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Myomectomy

The Surgery Itself

Depending on the size and location of the fibroids, your surgeon will make a 6- to 9-inch incision, or cut, across your lower abdomen. This incision may be either horizontal or vertical on the skin.
After opening your abdomen, your doctor will carefully inspect your organs, including the uterus, and check the size, location, and number of fibroids that are present. If fibroids are found, and your doctor feels that they may be the cause of your problem, they will be removed. The method used to remove the fibroids will depend on their size and location.
(Click Myomectomy Surgery for more information on the actual procedure.)

Recovering From a Myomectomy

After a myomectomy and recovery room stay, you will be transferred to a regular hospital room, where your family and friends will be able to visit with you at the scheduled visiting times. You will remain in the hospital for two to five days after your surgery.
When you leave the hospital to continue your myomectomy recovery, you will be given instructions for taking care of your body, as well as specific instructions for driving, activity level, medication, and anything else.
(Click Myomectomy Recovery for more information.)

Expected Results

Following a myomectomy, most women feel that their fibroid symptoms improve. However, because pelvic pain and discomfort are often symptoms of other gynecologic problems, not just uterine fibroids, the pain relief may be limited. Also, symptoms may return at a future date.
Having a myomectomy can improve your fertility. Other factors that can play a role in your ability to conceive after a myomectomy include:
  • Age
  • The desire to conceive
  • The size of myomas
  • The number of myomas.
If you do conceive, your baby will most likely need to be delivered by C-section (cesarean section).
Last reviewed by: Arthur Schoenstadt, MD
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