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.
Uterine fibroids (leiomyomata) are non-cancerous growths that develop in or just outside a woman’s uterus (womb). Uterine fibroids develop from normal uterus muscle cells that start growing abnormally. As the cells grow, they form a benign tumor.
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.2
After myomectomy, a
cesarean section may be needed for delivery. This
depends in part on where and how big the myomectomy incision is.
Recurrence. Fibroids return after surgery in 10%
to 50% of women, depending on the original fibroid problem. Fibroids that were
larger and more numerous are most likely to recur.3
Talk to your doctor about whether your type of fibroid is likely to grow back.
include the following:
Infection of the uterus, fallopian tubes, or
ovaries (pelvic infection) may occur.
American College of Obstetricians and
Gynecologists (2008 reaffirmed 2010). Alternatives to hysterectomy in the management of
leiomyomas. ACOG Practice Bulletin No. 96. Obstetrics and Gynecology, 112(2, Part 1): 387-399.
Parker WH (2007). Etiology, symptomatology, and
diagnosis of uterine myomas. Fertility and Sterility,
Practice Committee of the American Society
for Reproductive Medicine, Society of Reproductive Surgeons (2008). Myomas and
reproductive function. Fertility and Sterility, 90(3):
Primary Medical Reviewer
Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer
Divya Gupta, MD - Obstetrics and Gynecology, Gynecologic Oncology
June 23, 2011
WebMD Medical Reference from Healthwise
June 23, 2011
This information is not intended to replace the advice of a doctor.
Healthwise disclaims any liability for the decisions you make based on this