What if myomectomy does not relieve heavy periods?

Myomectomy removes selected fibroids, but bleeding can have more than one cause. Fibroids may remain or grow again, and the womb lining or hormone pattern may also contribute. The operation itself can temporarily alter bleeding while tissues heal. A clinician may ask about cycle timing, clots, bleeding between periods, medicines, and symptoms such as tiredness or breathlessness. These details help distinguish ongoing menstrual heaviness from bleeding that needs a different assessment.

Track the days of bleeding, how often you change pads or tampons, clots, pain, and any bleeding after sex. Bring the operation report and list of medicines. Your clinician may examine you, check for anaemia, and arrange imaging if the pattern suggests a uterine cause. Options can include medicine, treatment aimed at the womb lining, or further management of fibroids; the choice depends on your symptoms, fertility plans, and findings.

Seek urgent medical help if bleeding is soaking through protection repeatedly, you feel faint or short of breath, or you have severe worsening pain, fever, or unusual discharge after surgery. Contact your surgical team promptly if bleeding becomes heavier during recovery or you are worried about a wound or new abdominal swelling.

Could the bleeding be from a remaining fibroid or a different condition? Do I need a blood test or scan? Which treatments fit my plans for pregnancy? When should I expect my cycle to settle after surgery?