroids.
• Laparoscopic Myomectomy: Several small cuts are created on the abdomen, and a camera along with fine surgical tools is used to take out the fibroids.
• Hysteroscopic Myomectomy: No external cuts are needed. A thin instrument is passed through the vagina and cervix to remove fibroids located inside the uterine cavity.

Recovery Tips After Myomectomy Surgery

Healing after a myomectomy varies from person to person and depends on the surgical method used. Women who undergo open surgery may need to stay in the hospital for a short period, while those with minimally invasive procedures usually recover faster. It’s normal to experience mild pain, swelling, and fatigue during the first few days, so proper rest is very important.

Here are some helpful recovery tips:

• Take all prescribed medicines and follow wound-care instructions carefully
• Avoid lifting heavy objects or doing strenuous activities for a few weeks
• Maintain a nutritious diet and stay well-hydrated to support healing
• Attend every scheduled follow-up visit to monitor your progress

Most women are able to get back to their regular routine within 2–6 weeks, depending on the type of surgery they had.

Closing Words

Myomectomy surgery is an important treatment option for women who want to manage fibroids while still preserving their uterus and future fertility. In this blog, we have explained everything clearly to help you understand what this surgery involves, why it is recommended, and how it can improve your quality of life. Knowing about the procedure, its types, and the recovery process can make decision-making much easier and more confident.

Being aware of what to expect before and after the surgery helps women feel more prepared and supported throughout the journey. We have discussed the different surgical methods, preparation steps, recovery tips, and essential points to remember. With the right guidance and timely medical support, every woman can make informed choices and move toward a healthier, more comfortable life.

Frequently asked questions (FAQs)

Is myomectomy surgery safe?

Yes, it is generally considered safe when performed by an experienced doctor. Like any surgery, it has some risks, but most women recover well with proper care.

How soon do patients usually recover after myomectomy?

Recovery time depends on the type of surgery. Laparoscopic and hysteroscopic procedures may take 1–3 weeks, while abdominal myomectomy may take 4–6 weeks.

Is the surgery painful?

Some pain and discomfort are normal after surgery, but medication prescribed by the doctor helps manage it effectively.

Can I get pregnant after myomectomy surgery?

Yes, many women successfully conceive after healing. Your doctor will guide you on when it is safe to try for pregnancy.