For women managing uterine fibroids, the decision to undergo a myomectomy—a surgical procedure to remove fibroids while preserving the uterus—can be both empowering and overwhelming. While myomectomy is an effective option for symptom relief and fertility preservation, it is also a major surgery that requires thoughtful preparation and diligent postoperative care.
Understanding what to expect before and after the procedure can help ease concerns and ensure a smoother recovery. While myomectomy is not offered by 1Fibroid, this blog below provides helpful guidance for those considering the procedure.
What is a Myomectomy?
A myomectomy is a surgical procedure designed to remove fibroids from the uterus while leaving the uterus intact. It is often recommended for women experiencing severe symptoms, such as heavy menstrual bleeding, pelvic pain, or infertility, and for those who wish to preserve their fertility.
There are three main types of myomectomy:
- Abdominal Myomectomy: Open surgery involving an incision in the lower abdomen to access the uterus.
- Laparoscopic Myomectomy: Minimally invasive surgery using small incisions and a camera to remove fibroids.
- Hysteroscopic Myomectomy: A non-invasive approach using a hysteroscope inserted through the vagina to remove fibroids located inside the uterine cavity.
Each type has unique benefits and recovery considerations, depending on the size, number, and location of the fibroids.
Preoperative Preparation for Myomectomy
Proper preparation can make a significant difference in your surgical experience and recovery.
1. Consult with Your Doctor
Your journey begins with a detailed consultation with your healthcare provider. During this time:
- Discuss your symptoms, medical history, and goals for the surgery.
- Ask questions about the procedure, anesthesia, and recovery process.
- Share any medications or supplements you’re taking, as some may need to be adjusted before surgery.
2. Imaging and Tests
Before the surgery, your doctor will likely order imaging tests, such as an ultrasound or MRI, to map the location, size, and number of fibroids. Blood tests may also be performed to check for anemia, ensure proper clotting, and assess overall health.
3. Optimize Your Health
Your physical condition plays a critical role in surgical outcomes. Leading up to the procedure:
- Focus on Nutrition: Eat a balanced diet rich in vitamins, iron, and protein to prepare your body for healing.
- Stay Active: Gentle exercise can improve circulation and overall fitness, helping with recovery.
- Stop Smoking: If you smoke, quitting before surgery can reduce complications and improve healing.
4. Medication Adjustments
Your doctor may prescribe medications to prepare your body for surgery. These could include:
- GnRH Agonists: These medications temporarily shrink fibroids by lowering hormone levels.
- Iron Supplements: If you’re anemic due to heavy bleeding, boosting your iron levels can improve your strength and readiness for surgery.
5. Plan for Recovery
Recovery from a myomectomy requires time and support:
- Arrange for someone to drive you home and assist with daily tasks for the first few days.
- Prepare your home with comfortable resting spaces, easy-to-access meals, and any necessary supplies.
Postoperative Care After Myomectomy
The recovery process varies depending on the type of myomectomy performed, but following your doctor’s instructions is crucial for a successful outcome.
1. Immediate Recovery
After surgery, you will spend some time in the recovery room under observation. Pain management will begin immediately, and you may be given medications to control discomfort and prevent infection.
- Abdominal Myomectomy: Hospital stays typically last 1-3 days.
- Laparoscopic Myomectomy: Most patients are discharged the same day or after an overnight stay.
- Hysteroscopic Myomectomy: This procedure is often performed on an outpatient basis, with patients going home the same day.
2. Managing Pain and Discomfort
It is normal to experience pain, cramping, and fatigue after the procedure. Your doctor may prescribe pain relievers or recommend over-the-counter medications like ibuprofen. Heating pads and gentle movement can also help alleviate discomfort.
3. Incision Care
If your surgery involved incisions, keeping the surgical site clean and dry is essential. Follow your doctor’s instructions for dressing changes and watch for signs of infection, such as redness, swelling, or discharge.
4. Activity Restrictions
Rest is vital during the initial recovery phase. Gradually reintroduce activities as advised by your doctor:
- Avoid heavy lifting, intense exercise, and sexual activity for at least 4-6 weeks.
- Gentle walking can improve circulation and prevent blood clots.
5. Diet and Hydration
Eat a balanced diet rich in fruits, vegetables, lean protein, and whole grains to support healing. Staying hydrated is equally important to prevent constipation, a common postoperative issue.
6. Follow-Up Appointments
Your doctor will schedule follow-up visits to monitor your recovery and address any concerns. Imaging tests may be done to ensure the uterus is healing properly.
Long-Term Considerations
While myomectomy is an effective treatment for fibroids, it is not a cure. Fibroids can recur, especially in women who have not yet reached menopause. Regular monitoring and lifestyle adjustments, such as maintaining a healthy weight and managing stress, may help reduce the risk of recurrence.
For women planning to conceive, it’s important to discuss timing with your doctor. Many healthcare providers recommend waiting several months to allow the uterus to heal completely before attempting pregnancy.
Considering Less Invasive Options: Uterine Fibroid Embolization (UFE)
While myomectomy is a valuable option for many women, it’s not the only treatment available. Uterine Fibroid Embolization (UFE) is a minimally invasive procedure that treats fibroids by blocking their blood supply, causing them to shrink.
Benefits of UFE:
- No Surgery: UFE does not involve incisions or general anesthesia.
- Shorter Recovery: Most patients return to normal activities within a week.
- Effective Symptom Relief: UFE reduces heavy bleeding, pain, and pressure without removing the uterus.
Who Should Consider UFE?
UFE is an excellent choice for women seeking a less invasive alternative to surgery. It is particularly beneficial for those who are not planning to conceive, as its impact on fertility is still being studied.
1Fibroid specializes in providing UFE as a modern, patient-friendly solution for managing fibroid symptoms. If you’re considering your options, a consultation with us can help determine the best treatment for your needs.
1Fibroid Is Here To Support You
If you are living with uterine fibroids and curious about UFE and nonsurgical alternatives to fibroid treatment, consider 1Fibroid. 1Fibroid is based in New York, with locations in both Manhattan and Queens. We are committed to women’s care and offer non-invasive options such as medication, hormone therapy, and UFE procedures. If you’re ready to live life without the symptoms of fibroids, call us today at 212-991-9991.
