Why it's done

Your doctor might recommend myomectomy for fibroids causing symptoms that are troublesome or interfere with your normal activities. If you need surgery, reasons to choose a myomectomy instead of a hysterectomy for uterine fibroids include:

  • You plan to bear children
  • Your doctor suspects uterine fibroids might be interfering with your fertility
  • You want to keep your uterus
May 24, 2016
References
  1. Vilos GA, et al. The management of uterine leiomyomas. Journal of Obstetrics and Gynaecology Canada. 2015;37:157.
  2. Baggish MS. Myomectomy. In: Atlas of Pelvic Anatomy and Gynecologic Surgery. 4th ed. 2016. Philadelphia, Pa.: Elsevier. http://www.clinicalkey.com. Accessed March 3, 2016.
  3. Stewart EA. Overview of treatment of uterine leiomyomas (fibroids). http://www.uptodate.com/home. Accessed March 3, 2016.
  4. Parker WH. Techniques to reduce blood loss during abdominal or laparoscopic surgery. http://www.uptodate.com/home. Accessed March 3, 2016.
  5. Parker WH. Laparoscopic myomectomy and other laparoscopic treatments for uterine leiomyomas (fibroids). http://www.uptodate.com/home. Accessed March 3, 2016.
  6. Parker WH. Abdominal myomectomy. http://www.uptodate.com/home. Accessed March 3, 2016.
  7. Bougie O, et al. Treatment of Asherman's Syndrome in an outpatient hysteroscopy setting. Journal of Minimally Invasive Gynecology. 2015;22:446.
  8. Ferri FF. Uterine fibroids. In: Ferri's Clinical Advisor 2016. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed March 3, 2016.
  9. Reis FM, et al. Hormones and pathogenesis of uterine fibroids. Best Practice and Research Clinical Obstetrics and Gynaecology. In press. Accessed March 3, 2016.
  10. Kashani BN, et al. Role of medical management for uterine leiomyomas. Best Practice and Research Clinical Obstetrics and Gynaecology. In press. Accessed March 3, 2016.
  11. Bradley LD. Hysteroscopic myomectomy. http://www.uptodate.com/home. Accessed March 3, 2016.
  12. Stewart EA. Uterine fibroids. New England Journal of Medicine. 2015;372:1646.
  13. Stewart EA (expert opinion). Mayo Clinic, Rochester, Minn. March 21, 2016.