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Myomectomy is a procedure used to remove fibroids while leaving the uterus intact. When performing a myomectomy, the surgeon attempts to remove the fibroid and repair any issues with the uterus to ensure uterine health. Many women who wish to become pregnant at a later time prefer the myomectomy procedure rather than a hysterectomy that removes the uterus. To learn more about myomectomy procedures, take a look at the questions below that have been answered by the Experts.
Is tingling and numbness on the anus normal before and after having a myomectomy?
Generally, if tingling and numbness of the anal region was already present prior to a surgery, it is usually an indication that the myomectomy probably had nothing to do with it. This is a good sign because it means that there was probably no nerve damage from the procedure. Typically, the nerves that affect the rectal area are located at the base of the spine. In some cases, large fibroids that were present before the surgery could have caused nerve compression which could cause a tingling or numb sensation. At this stage, it would be advisable to get an X-ray and physical exam done to determine what the exact cause of the problem is.
Will having a second abdominal myomectomy decrease the chances of pregnancy?
It is possible that a second myomectomy may hinder a woman's chances of becoming pregnant. However, leaving large fibroids on their own may also make becoming pregnant difficult. This can become a tricky situation to be in and, in many cases, women have to weigh the option of leaving the fibroids alone in an attempt to conceive later on. However, every woman is different and it is advisable to discuss the pros and cons of the case with a doctor before making a decision.
Will having a myomectomy cause a uterus to have problems supporting a growing fetus till 38 weeks of pregnancy?
Case details: Surgery did not involve entering the cavity of the uterus.
The basic reason for a myomectomy is to ensure the health of the uterus to aid fertility later on. In most cases, there shouldn't be any reason why a woman would be unable to carry a child full term. However, scarring from the myomectomy may cause issues when trying to become pregnant. Since the procedure did not disturb the uterine cavity, the uterus typically should be able to expand and accommodate the fetus till it reaches full term.
Is a burning sensation and pelvic pain normal after having a myomectomy?
are common affects after having a myomectomy procedure. Most women are prescribed pain medication to relieve the uncomfortable feeling. Many women relieve the pain by taking 200 mg of the anti-inflammatory drug, Ibuprofen, as a single tablet, thrice times a day. In many cases, Ibuprofen is found more effective and can provide more relief than Norco hydrocodone. In case there is an infection, however, an antibiotic would have to be prescribed.
What does it mean if a patient has a single case of irregular bleeding after a myomectomy?
There should generally be no cause for worry here. A solitary case of bleeding doesn't necessarily point towards fibroids. However, if the bleeding continues, the woman's gynecologist can check for any changes by way of an ultrasound to determine if fibroids are the cause of the irregular bleeding.
The bleeding doesn’t sound like a period either because when a woman has a period, the bleeding usually last for several days as the uterine lining thins and sloughs off. If fibroids are the issue, the bleeding would usually last for more than a couple of days.
In case the woman misses her period, she can get a pregnancy test done as a single case of bleeding can be caused by implantation. Other possibilities include
which is usually accompanied by discharge and some cervical/vaginal trauma during sexual intercourse which should heal quickly.
Many women who are of child bearing age choose to have a myomectomy procedure to remove fibroids. This is usually done to ensure future pregnancies. However, many questions may arise with regards to how myomectomy procedures are performed and what their side effects are. If you have any concerns or questions, ask an Expert for medical insights now based on the facts of your case.
Recent Myomectomy Questions
Recurrent miscarriages.. help needed
recurrent miscarriages.. help needed
Dear Doctor My wife had a hysteroscopy myomectomy to removed
Dear Doctor My wife had a hysteroscopy myomectomy to removed her fibroid at her uterus cavirty. Her fibroid has been causing her spotting problem before the operations. She had the operation on the 24th July 2015 and had her first period after that on
the 6th September 2015. Her menstrual bleeding was prolonged till Monday 23th September 2015 and there was brownish discharged until yesterday. Today she had some bright red blood discharged on her panty liner. Is this normal?
I recently turned 36 years old. I have had cramps during my
I recently turned 36 years old. I have had cramps during my menstruation and some missed periods. I can manage the cramps with ibuprofen. I had a pelvic ultrasound. This was the report handed to me. What does it mean? "A multifibroid uterus is identified,
which measures 10.1 cm long x 4.8 cm AP x 5.8 cm transverse. Within the right fundus of the uterus is a 2.8 x 2.3 x 2.4 cm transmural fibroid. Within the midline fundus is a 5.0 x 6.4 x 6.6 cm fibroid, which appears to approximate the endometrium, consistent
with a submucosal location. The endometrial echo stripe is normal in appearance and measures 11 mm in AP dimension. The right ovary measures 2.0 x 2.6 x 1.8 cm and is unremarkable in appearance. The left ovary measures 3.3 x 4.8 x 2.1 cm and contains a dominant
follicle. There is a small amount of free fluid in the cul-de-sac. There are no adnexal masses. Limited ultrasound of the kidneys demonstrates no hydronephrosis Impression: (1) Fibroid uterus including a 5.0 x 6.4 x 6.6 cm fibroid, which appears to approximate
the endometrium, consistent with a submucosal location. (2) normal ovaries." What does this mean? I understand it means I have fibroids. Does it mean anything else? How many fibroids do I have? How large? Is this size normal or something to cause huge concern?
My main concerns is whether this would cause complications with getting pregnant? If so, how much harder would it be to get pregant with this type of fibroid? 25 % or 50% more difficult?
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