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What is myomectomy?
Myomectomy is the surgical removal of fibroids from the uterus. It allows the uterus to be left in place and, for some women, makes pregnancy more likely than before. Myomectomy is the preferred fibroid treatment for women who want to become pregnant. After myomectomy, your chances of pregnancy may be improved, but are not guaranteed.
When is it used?
Myomectomy preserves the uterus while treating fibroids. It may be a reasonable treatment option if you have:
What are the benefits of this procedure?
Myomectomy decreases pelvic pain and bleeding from fibroids.
Myomectomy is the only fibroid treatment that may improve your chances of having a baby. It is known to help with a certain kind of fibroid called a submucosal fibroid. But it does not seem to improve pregnancy chances with any other kind of fibroid.
Some studies suggest that myomectomy may also lower the risk of miscarriages among women with fibroids but there are not yet good enough studies to know for sure.
What are the risks associated with this procedure?
How do I prepare for myomectomy?
Follow your health care provider's instructions about not smoking before and after the procedure. Smokers heal more slowly after surgery. They are also more likely to have breathing problems during surgery. For this reason, if you are a smoker, you should quit at least 2 weeks before the procedure. It is best to quit 6 to 8 weeks before surgery. Also, your wounds will heal much better if you do not smoke after surgery.
Follow any other instructions your provider gives you. If you are to have general anesthesia, eat a light meal, such as soup or salad the night before surgery. Do not eat or drink after midnight. You should not even drink coffee, tea, or water. Your physician may also recommend a bowel prep.
What happens after the procedure?
The length of time you may spend in the hospital varies, and hysteroscopy is an outpatient procedure. Laparoscopy may be an outpatient procedure or may require a stay of 1 day. Laparotomy requires an average stay of 1 to 4 days. Recovery time depends on the method used for the myomectomy:
Hysteroscopy requires from a few days to 2 weeks to recover; Laparoscopy requires 1 to 2 weeks; and Laparotomy requires 4 to 6 weeks. Plan for your care and recovery after the operation. Allow for time to rest. Try to find other people to help you with your day-to-day duties.
When should I call Greenville OB/GYN
Call our emergency number at any time if:
Call during regular office hours if: