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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.
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Recent Myomectomy Questions

  • 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
  • Im 45, with 2 children (6 and 8) who were both big babies,

    I'm 45, with 2 children (6 and 8) who were both big babies, natural births. I had a large fibroid (10.5 cm x 8.5 cm x 8 cm) removed from my cervix last December and also had a hysterectomy (kept my ovaries). I ended up having 2 ops - the first was a laparoscopy, as the ultrasound suggested that the adnexal mass was on my left ovary. It turned out that the fibroid was in my cervix and they couldn't get it out via laparoscopy and so 2 weeks later I had a laparotomy.
    I'd had a lot of lower back pain for years before this and MRI showed some arthritis (not too severe) and I'd been having cortisone injections, which had helped a bit at first, but not much towards the end. The fibroid was missed for years and I thought I was being a bit of a hypochondriac, as the MRI results didn't explain why I was experiencing a pinching in my back/hip, that would wake me up at night. Once I was up and going, I could function (albeit with varying degrees of pain).
    I'm hypermobile and had pelvic instability during and after both births (I couldn't stand up for 2 days once).
    After my myomectomy/hysterectomy my back felt much better, for a few months. However about 6 weeks ago it started to bother me again, and it turns out that my prolapse has gotten worse, post hysterectomy. In particular, rectocele. I'm scheduled for surgery on 7 July, 2014 (rectocele and cystocele repair). My back pain is getting worse in the meantime, particularly in the morning - it's like my back is a plank and it's hard to roll over and get up. I'm also getting chills. I have pain sometimes prior to bowel movement and afterwards, which I'm attributing to the rectocele. But I guess I'm wondering if there is something else at play. My sister has a number of autoimmune diseases (quite rare ones) and my cousin and aunt have Chrones disease. I've had a colonoscopy, which showed a normal result. Is there anything else I should be tested for? I'm worried that I'll have the vaginal repair (and sling) and that the back pain will return again. (Sorry for writing so much). Thanks :-)
  • I had 2 weeks after my laproscopic myomectomy. There was

    I had sex 2 weeks after my laproscopic myomectomy. There was no pain or bleeding after sex. But 4 hours later, I started bleeding and having slight cramps. Am I having an infection?
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