What to expect from myomectomy for uterine fibroids

Fibroids are non-cancerous growths that can develop in or around the uterus. A myomectomy removes selected fibroids rather than removing the uterus. Depending on their size, number and position, the procedure may be performed through the vagina and cervix, keyhole incisions or an abdominal incision. The surgeon will explain which route fits your situation.

After surgery, cramps, tiredness, incision tenderness and light bleeding can be expected. The uterus may need time to heal, and symptoms such as heavy bleeding or pressure may improve gradually rather than immediately.

Arrange help with meals, transport and lifting while you recover. Take prescribed pain relief and other medicines as directed, keep wounds dry or clean according to instructions, and walk gently as advised. Avoid strenuous activity and vaginal intercourse until your surgeon confirms it is safe. Keep follow-up appointments to discuss healing, remaining symptoms and future pregnancy planning.

Contact your surgical team for bleeding that becomes heavy, worsening pain, fever, vomiting, a red or draining wound, or difficulty passing urine. Seek urgent care for fainting, severe abdominal pain, chest pain or trouble breathing.

Ask why the recommended surgical route suits your fibroids, how the operation may affect fertility, when to resume work and exercise, how long to avoid pregnancy if relevant, and how recurrence will be monitored.