Heavy period after myomectomy: what to know

Myomectomy removes fibroids while keeping the uterus. After surgery, the uterine muscle and lining need time to recover, and the first menstrual cycles may not match your previous pattern. Bleeding can also reflect fibroids that remain, a fibroid returning, or a separate cause. Heavy bleeding is a symptom, not proof that the operation has failed.

Pain, tiredness, or reduced exercise tolerance can make blood loss harder to judge. Keep your discharge instructions available and compare the bleeding with the recovery pattern your surgeon described.

Call your surgical team if the bleeding is more than they expected or does not gradually settle. Tell them when surgery occurred, the procedure type, pad changes, clots, pain, temperature, and medicines. Follow restrictions on lifting and activity, take prescribed medicines as directed, and do not start aspirin or another bleeding-affecting medicine without checking. Your review may include an examination, blood tests, or imaging.

Get urgent help for rapidly increasing bleeding, faintness, severe abdominal or pelvic pain, a swollen abdomen, fever, breathlessness, chest pain, or a wound that is opening or draining heavily. Contact the team promptly for persistent heavy periods, new pelvic pain, or bleeding between periods after the initial recovery period.

Ask when your next period is expected, what amount of bleeding is acceptable after your specific operation, whether any fibroids remain, and whether you need a blood count or imaging. If symptoms continue, ask which options are appropriate, such as medicines, uterine artery embolisation, or another procedure.