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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
Patient: Rama Age: 38 years Two children: IN 2002 and 2007 via Caesarian births Hernia
Age: 38 years
Two children: IN 2002 and 2007 via Caesarian births
Hernia surgery in 2011
Diagnosis: A 7.9 x 7.4 x 7.5 cm heterogeneous fundal leiomyoma.
Symptons: The fibroid is on the uterus and causing pain and patient unable to do simple tasks such as walking, driving..etc Heavy and irregular periods.
History: Had 3 prior surgeris. Two Caesarians and One Hernia surgery. Had heavy periods for the lat 10-15 years and had to take Iron medication and supplements continuously.
1. Is it recommended to go for surgery to remove the fibroids. Are there any alternative possibilities.
2. Is laproscopic surgery recommended for the size of the fibroid
3. Given that 3 abdominal surgeries are already done. Is it advisable for a 4th abdominal surgery. Does it weaken the abdominal lining/muscles..etc and cause issues. (Patient has prior hernia and had surgery)
4. Is it advisable to remove uterus also given the history of menstrual problems and possibility of f
I have an enlarged uterus, about 3 months big, 2 large fibroids
I have an enlarged uterus, about 3 months big, 2 large fibroids and some small ones. I'm about to take my 2nd shot of Lupron on Monday. I'm also on norethindrone, one 5 mg pill a day. I've decided to get an UAE after my Lupron therapy. What is your opinion on that procedure? And do I have to wait til after my 3rd and last Lupron shot to get this procedure?
I had a transabdominal pelvic sonogram performed. I was bleeding
I had a transabdominal pelvic sonogram performed. I was bleeding so I couldn't have an endovaginal study done. But the findings came out like this: The Uterus is enlarged and heterogeneous in texture. The Uterine size is 15.7 x 8.9 x 11.4 cm. I have multiple fibroids. The largest two fibroids 7.0 cm and 3.3 cm respectively. Small vaginal clots too. The right ovary measures 3.8 x 2.8 x 2.8 cm. The left ovary measures 3.2 x 1.9 x 2.7 cm. No bilateral ovarian cysts noted. Normal blood flow to both ovaries. No bilateral ovarian torsion. There are no adnexal masses. There is no pelvic fluid. CAN U PLEASE TELL ME WHAT DOES ALL OF THIS MEAN. I HAVE NO CLUE!
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