Myomectomy is a surgical procedure used to remove uterine fibroids—noncancerous growths that develop in or on the uterus. Unlike a hysterectomy, which removes the entire uterus, a myomectomy preserves the uterus, making it an ideal option for women who wish to maintain fertility or avoid more invasive surgery.
Your gynecologist may recommend a this procedure if your fibroids are causing persistent and disruptive symptoms such as:
Pelvic pain or pressure that interferes with daily activities or comfort
Irregular bleeding, including spotting between periods or prolonged menstruation
Frequent urination due to the fibroids pressing on the bladder
Heavy periods (menorrhagia) that lead to anemia or fatigue
In addition to alleviating symptoms, This procedure can improve your chances of conception if fibroids are affecting your fertility. Depending on the size, number, and location of the fibroids, your doctor may recommend one of several myomectomy techniques, including abdominal, laparoscopic, or hysteroscopic approaches.
For more information about myomectomy, schedule an appointment with the best GYN in East New York please visit Women’s Health – Doral Health & Wellness Brooklyn NY.
Why Myomectomy is Needed
Fibroids are the abnormal noncancerous growth that develops in a woman’s uterus. These tumors can become large, and cause severe abdominal pain, and heavy periods. Fibroids have a lower risk of developing cancer as they are typically benign.
Fibroids are also known as myomas, uterine myomas or fibroid myomas, and fibromas. Although most women don’t have any symptoms and may never know they have fibroids, about 80% of these women have them by the age of 50.
this procedure is an option for women who still wish to get pregnant in the future. Unlike hysterectomy, a procedure that takes out your entire uterus, myomectomy will only remove your fibroids, leaving your uterus in place.
With myomectomy, periods will return and hopefully be lighter than before the fibroids were removed. But there is also a chance that new fibroids will develop after myomectomy. With hysterectomy, this is an option for women who are beyond their child-bearing years and do not want to have any more periods in the future.
A myomectomy can be done in one of three ways, which include:
1. Abdominal Myomectomy
In this traditional approach, your surgeon will make a surgical incision in your lower abdomen to access and remove fibroids. This method is typically recommended for women with multiple, very large, or deeply embedded fibroids within the uterine wall. While more invasive, it offers a complete view of the uterus and allows for thorough removal.
2. Laparoscopic Myomectomy
This minimally invasive technique uses a laparoscope (a thin tube with a camera) inserted through small incisions in the abdomen. It’s ideal for patients with fewer or smaller fibroids. Recovery time is shorter, and scarring is minimal compared to open surgery, making it a preferred option for eligible candidates.
3. Hysteroscopic Myomectomy
In this procedure, fibroids are removed through the vagina and cervix using a hysteroscope. It’s only suitable for submucosal fibroids, which are located inside the uterus and protrude into the uterine cavity. This non-incisional method allows for quick recovery and is typically done on an outpatient basis.
What to Expect After Surgery
Regardless of the method, pain and discomfort are normal during the recovery process. Your healthcare provider will prescribe pain-relieving medications to help manage post-operative symptoms. Recovery time varies by procedure:
Abdominal myomectomy may require 4 to 6 weeks of recovery
Laparoscopic myomectomy usually involves 2 to 4 weeks of downtime
Hysteroscopic myomectomy may require just a few days to a week
During recovery, it’s important to avoid heavy lifting, intense physical activity, and sexual intercourse until cleared by your doctor. Regular follow-ups are also essential to ensure proper healing and to discuss future fertility or symptom management.
As with all surgical procedures, myomectomy has potential complications. Although rare, you may develop an infection after your myomectomy procedure. You may also develop serious bleeding. And if you become pregnant after myomectomy, you may need a cesarean section for your child’s delivery.
New fibroids may come back and grow after your myomectomy especially if you had the procedure during your younger years. Younger women, the ones who had many fibroids, have a higher chance of developing more fibroids than women who are already near the menopausal stage and with those who have few fibroids.
If you are looking for a gynecologist that you can trust, you can book your appointment at Doral Health and Wellness – Women’s Health Center. To book an appointment, you can visit us at 1797 Pitkin Avenue, Brooklyn, NY, or call us on 1-347-384–5690 or or 1-347-955-3465. You can also visit our website to book an appointment online at https://doralhw.org or contact us at info@mainwebsite.dialysisny.com if you have any queries.
