Surgery
Myomectomy
A myomectomy removes fibroids from the womb while keeping the womb itself, preserving the chance of future pregnancy.
Quick answer
Myomectomy: what it is, why it's done and what happens
A myomectomy removes uterine fibroids — non-cancerous growths of the womb — while leaving the womb in place. It can be done through keyhole surgery, open surgery, or via the cervix depending on the fibroids.
- Why it is done: It is used for fibroids causing heavy bleeding, pain, pressure symptoms or fertility problems, particularly in women who wish to keep their womb or preserve fertility.
- What happens: Under general anaesthetic, the surgeon removes the fibroids by the most suitable route — hysteroscopic (through the cervix), laparoscopic (keyhole) or open surgery.
What it is
A myomectomy removes uterine fibroids — non-cancerous growths of the womb — while leaving the womb in place. It can be done through keyhole surgery, open surgery, or via the cervix depending on the fibroids.
Why it is done
It is used for fibroids causing heavy bleeding, pain, pressure symptoms or fertility problems, particularly in women who wish to keep their womb or preserve fertility.
What happens
Under general anaesthetic, the surgeon removes the fibroids by the most suitable route — hysteroscopic (through the cervix), laparoscopic (keyhole) or open surgery. Time and stay depend on the approach.
Recovery
Recovery ranges from a few days for keyhole or hysteroscopic surgery to several weeks for open surgery. Bleeding and cramping settle over time, and follow-up checks how the womb has healed.
Good to know
Risks and things to consider
Risks include bleeding (sometimes heavy), infection, and scar tissue. Fibroids can regrow, and in some cases a hysterectomy becomes necessary if bleeding cannot be controlled.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Myomectomy: frequently asked questions
Can I get pregnant after a myomectomy?
Yes, preserving fertility is one of the main reasons for choosing it over hysterectomy. Depending on the surgery, you may be advised to wait a period before conceiving and to consider delivery method.
Will the fibroids come back?
New fibroids can develop over time, as the underlying tendency remains, so some women need further treatment in the future.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Royal College of Obstetricians and Gynaecologists / relevant professional body
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