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What Is Myomectomy

For women who have fibroids in the uterus but would like to become pregnant, the ideal treatment is fibroid removal. This procedure is called myomectomy. It is a preferred remedy because it leaves the uterus in place. While the chances of pregnancy are improved post-myomectomy, it is not guaranteed.

To reduce blood loss resulting from the procedure, a therapy involving the shrinking of fibroids is performed before myomectomy. Gonadotropin-releasing hormone analogue (GnRH-a) therapy decreases the production of estrogen, which contributes to the prevention of uterine bleeding.

Myomectomy is performed using any or all of these surgical methods:

  • Laparotomy, or an incision in the abdomen
  • Laparoscopy, or making small incisions in the abdomen and inserting a lighted viewing instrument
  • Hysteroscopy, or the procedure in which a viewing instrument is inserted through the vagina to get a view of the uterus

 

In addition, hysteroscopy may be used to remove fibroids on the inside walls of the uterus. Laparoscopy may be used to remove fibroids about an inch in size that are growing outside the uterus. Lastly, laparotomy is an ideal procedure to remove numerous or larger-sized fibroids. Laparotomy is also a treatment used to correct bowel or urinary disorders without organ damage.

Hysteroscopy and laparoscopy are both outpatient procedures; laparotomy may require a hospital stay of about one to four days.

As for the recovery period, hysteroscopy entails a recovery period of two weeks at most; the same with laparoscopy. Laparotomy, however, may call for about four to six weeks.

Among the benefits of myomectomy is that it stops bleeding from fibroids as well as eliminates pelvic pain. Fibroids can cause infertility or miscarriage; by removing them, myomectomy contributes to better chances of pregnancy. As fibroids tend to grow back, it is best to attempt to conceive right after myomectomy is performed, provided proper recovery is observed.

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