Does an obstetrics and gynaecology specialist perform myomectomy?

Myomectomy removes uterine fibroids without removing the uterus. The route may be through the vagina and cervix, keyhole abdominal surgery, or an abdominal incision, depending on fibroid number, size, location, and symptoms. A specialist considers heavy bleeding, pressure, pain, anaemia, fertility goals, and previous operations. Treatment may also include observation or medication. Your surgeon should explain how the chosen route affects recovery and how the uterine wall will be repaired.

Bring details of bleeding patterns, pelvic pressure, pain, bowel or bladder symptoms, pregnancy plans, and prior scans. Ask whether medicines can help, which fibroids are causing symptoms, and whether the operation could change fertility or future pregnancy planning. Discuss blood tests, preparation, expected hospital stay, activity restrictions, and follow-up before signing consent.

Heavy bleeding with dizziness or weakness needs prompt medical assessment. Seek urgent care for severe pelvic pain, fainting, fever, repeated vomiting, or difficulty passing urine. After myomectomy, report increasing pain, heavy bleeding, fever, wound changes, or unusual discharge to the surgical team without waiting for a scheduled review.

Ask which route is recommended and why, how the fibroids will be located, how bleeding will be managed, and what happens if the findings differ from the scan. Clarify recovery, contraception or pregnancy timing, and symptoms that should prompt an urgent call.