Myomectomy is recommended when you have severe, persistent menstrual bleeding, pelvic discomfort, and cramps that won’t respond to medication and other non-surgical treatments. It’s also an appropriate choice of treatment for women who may want to get pregnant in the future.

When Is a Myomectomy Recommended?

Fibroids, the non-cancerous uterine growth, develop from the tissue and muscles in or around the uterus. They don’t always require treatment, especially if you don’t experience any symptoms. However, for symptomatic fibroids that cause heavy bleeding, severe cramps, or difficulty getting pregnant, a gynecologist in Thane may consider myomectomy.

It’s an alternative to hysterectomy (a procedure removing the entire uterus, along with the cervix, and sometimes other reproductive organs). Let’s see what happens during a myomectomy, why it’s recommended, and who needs it.

Myomectomy: A Brief Overview

Myomectomy refers to the surgery to remove uterine fibroids while leaving as much of the healthy uterine tissue in place as possible to preserve your fertility. Your gynecologist may determine the type of surgery based on the number of fibroids, their location, and your health.

Submucosal fibroids or certain other types can be removed using a minimally invasive, incisionless procedure called hysteroscopic myomectomy. A laparoscopic or robot-assisted myomectomy is another minimally invasive procedure, where multiple incisions are made on your abdomen to access fibroids through small, flexible instruments and remove them.

For larger or multiple fibroids, especially those in hard-to-reach areas, an open myomectomy may be needed. It involves a large, horizontal incision in your lower abdomen.

Indication for Myomectomy

Here’s when a myomectomy treatment in Thane is needed:

You Have Heavy Menstrual Bleeding

The most common reason myomectomy may be recommended is heavy or prolonged menstrual bleeding, which causes iron-deficiency anemia. If bleeding starts interfering with your everyday activities, a myomectomy may provide relief by removing fibroids.

When You Have Pelvic Pain

Fibroids can be of different sizes, with some becoming large enough to press on the nearby organs. This can cause pelvic heaviness, discomfort, and pelvic pressure. For example, a fibroid pressing against the bladder can cause a frequent urge to urinate, while those putting pressure on the bowel can cause constipation.

Fibroids Affect Your Fertility

Certain fibroids, especially the ones growing into the uterine cavity, can affect a woman’s fertility. They can make implantation difficult and might increase the risk of pregnancy loss. Such cases might require myomectomy to remove these benign growths while saving the uterus so you can conceive.

When You Have Large or Multiple Fibroids

Numerous fibroids, even if none is large enough to distort the uterine cavity, can cause pelvic discomfort. Myomectomy is worth discussing when the growth affects your urination or bowel movements. Sometimes, ultrasound scans show large fibroids that substantially distort the uterine cavity.

When Medication Does Not Provide Relief

Surgery isn’t always the first-line treatment for fibroids. Initially, medication can be used to control bleeding and help with pain. If you experience severe bleeding with large blood clots, cramps, pelvic discomfort, and other symptoms that do not get relieved with medication or other conservative treatments, surgery may be an appropriate treatment choice.

A surgeon may evaluate many factors before recommending surgery, such as the location of the fibroids, your fertility goals, whether you experience symptoms, and whether non-surgical treatment worked.