I was at this stage. Seven days of pain every month was overbearing. There wasn’t enough Ibuprofen in the world that could get rid of the pain due to the size of my fibroid. They also detected a polyp. The doctors recommended that I do an abdominal myomectomy. That way they can, not only remove all the fibroids (they detected two, but there could be more lurking) but also take a look at my uterus to make sure there aren’t any other issues. Yes, there are several other ways you can treat your fibroids, however this site focuses on myomectomy. In this surgical procedure, your surgeon removes the fibroids, leaving the uterus in place.
Myomectomy options include:
- Abdominal myomectomy. If you have multiple fibroids, very large fibroids or very deep fibroids, your doctor may use an open abdominal surgical procedure to remove the fibroids.
- Laparoscopic or robotic myomectomy. If the fibroids are small and few in number, you and your doctor may opt for a laparoscopic procedure, which uses slender instruments inserted through small incisions in your abdomen to remove the fibroids from your uterus. Your doctor views your abdominal area on a remote monitor via a small camera attached to one of the instruments. Use of a surgical robot now allows for removal of more fibroids or larger fibroids.
- Hysteroscopic myomectomy. This procedure may be an option if the fibroids are contained inside the uterus (submucosal). A long, slender instrument (hysteroscope) is passed through your vagina and cervix and into your uterus. Your doctor can see and remove the fibroids through the scope. This procedure is best performed by a doctor experienced in this technique.
With this procedure, there is a risk of the fibroids coming back. My doctor removed all the fibroids, even the small ones. Some doctors will only remove the bigger fibroids and leave the small ones. When you remove the big ones, it leaves more room for the smaller ones to grow. Also, fibroids grow with a fetus and can potential suffocate the baby during its growth. You should ask your doctor if they can remove all of the fibroids.