Outcomes from myomectomy may include:

  • Symptom relief. After myomectomy surgery, most women experience relief of bothersome signs and symptoms, such as excessive menstrual bleeding and pelvic pain and pressure.
  • Fertility improvement. Removing submucosal fibroids by hysteroscopic myomectomy can improve fertility and pregnancy outcomes. Many factors can impact fertility, but often, women who plan a pregnancy after myomectomy conceive within one year of having the surgery. After a myomectomy, wait three months before attempting conception to allow the uterus enough healing time. Although more studies are needed, the effect of abdominal, laparoscopic or robotic myomectomy on fertility appears to be about the same — more limited than if your fibroids can be removed by hysteroscopic myomectomy.

Tiny tumors (seedlings) that your doctor doesn't detect during surgery could eventually grow and cause symptoms. New fibroids, which may or may not require treatment, also can develop. Women who had only one fibroid have a lower risk of needing to have treatment for additional fibroids — often termed the recurrence rate — than do women with multiple fibroids.

Jun. 04, 2013