Myomectomy 2018-02-02T13:41:07-06:00



If you are suffering from fibroids, a myomectomy may be the best method of treatment for you. Fibroids affect anywhere from 20%- 80% of the female population during childbearing years. They are non-cancerous tumors that cause a lot of other symptoms. When symptoms become worse, they may have to be removed. A myomectomy can be done through different procedures. Each procedure is dependent upon size and location of the fibroids. The type of surgery you choose will determine your recovery period. After recovery, your symptoms should go away, and you may increase your chance of pregnancy.

Uterine fibroids are a pain. They can create a lot of problems for you as a woman. Not everyone experiences fibroids, but nearly 80% of women get them by the time they turn 50. You can have one fibroid or many. They range in sizes. They can be anywhere from the size of a fruit seed up to the size of a grapefruit. The larger they are, the more likely you are to experience symptoms and have trouble with pregnancy. Some women can live with the fibroids just fine because it does not cause any adverse effects but there are others who must remove them because of all the added pain that comes along with them.

Different Types of Fibroids 

All fibroids are uterine fibroids, but they may be located in different areas of the uterus. There are four different types of uterine fibroids that you should know. The first type of fibroid, which is the most common, is called intramural fibroids. These fibroids grow inside the endometrial (outer) lining of the uterus. They can become very large and stretch the walls of the uterus. Submucosal fibroids grow in the myometrium (inner) lining of the uterus. These fibroids are not as common but cause a lot of uterine bleeding and create the most problems when trying to conceive. The other two types of fibroids go hand in hand. Subserosal and pedunculated fibroids grow outside of the uterus. The only difference between the two is the presence of the stem. Pedunculated fibroids grow a stem that gives the fibroid more support. These fibroids can make your stomach and uterus look much larger than it is.

Symptoms & Treatment

There are many symptoms of fibroids. One symptom is an enlarged abdomen. Subserosal fibroids, especially, cause the abdomen to look much larger than normal. You may also experience heavy bleeding with your menstrual cycle and an increase in cramps. Sex is also painful, especially with those endometrial fibroids. You may also feel the need to urinate a lot. Fertility is a major factor. Some women have trouble conceiving, and those that do are at a high risk. They have to be monitored very carefully to make sure the fibroids are not affecting the child.

When symptoms become too much to bear, the next step is having the fibroids removed. The first step before removal is having the fibroids shrunk. The doctor will prescribe a hormone that will hopefully shrink the fibroids and minimize blood loss. It also assists in restoring the iron in the blood. If you have been dealing with heavy periods, you can easily become anemic. For surgery, there are three different methods available. The options are hysteroscopy, laparoscopy, and laparotomy.

A hysteroscopy is the least invasive of all the surgery options. A hysteroscopy involves inserting a light into the uterus through the vagina and removing the fibroids. Sometimes they only remove part of the fibroid, but it can only remove endometrial fibroids. Laparoscopy requires the insertion of light in the same manner as a hysteroscopy, but the doctor will also make cuts into the abdomen. Gas is put into the abdomen to inflate it so that they can see and have more space to work. Small instruments are placed inside the abdomen to remove the fibroids. Sometimes the doctor will cut them away or use a laser to burn them. A laparotomy is a very invasive surgery. It is similar to a C-section in that the whole abdomen has to be cut and lifted up. With this method os surgery, the doctor not only removes tumors but can fix problems with the structure of the uterus. If you have a lot of scar tissue, that will be removed as well. Sometimes through this method of surgery, the doctor will diagnose other problems that you may not have known existed.


After a myomectomy, it is time to recover. Recovery is dependent upon the type of surgery you get.  For a hysteroscopy, recovery may be a few days or a couple of weeks. It is an outpatient procedure, so it does not require a hospital stay. A laparoscopy may take up to two weeks for recovery as well. After this procedure, the doctor will want to monitor you for a day just to make sure everything is going well. A laparotomy requires a much longer recovery period and hospital stay. You may remain in the hospital for up to four days. Recovery will be from one month to a month in a half. It takes more time to recover from such an invasive procedure.


When it comes to myomectomy surgery, there are a lot of risks. One risk is an infection. An infection can occur anywhere related to the uterus. Sometimes during the procedure, the doctor may decide to do a hysterectomy and remove your whole uterus. If the doctor notices a lot of problems or you are steadily bleeding, the best thing to do is remove the whole uterus. Scarring is another risk. The removal of fibroids can create a lot of scar tissue. The scar tissue can take up room in the uterus and make conception very difficult. Injury is rare, but it is possible, especially when dealing with serosal fibroids that are outside of the uterus.

If you are suffering from fibroids that are giving you the blues, you should talk to your doctor about removal. Do not continue to suffer. Fibroid removal is a risk, but compared to the discomfort you may already be in, it is a risk worth taking. There are different types of surgeries, and the doctor will determine which is best for you. If you are looking to have children, this may also benefit you greatly. You do not want anything to bring harm to your developing child. Once the surgery and recovery are over, you will feel great. You may regret not doing it sooner.


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