Myomectomy is a surgical procedure used to remove uterine fibroids while preserving the womb. Fibroids are non-cancerous growths that develop in or around the uterus. They affect up to two-thirds of women in the UK. Many women experience no symptoms at all. However, others may face heavy menstrual bleeding, pelvic pain, or bladder pressure. When these symptoms disrupt daily life, a myomectomy may offer lasting relief. Miss Deepti Cheema, a Consultant Obstetrician and Gynaecologist in Birmingham, provides specialist fibroid care. Her experience in laparoscopic surgery supports a patient-focused approach to treatment.
What Are Uterine Fibroids and Why Do They Develop?
Uterine fibroids, also called leiomyomas, are benign tumours made of muscle and fibrous tissue. They grow in or around the womb and vary greatly in size. Some are as small as a pea. Others can grow larger than a grapefruit. Fibroids most commonly affect women between the ages of 30 and 50. However, they can develop at any age during the reproductive years.
The exact cause of fibroids remains unclear. Research suggests that oestrogen and progesterone play a role in their growth. Family history, ethnicity, and body weight may also increase risk. According to NICE, the cumulative incidence by age 50 is over 80 per cent in Black women. In white women, the figure is nearly 70 per cent.
What Symptoms Might Fibroids Cause?
Not all fibroids produce symptoms. When they do, the effects can range from mild to severe. Common symptoms include the following:
- Heavy or prolonged menstrual bleeding
- Pelvic pain or a feeling of pressure
- Frequent need to urinate
- Lower back discomfort
- Pain during intercourse
- Difficulty conceiving
These symptoms can affect quality of life in many ways. If left unaddressed, heavy bleeding may also lead to iron-deficiency anaemia. Seeking timely medical advice is an important step towards relief.
Why Is a Myomectomy Often Recommended?
A myomectomy is often the preferred surgical option for women who wish to keep their wombs. Unlike a hysterectomy, which removes the uterus entirely, a myomectomy targets only the fibroids. This makes it a suitable choice for those hoping to have children. It also suits women who prefer to retain their reproductive organs.
The procedure is also recommended when medication has not provided adequate relief. Miss Deepti Cheema offers a clearer view of obstetrician and gynaecologist services at Birmingham. She helps patients explore all available options before deciding on surgery. Treatment decisions are always based on individual assessment. Fibroid size, number, and location all play a role.
How Does a Myomectomy Differ from a Hysterectomy?
The key difference lies in what is removed. A hysterectomy removes the womb itself, ending the possibility of pregnancy. A myomectomy removes only the fibroids and repairs the uterine wall. However, this procedure preserves the structure and function of the uterus. For women who have completed their families, a hysterectomy may still be considered.
It is worth noting that fibroids may return after a myomectomy. The RCOG advises that patients discuss recurrence risks with their consultant. This helps women make a fully informed decision about their care.
What Are the Different Types of Myomectomy?
There are three main types of myomectomy. The most suitable approach depends on the size, number, and position of the fibroids. A consultant will recommend the best method after a full evaluation.
What Happens During a Laparoscopic Myomectomy?
A laparoscopic myomectomy uses keyhole surgery to remove fibroids. The surgeon makes several small incisions in the abdomen. A camera and specialised instruments are then installed. This approach is commonly used for fibroids on the outer uterine wall.
The benefits of keyhole surgery are well documented. Patients typically experience less post-operative pain and a shorter hospital stay. Many women return to normal activities within two to four weeks. Miss Deepti Cheema has a special interest in laparoscopic surgery. She offers this technique as part of her specialist care in Birmingham.
When Is an Open Myomectomy the Right Choice?
An open myomectomy involves a larger incision in the lower abdomen. It is also known as an abdominal myomectomy. This method is generally recommended for huge or deeply embedded fibroids. It is also used when there are multiple fibroids present.
Recovery typically takes four to six weeks. However, this approach allows the surgeon to access fibroids that keyhole methods cannot reach. The NHS notes that an open myomectomy is carried out under general anaesthetic. Patients usually stay in hospital for a few days afterwards.
How Is a Hysteroscopic Myomectomy Performed?
A hysteroscopic myomectomy treats fibroids that grow into the inner cavity of the womb. These are known as submucosal fibroids. The surgeon passes a thin telescope through the vagina and cervix. No abdominal incisions are needed.
This method is particularly effective for relieving heavy menstrual bleeding. Recovery is generally swift. Most women can return to their usual routine within a few days. It avoids the need for abdominal surgery altogether.
What Should You Expect Before and After a Myomectomy?
Preparation typically involves blood tests, imaging scans, and a detailed consultation. An ultrasound or MRI scan helps to map the size and location of the fibroids. This information guides the choice of surgical technique.
A clearer view of obstetrician and gynaecologist services at Birmingham can help patients feel more confident. Miss Deepti Cheema has a patient-centered approach to care. She makes sure each woman receives clear information about what to expect.
What Does Recovery Look Like?
Recovery depends on the type of myomectomy performed. After a laparoscopic or hysteroscopic procedure, most women resume light activities within one to two weeks. An open myomectomy requires a longer recovery of four to six weeks.
During this time, it is important to rest and avoid heavy lifting. Attending all follow-up appointments is also recommended. While a myomectomy is effective at removing existing fibroids, new growths may develop. Regular monitoring helps identify any changes early.
Can a Myomectomy Affect Future Pregnancies?
Preserving fertility is one of the main reasons women choose a myomectomy. Studies show conception rates of over 50 per cent in some groups. Most consultants advise waiting three to six months before trying to conceive. This allows the uterine wall to heal properly.
The mode of delivery after a myomectomy depends on the type of surgery. A planned caesarean section may be recommended in some cases. This option helps reduce the risk of a uterine rupture during labour. Your consultant will discuss the safest delivery options for you.
What Are the Risks and Considerations?
As with any surgery, a myomectomy carries certain risks. You should openly discuss these risks with your consultant beforehand. Common risks include the following:
- Bleeding during or after the procedure
- Infection at the surgical site
- Formation of scar tissue, known as adhesions
- A small chance of damage to nearby organs
- Possible need for further surgery if fibroids return
The RCOG notes that a laparotomy may be needed if complications arise during keyhole surgery. Patient safety is always the top priority. Your surgical team will take every precaution to reduce these risks.
A myomectomy does not prevent new fibroids from growing. The likelihood of recurrence varies between individuals. Regular follow-up care can help manage this condition effectively.
Frequently Asked Questions About Myomectomy
Is a Myomectomy Suitable for All Types of Fibroids?
Not all fibroids require surgical removal. A myomectomy is generally recommended when fibroids cause symptoms or affect fertility. Suitability depends on the size, number, and location of the growths. Your consultant will carry out a full assessment first.
Recovery after laparoscopic ovarian cystectomy typically takes 2–4 weeks. Open surgery may take up to 12 weeks.
How Long Does a Myomectomy Take?
The duration of surgery varies depending on the case. A hysteroscopic myomectomy may take 30 to 60 minutes. A laparoscopic or open procedure can take one to three hours. The number of fibroids being removed will influence the time.
Will Fibroids Come Back After Surgery?
New fibroids may develop after a myomectomy. This does not mean the original surgery was unsuccessful. Recurrence depends on factors such as age and hormonal influences. Regular check-ups allow your consultant to monitor new growth.
Treatment Details
Surgical removal of fibroids while preserving the uterus, often recommended for symptom relief or fertility considerations.
Duration
1–3 hours depending on complexity
Anesthesia
General anaesthesia
Schedule
Planned procedure with consultation and follow-up care
Inpatient/Outpatient
Inpatient / Day case depending on procedure type
Take the Next Step Towards Better Health
Living with fibroid symptoms can be difficult and tiring. Heavy periods, pelvic discomfort, or fertility concerns deserve proper attention. Speaking with a specialist is a positive first step. A myomectomy may offer the relief needed to restore comfort and confidence.
Miss Deepti Cheema provides a clearer view of obstetrician and gynaecologist services at Birmingham. She offers expert guidance on fibroid treatment options. With a focus on individualised care, she supports women at every stage of treatment. Booking an appointment with a specialist can help you take control of your health.