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Myomectomy

Myomectomy is a surgical procedure to remove uterine fibroids. These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age.

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How long does a myomectomy surgery last?

The procedure takes approximately two to three hours. This time frame varies depending on the size of the fibroids, the number of fibroids, and the size of the uterus. The surgery is typically carried out laparoscopically, which is a minimally invasive procedure that requires only a few small incisions.

What are the possible changes in the body after a myomectomy?

A woman may probably experience changes in her menstrual cycle after undergoing a myomectomy. This may include heavier or lighter periods, longer or shorter periods, and more or less frequent periods. Hormonal imbalances, abdominal discomfort, and fatigue are also possible changes.

Is a myomectomy considered major surgery?

Myomectomy is indeed major surgery. Fibroids are removed from the uterus using open surgery or laparoscopy. An abdominal incision may be required depending on the size and location of the fibroids, making the surgery a major one.

Are there any chances that my fibroids will reoccur after a myomectomy?

If a woman tends to grow fibroids, new fibroids may grow. It is possible that the underlying causes of fibroids, such as hormonal imbalances and genetic predisposition, could still exist. It is necessary to repeat surgery after a few years in this case.

What should be my sleeping position after the myomectomy?

Ideally, any position is ok after Laparoscopic and Hysteroscopic Myomectomy

  • Lie straight on your back.
  • Use a pillow underneath for comfort.
  • Add a cushion for more support if needed.

What is the difference between myomectomy and hysterectomy?

During Myomectomy the fibroid tissues in the uterus are excavated, while in Hysterectomy complete uterus is removed.

How is a myomectomy performed?

Myomectomy can be performed through different techniques, including open abdominal surgery (laparotomy), laparoscopic surgery, or hysteroscopic surgery. The specific technique used depends on factors such as the size, location, and number of fibroids, as well as the surgeon's expertise.

Can a myomectomy improve fertility?

Yes, a myomectomy can improve fertility outcomes for women experiencing infertility due to fibroids. By removing the fibroids, the uterine cavity is restored, which can enhance the chances of successful implantation and pregnancy. However, the impact on fertility varies depending on the individual circumstances.

Will fibroids grow back after a myomectomy?

While a myomectomy removes existing fibroids, there is a possibility of new fibroids developing in the future. The risk of fibroid recurrence depends on various factors, such as the size and number of fibroids, the patient's age, and hormonal factors. Regular follow-up with a healthcare provider is important to monitor the condition.

What are the potential risks or complications of a myomectomy?

Like any surgical procedure, a myomectomy carries potential risks and complications, including bleeding, infection, injury to nearby organs, scar tissue formation, or complications related to anesthesia. Your surgeon will discuss these risks with you and provide guidance based on your individual situation.

What is the difference between myomectomy and hysterectomy?

During Myomectomy the fibroid tissues in the uterus are excavated, while in Hysterectomy complete uterus is removed.

After the myomectomy, how will my first period be?

It will depend on the extent of the surgery and how much tissue was removed. There might be brown or reddish-brown vaginal discharge or spotting for a few weeks after surgery. This is normal. Your first two periods are expected to start early or late. Some women may have a longer or heavier period than others. It is imperative to speak with your doctor about what to expect.

What are the possible changes in the body after a myomectomy? A woman may probably experience changes in her menstrual cycle after undergoing a myomectomy. This may include heavier or lighter periods, longer or shorter periods, and more or less frequent periods. Hormonal imbalances, abdominal discomfort, and fatigue are also possible changes.

How many days of rest are recommended after a myomectomy?

Generally, women are advised to rest for at least two to three days after the procedure. In addition, they are advised to avoid strenuous activities for four to six weeks. After that, it is wise to gradually increase activity levels, while still avoiding activities that may be too strenuous. However, it takes a woman about six weeks to recover fully after surgery.

Is a myomectomy considered major surgery?

Myomectomy is indeed major surgery. Fibroids are removed from the uterus using open surgery or laparoscopy. An abdominal incision may be required depending on the size and location of the fibroids, making the surgery a major one.

What preparation should I do before my myomectomy surgery?

  • Take the medicine, if  told by the doctor to do so on the day of surgery
  • Take a bath before leaving home for surgery.
  • Do not apply any lotion, cream, perfume, or deodorant with a strong odor.
  • Do not attempt to shave the surgical site by yourself.

What should I avoid after a myomectomy?

Patients are suggested to avoid the following for four to six weeks after myomectomy;

  • Avoid taking a bath first week.
  • Avoid making incisions wet during bath.
  • Avoid strenuous exercises such as biking, jogging, and aerobics.

What is a myomectomy?

A myomectomy is a surgical procedure performed to remove uterine fibroids while preserving the uterus. It is commonly performed to alleviate symptoms associated with fibroids, such as heavy menstrual bleeding, pelvic pain, or fertility issues.

Why is a myomectomy performed?

A myomectomy is performed to relieve symptoms caused by fibroids, such as heavy or prolonged menstrual bleeding, pelvic pain or pressure, frequent urination, or fertility problems. It is an alternative to a hysterectomy for women who wish to preserve their fertility or retain their uterus for other reasons.

What is the recovery time after a myomectomy?

The recovery time after a myomectomy depends on the type of surgery performed and the individual patient. Recovery from a laparoscopic or hysteroscopic myomectomy is generally faster compared to an open abdominal myomectomy. Most women can expect to return to their normal activities within a few weeks to several weeks after the procedure.

Can a myomectomy be performed during pregnancy?

A myomectomy is generally not performed during pregnancy unless there are specific complications or concerns. The risks associated with surgery during pregnancy may outweigh the benefits, and the procedure is usually delayed until after delivery.

Will a myomectomy affect future pregnancies?

In most cases, a myomectomy does not significantly impact future pregnancies. However, the impact can vary depending on factors such as the location and size of the fibroids, the surgical technique used, and the individual's reproductive health. It is important to discuss your specific situation with a healthcare provider.

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