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Myomectomy Procedure

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?

Burning and pelvic pain 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 Bacterial Vaginosis 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.

Ask an OB GYN Doctor

Dr. C.
Dr. C., Board Certified
Category: General
Satisfied Customers: 1655
Experience:  29 years of experience and an award-winning educator.
54412793
Type Your OB GYN Question Here...
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2 OB GYN Doctors are Online Now

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OB GYN Doctors are online & ready to help you now

Dr. C.
Board Certified
Satisfied Customers: 1618
28 years of experience and an award-winning educator.
Monika Hearne, M.D.
Board Certified OB/GYN
Satisfied Customers: 5745
With experience and compassion, I treat my patients like family.
Dr. Charles
OB/GYN (Doctor)
Satisfied Customers: 140
Board Certified. Solo practice for 8 years; delivered more than 1300 infants and performed more than 800 surgeries.

Recent Myomectomy Questions

  • GYNECOLOGY SURGEON QUESTION I am a 45-year-old caucasian

    GYNECOLOGY SURGEON QUESTION I am a 45-year-old caucasian woman. I have received ultrasound results showing an 8 cm myometrial fundal fibroid (details from report below). I cannot speak to a surgeon for one week. I realize there are many treatment options
    and some of those options depend upon the skills of the surgeon. I have two questions: 1. I feel like I am about 4-5 months pregnant and like things are shifting around in my abdomen. Could this be due to a growing uterus? Could this also be why I look 4-5
    months pregnant? Could this be pushing up into my stomach? I can't eat very much and get heartburn easily. 2. I realize you probably can't make any recommendations without checking me out. But, based on what you can tell from the results, does it appear that
    I would be a candidate for a myomectomy? If so, what type? I would prefer not to get a hysterectomy because of the long recovery time. I am very uncomfortable and the fibroid is putting pressure on my bladder so I am experiencing incontinence, so I really
    want to get rid of it quickly and not mess around with treatments that will take months to kick in. I should also mention, that I AM NOT interested in trying to have another child at my age, so anything affecting fertility is NOT a concern. Here are the details:
    Pelvic ultrasound transabdominal and endovaginal study 10/8/2014 Comparison: None Clinical history: Uterine enlargement Findings: The uterus measures 10.2 x 8.4 x 6.7 cm for an enlarged volume of 304 cc. There is an anterior fundal primarily myometrial fibroid
    which displaces the endometrium posteriorly but does not have a significant submucosal component. The fibroid measures 8.2 x 5.9 x 7 cm for volume of 181 cc. The endometrial stripe is normal in caliber and measures 5 mm. Right ovary 2.9 x 2 x 2.2 cm for volume
    of 7 cc. Left ovary 2.7 x 2 x 2.7 cm for volume of 8 cc. No adnexal mass. No free fluid. Longitudinal images of the kidneys show no hydronephrosis. Impression: Large anterior fundal fibroid with mild posterior displacement of the endometrium and no significant
    submucosal component. Uterine enlargement.
  • I am 67 years old. Last Sunday I had a light discharge and

    I am 67 years old. Last Sunday I had a light discharge and some bleeding from vagina. Went to gynecologist, had intravaginal ultrasound which found a thickened uterine lining and what might be a fibroid or other kind of mass about an inch wide in the uterus. Ultrasound doctor recommended further testing. Gynecologist wants to do a d and c next Thursday under full anesthesia and wants to use a myomectomy tool. I just did some online research and the FDA is recommending a myomectomy not be used in some cases and mentioned hysterectomy. But I am having a d and c. Additional reading said that the myomectomy tool can perforate and cause bleeding and release of dangerous material into the body cavity if there is a sarcoma in the uterus that is undetected. I am wondering if I should get a second opinion before I submit to a d and c with the myomectomy tool.
    Ally
  • I recently went to urgent care for stomach pain which turned

    I recently went to urgent care for stomach pain which turned out to be a ruptured ovarian cyst. I had an ultrasound to rule out PCOS, and they discovered a 5cm fundal fibroid. My periods are somewhat crampy for the first two days, but the pain is managed with 800mg of ibuprofen. I also have spotting that lasts from about 2 days after I ovulate until I get my period. I have always had this problem (whenever I'm not on birth control), but it seems like the spotting is getting longer and heavier now.

    I am 37 and have been trying to get pregnant for only about 3 months, and I am concerned about whether the fibroid might interfere with my ability to conceive. My mother had a hysterectomy in her 40s from fibroids (due to menorrhagia), but my aunt had her first child at the age of 42 with a grapefruit-sized fibroid without any complications. I was pregnant once in my 20s but terminated it around 7 weeks.

    My questions are: Is the spotting likely being caused by my fibroid or could it just be a regular part of my cycle (since it has been going on for so long)? Can it be normal to have spotting/light bleeding for 7-9 days followed by a regular period? Another OB GYN on here told me that If I want to get pregnant my "ONLY" option is to have a myomectomy, because the fibroid is so large. Is this true?

    Additional info: I am 5'4 130 lbs, no chronic health conditions, labs within the past 6 months including TSH all normal. The ultrasound showed a large, lobular, retroflexed uterus, normal ovaries and follicles.

    Thank you
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