Myomectomy FAQs

Navigating the journey of a myomectomy, a surgical procedure to remove uterine fibroids, is an important stage in the body's recovery. Individuals can typically expect a 2-6 week healing period, depending on the type of myomectomy. During this time, it is critical to maintain an optimal healing environment and engage in activities that promote healing and physical well-being. Incorporating gentle mobility and strength exercises into your recovery program can help to optimize the healing process while also building back strength and functionality.

Below, I answer some of the most frequently asked questions about myomectomy, providing insights that can help you better understand the procedure and its aftermath. Understanding the various aspects of recovery can help you improve your overall healing journey after a myomectomy. I am here to help, whether you prefer an individualized approach to recovery or thrive in group settings. We can safely incorporate appropriate exercises and practices into your routine, allowing you to return to your daily activities with confidence!
*This is not medical advice

What is a myomectomy?

A myomectomy is a surgical procedure performed to remove fibroids, the non-cancerous growths appearing in the uterus.

Why might I need to have a myomectomy?

One might need a myomectomy if they experience symptoms like heavy menstrual bleeding, severe pelvic pain, fertility issues, frequent urination, or difficulty with bowel movements caused by fibroids.

Is a myomectomy considered risky?

While all surgeries come with risks, most myomectomies are successfully performed without complications. However, the risk can depend on individual health conditions and the size and location of the fibroids.

What are the possible complications of a myomectomy?

Possible complications may include infection, blood loss, damage to organs, scarring, or complications with future pregnancies. However, such complications are relatively rare.

Can all types of fibroids be removed with a myomectomy?

Yes, but the method used (abdominal, laparoscopic, or hysteroscopic myomectomy) will vary depending on the size, number, and location of the fibroids.

What are the different types of myomectomy?

The three types include abdominal myomectomy (open surgery), laparoscopic myomectomy (using a thin tube with a camera), and hysteroscopic myomectomy (inserting a telescope through the vagina and cervix).

How is a laparoscopic myomectomy different from an open myomectomy?

A laparoscopic myomectomy is less invasive than an open one, involving smaller incisions and typically resulting in less pain and faster recovery.

How long does it take to recover from a myomectomy?

Recovery time varies depending on the type of myomectomy performed. Generally, it ranges between 2-4 weeks, but it may extend up to six weeks for open surgeries.

Will myomectomy increase my chances of getting pregnant?

Yes. Many women have improved fertility rates post-myomectomy as the fibroids may have previously interfered with fertility.

Can fibroids reappear even after a myomectomy?

Despite successful removal, there's a chance fibroids could recur. Younger women are particularly at risk due to longer exposure to estrogen.

Is a hysterectomy a better option than a myomectomy?

If a woman doesn't wish to retain her uterus, or medical reasons necessitate it, hysterectomy (removal of the uterus) can be a more permanent solution to fibroids.

Will my periods be affected after a myomectomy?

Most women experience a return to normal menstrual patterns after a myomectomy. In some cases, menstrual flow may lessen compared to pre-surgery levels.

Is there a maximum or minimum age for a myomectomy?

There is no set age limit for a myomectomy. However, it's typically performed on reproductive-age women, and the necessity depends on the symptoms and discomfort caused by the fibroids.

How should I prepare for a myomectomy?

Preparation includes various lab tests, discontinuing certain medications, fasting overnight, and arranging for post-procedure assistance and care.

What should I expect post myomectomy in terms of symptoms and lifestyle changes?

While some pain and discomfort can be expected, many women report increased comfort and decrease in symptoms post-recovery. Lifestyle changes depend on the individual’s condition, but regular check-ups and potential changes to dietary or exercise habits might be advised.