A myomectomy is a surgical procedure used to remove uterine fibroids. It is an effective, minimally invasive form of treatment that can help restore fertility and reduce symptoms such as heavy menstrual bleeding. Performed by a specialist gynecologist, the surgery typically takes place in a hospital under general anaesthesia, with most women returning home the same day. Myomectomy carries minimal risk and offers a high success rate for those seeking relief from their fibroid condition.

What are the different types of myomectomy?

There are three main types of myomectomy: abdominal, laparoscopic, and hysteroscopic. An abdominal myomectomy involves the removal of uterine fibroids through an open incision in the abdomen. Laparoscopic myomectomy uses a laparoscope, which is a thin tube with a tiny camera on the end, inserted through small incisions in the abdomen to remove uterine fibroids. Hysteroscopic myomectomy is done using a telescope-like instrument with a camera inserted through the cervix to remove fibroids from inside the uterus without making any external incisions.

What are the symptoms of a myomectomy?

A myomectomy is a surgical procedure to remove fibroids from the uterus. Symptoms of myomectomy can include

  1. Heavy and prolonged menstrual bleeding
  2. Pelvic pain and pressure
  3. Frequent urination
  4. Constipation
  5. Bloating
  6. Pain during sexual intercourse

Other symptoms may include backache or leg pains. If left untreated, myomectomy can cause anaemia due to excessive blood loss. It can also lead to infertility or miscarriage if the fibroids are impacting the uterine cavity. It is important to seek medical advice if any of these symptoms persist or worsen.

When should one see a doctor for a myomectomy?

It is important to seek medical advice if you have any symptoms commonly associated with uterine fibroids, such as heavy or prolonged menstrual bleeding, pelvic pain or pressure, frequent urination, constipation, and backache. If a woman is experiencing infertility due to fibroids, then a myomectomy may be recommended. Other indications for myomectomy include abnormal bleeding and if the fibroids are growing rapidly. In some cases, a doctor may suggest a myomectomy for cosmetic reasons if the fibroids are large and visible on an ultrasound scan. It is important to discuss all available treatment options with your healthcare provider before deciding whether or not to proceed with a myomectomy.

What are the risk factors for a myomectomy?

A myomectomy is a surgical procedure that carries certain risks. The most common risks include infection, excessive bleeding, damage to surrounding tissues and organs, problems with anaesthesia, and deep vein thrombosis (DVT). Additionally, infertility or an increased risk of miscarriage could occur if the removal of myomas affects the uterus. As with any major surgery, there is also a risk of an adverse reaction to anaesthesia. Women who have had previous abdominal surgery are at higher risk for complications due to the presence of scar tissue in the area. Lastly, women who are obese or smoke may experience more post-operative complications than those who are not.

What should one expect from a myomectomy?

A myomectomy is a surgical procedure that involves the removal of fibroids from the uterus. It may be done through open surgery, laparoscopy, or hysteroscopy, depending on the size and location of the fibroids. The procedure takes approximately 2–3 hours, and recovery time will vary depending on how extensive the surgery is. Patients can expect some bleeding, cramping, and pain after the procedure, as well as nausea and fatigue. Most patients can return home within a day of their surgery. In general, it is recommended to rest for at least two weeks following a myomectomy, with no strenuous activity or heavy lifting during that time.


A myomectomy is a safe and effective procedure for removing uterine fibroids. It can be performed laparoscopically or via open abdominal surgery, depending on the size and location of the fibroids. The procedure has been used for decades with great success in restoring normal fertility in many women. Myomectomy is a viable option for women who want to preserve their uterus and reproductive capabilities without compromising their overall quality of life. With its proven track record, myomectomy provides an important fertility solution that helps women take control of their health and futures.

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1. What is a myomectomy?

A myomectomy is a surgical procedure used to remove uterine fibroids while preserving the uterus.

2. How is a myomectomy performed?

Myomectomies can be performed through open abdominal surgery, laparoscopic techniques, or hysteroscopy.

3. What are the risks associated with a myomectomy?

The risks of a myomectomy include bleeding, infection, and damage to surrounding tissues.

4. What factors determine whether a patient is suitable for myomectomy?

Factors that may make a patient suitable for a myomectomy include age, size, number of fibroid tumours, and overall health of the patient.

5. What types of post-operative care are required following a myomectomy?

Post-operative care following a myomectomy typically includes rest, monitoring of vital signs, and pain management.

6. Does insurance typically cover the costs associated with a myomectomy?

Insurance coverage for a myomectomy depends on individual policies; patients should check with their providers to determine exact coverage.

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