Which specialist performs a myomectomy?

A myomectomy removes fibroids while aiming to leave the uterus in place. The surgeon may reach the fibroid through the abdomen, with keyhole surgery, or through the vagina and cervix for a fibroid inside the uterine cavity. The choice depends on the number, location, and size of fibroids, as well as your symptoms and plans for pregnancy. Imaging helps the gynaecologist map the uterus before recommending an approach.

Bring scan reports, a list of medicines, and a record of heavy bleeding, pelvic pressure, pain, or fertility concerns. Ask whether the proposed operation matches the position of each fibroid and whether another treatment could meet your goals. Discuss anaesthesia, recovery, effects on future pregnancy, and how bleeding will be managed. Your surgeon may coordinate with an anaesthetist or other hospital teams before the procedure.

Seek urgent medical help for bleeding that rapidly soaks pads, faintness, severe pelvic pain, fever, or a swollen abdomen after surgery. Persistent vomiting, shortness of breath, or inability to pass urine also requires prompt assessment. Before treatment, seek care quickly if heavy bleeding causes weakness or dizziness.

Ask which type of myomectomy is planned, why it suits your fibroids, how fertility may be affected, what recovery involves, and which symptoms should lead you back to hospital.