What Is Myomectomy? How Is It Performed While Preserving the Uterus?
Myomectomy is a surgical procedure in which fibroids in the uterus are removed while the uterus is preserved. It is one of the most important treatment options, especially for women who wish to have children. With this method, both the symptoms caused by fibroids are eliminated and the patient’s fertility potential is maintained.
Fibroids can cause problems such as menstrual irregularities, heavy bleeding, pelvic pain, a feeling of pressure, and infertility, depending on their size and location. Fibroids located close to the uterine cavity may reduce the chances of pregnancy by making it difficult for the embryo to implant. Therefore, surgical removal of fibroids is recommended in suitable patients.
Myomectomy can be performed either through open surgery or laparoscopic methods. The laparoscopic approach offers a more comfortable recovery process for the patient, as it is performed through smaller incisions. During the operation, fibroids are carefully removed, and the uterine tissue is meticulously repaired.
In the post-operative period, the healing of the uterine structure is monitored. In patients planning pregnancy, conception may be recommended after a certain period. This period may vary depending on the extent of the procedure performed.
At the Cyprus American IVF Center, myomectomy procedures are carried out by experienced specialists with a fertility-preserving approach. An individualized treatment plan is created for each patient, and the most appropriate surgical method is determined.
If you have been diagnosed with fibroids and are planning pregnancy, the right treatment approach is of great importance.
For more information and to schedule an appointment, please feel free to contact us.
Frequently Asked Questions About Myomectomy
What is myomectomy?
Myomectomy is a surgical procedure in which fibroids are removed from the uterus while preserving the uterus. It is commonly preferred for women who wish to maintain fertility or plan pregnancy in the future.
Who can benefit from myomectomy?
Myomectomy may be suitable for women with fibroids who experience heavy menstrual bleeding, pelvic pain, pressure symptoms, menstrual irregularities, infertility, recurrent pregnancy loss, or difficulty conceiving.
Does myomectomy preserve the uterus?
Yes. The main purpose of myomectomy is to remove fibroids while keeping the uterus intact. This makes it an important option for women who want to protect their fertility potential.
Why are fibroids removed before pregnancy?
Fibroids may interfere with embryo implantation, distort the uterine cavity, or affect pregnancy development depending on their size and location. Removing suitable fibroids may improve the chances of natural pregnancy or IVF success.
Can fibroids cause infertility?
Yes. Fibroids located near or inside the uterine cavity may reduce fertility by making embryo implantation more difficult or by disrupting the normal uterine environment.
What symptoms can fibroids cause?
Fibroids may cause heavy menstrual bleeding, prolonged periods, pelvic pain, pressure sensation, frequent urination, menstrual irregularities, infertility, or recurrent pregnancy loss.
How is myomectomy performed?
Myomectomy can be performed through open surgery or laparoscopic surgery. During the procedure, fibroids are carefully removed, and the uterine tissue is repaired to preserve uterine structure and function.
What is laparoscopic myomectomy?
Laparoscopic myomectomy is a minimally invasive surgery performed through small abdominal incisions using a camera and specialized instruments. It usually offers less pain, smaller scars, and faster recovery compared with open surgery.
When is open myomectomy needed?
Open myomectomy may be recommended when fibroids are very large, numerous, deeply located, or not suitable for laparoscopic removal. The surgical method is chosen according to the patient’s condition and fertility goals.
Is myomectomy painful?
The operation is performed under anesthesia, so the patient does not feel pain during surgery. Some pain, cramping, or discomfort may occur afterward and is usually managed with medication.
How long does recovery take after myomectomy?
Recovery time depends on the surgical method, number and size of fibroids, and the patient’s general health. Laparoscopic myomectomy usually allows a faster return to daily life than open surgery.
Can pregnancy occur after myomectomy?
Yes. Pregnancy may occur after myomectomy if the uterus heals properly and other fertility factors are suitable. Many women plan natural conception or IVF treatment after recovery.
When can pregnancy be planned after myomectomy?
Pregnancy is usually planned after the uterus has healed sufficiently. The waiting period may vary depending on the size, number, and location of fibroids removed and the extent of uterine repair.
Can myomectomy improve IVF success?
Yes. Removing fibroids that affect the uterine cavity or embryo implantation may improve IVF success rates in suitable patients.
Can fibroids come back after myomectomy?
Yes. New fibroids may develop over time, especially in women who are prone to fibroid formation. Regular gynecological follow-up is important after surgery.
Does myomectomy guarantee pregnancy?
No. Myomectomy does not guarantee pregnancy. Success depends on age, ovarian reserve, sperm quality, uterine healing, embryo quality, and other reproductive health factors.
Is myomectomy safer than hysterectomy for women who want children?
For women who wish to have children, myomectomy is usually preferred over hysterectomy because it preserves the uterus. Hysterectomy removes the uterus and eliminates the possibility of carrying a pregnancy.
What should patients consider before myomectomy?
Patients should understand the fibroid size, number, location, surgical method, recovery process, fertility goals, possible recurrence risk, and recommended timing for pregnancy after surgery.
Why choose Cyprus American IVF Center for myomectomy?
Cyprus American IVF Center performs myomectomy with a fertility-preserving approach. Each patient is evaluated individually, and the most suitable surgical method is selected to protect uterine health and pregnancy potential.
