Surgery
How do I know if I'm a good candidate for myomectomy?
The short answer
Myomectomy may be a good fit if fibroids cause heavy bleeding, pain or other symptoms and imaging shows they can be removed while preserving your uterus. Candidacy depends on fibroid size, number and location, your health, prior pelvic surgeries and pregnancy goals.
Myomectomy may be a good fit if your fibroids are causing symptoms (such as heavy bleeding, pelvic pressure, pain, or fertility challenges) and imaging shows they can be removed while preserving the uterus. Your candidacy depends on the fibroids’ size, number, and location, along with your overall health, prior pelvic surgeries, and your goals for pregnancy now or in the future.
During a consultation, our team reviews your history and imaging in detail and explains what a myomectomy could realistically do to relieve symptoms and preserve the uterus. We also discuss potential tradeoffs such as recurrence risk, scarring, and the type of surgical approach that may be safest. If you’d like an individualized recommendation, reach out to schedule a consultation with us.
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Wondering if Myomectomy Fits You?
Our specialists assess your symptoms and imaging to see if myomectomy can relieve discomfort while preserving your uterus. We'll guide you through realistic outcomes and options tailored to your health and goals.
Questions people ask next
All surgery questionsWhich fibroids affect fertility, and when is myomectomy recommended?
Submucosal fibroids and intramural fibroids that distort the uterine cavity are most consistently linked with fertility challenges. Myomectomy is most often recommended for cavity-distorting fibroids, or intramural fibroids causing significant symptoms that may affect reproductive plans.
Will myomectomy improve heavy bleeding and painful periods?
Myomectomy can significantly improve heavy menstrual bleeding when fibroids are the primary driver, and many patients notice less pelvic pressure and cramping. Pain may persist if adenomyosis or endometriosis is also causing symptoms.
Is a myomectomy the same as a hysterectomy?
No, they are different surgeries: a myomectomy removes uterine fibroids while keeping the uterus in place, so it can maintain the possibility of carrying a pregnancy. A hysterectomy removes the uterus, so pregnancy is no longer possible afterward.
What if I have pelvic pain or bladder/bowel symptoms with fibroids?
Pelvic pain or bladder and bowel symptoms can happen with fibroids, but they can also signal another contributing condition, such as endometriosis or pelvic floor muscle dysfunction. A fibroid-only treatment plan may not fully relieve these symptoms.
