Myomectomy

consultation
What is Myomectomy?

A myomectomy is a surgical procedure designed to remove uterine fibroids (also known as myomas), which are noncancerous growths that develop in or on the uterus. Unlike a hysterectomy, which involves removing the entire uterus, a myomectomy preserves the uterus, making it a preferred option for women who wish to maintain their fertility or retain their uterus for personal reasons.

How to diagnose Myomectomy? When to consult a doctor?

Diagnosing the need for an Myomectomy involves several steps, including a combination of medical history, physical exams, and Imaging tests & Hysteroscopy.

You should consult a doctor if:

  • Heavy Menstrual Bleeding: If you have unusually heavy or prolonged menstrual periods, this may be a sign of fibroids.
  • Pelvic Pain or Pressure: Experiencing persistent pelvic pain, pressure, or discomfort that interferes with daily activities may warrant medical attention.
  • Menstrual Irregularities: If you notice changes in your menstrual cycle, such as spotting between periods or periods that are much longer than usual.
  • Enlarged Abdomen: A noticeable increase in abdominal size or bloating that does not correlate with weight gain or dietary changes.
  • Pain During Intercourse: Experiencing pain during sexual intercourse may indicate the presence of fibroids.
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Causes
  • Symptomatic Fibroids
  • Fertility Issues
  • Recurrent Pregnancy Loss
  • Large or Multiple Fibroids
  • Rapidly Growing Fibroids
Symptoms
  • Heavy Menstrual Bleeding (Menorrhagia)
  • Pelvic Pain or Pressure
  • Frequent Urination
  • Difficulty Emptying the Bladder
  • Constipation or Bloating
  • Backache or Leg Pains
  • Pain During Intercourse (Dyspareunia)
  • Complications During Pregnancy
Frequently Asked Questions

Recovery time varies depending on the surgical approach:

  • Abdominal Myomectomy: Typically 6-8 weeks.
  • Laparoscopic Myomectomy: Usually 3-4 weeks.
  • Hysteroscopic Myomectomy: Often 1-2 weeks.

Many women can conceive after a myomectomy, but there may be increased risks of complications in pregnancy, such as uterine rupture or placental problems. It's important to discuss individual risks with a healthcare provider.

Patients may experience pain and discomfort that can be managed with medications. It's important to follow post-operative care instructions, including activity restrictions and follow-up appointments.