Can Fibroids Be Removed Without Removing the Uterus? (Myomectomy FAQs)
Uterine fibroids are non-cancerous growths that commonly affect women during their reproductive years. While they are usually harmless, fibroids can cause heavy menstrual bleeding, pelvic pain, frequent urination, or fertility issues. Many women worry that treating fibroids means undergoing a hysterectomy—but that’s not always the case.
Yes, fibroids can be removed without removing the uterus. This procedure is called a myomectomy. At Zymus Hospital, Kanakapura Road, Bangalore, our gynecologists specialize in advanced fibroid management techniques, including uterus-sparing surgeries like myomectomy, to help women retain their fertility and hormonal balance.
This blog answers frequently asked questions about myomectomy and its role in managing fibroids safely and effectively.
What Is a Myomectomy?
A myomectomy is a surgical procedure that removes uterine fibroids (also called myomas) while preserving the uterus. Unlike a hysterectomy, it maintains the woman’s ability to conceive and menstruate.
There are three main types of myomectomy, based on the location, size, and number of fibroids:
- Abdominal Myomectomy (Open Myomectomy)
- Laparoscopic or Robotic Myomectomy (Minimally Invasive)
- Hysteroscopic Myomectomy (For fibroids inside the uterine cavity)
Who Is a Good Candidate for Myomectomy?
Myomectomy is ideal for women who:
- Have symptomatic fibroids such as heavy bleeding, pain, or pressure
- Want to retain their uterus for future pregnancy or personal preference
- Have no signs of cancer or other conditions requiring hysterectomy
- Are experiencing infertility linked to fibroids
- Have fibroids of manageable size and number
At Zymus Hospital, our specialists evaluate each patient through detailed scans and examinations before recommending the most appropriate surgical route.
Types of Myomectomy Procedures
- Abdominal Myomectomy (Open Surgery)
What it involves:
A traditional open surgery where a cut is made in the lower abdomen to remove fibroids from the uterus.
When it’s recommended:
- Multiple or very large fibroids
- Deep fibroids embedded in the uterine wall
- When other techniques are not feasible
Recovery:
Hospital stay of 2–3 days, full recovery in 4–6 weeks.
- Laparoscopic or Robotic Myomectomy
What it involves:
A minimally invasive procedure using small incisions, a camera, and specialized tools (or robotic arms in robotic surgery) to remove fibroids.
When it’s recommended:
- Moderate-sized fibroids
- Fewer fibroids located on the outer surface of the uterus
Benefits:
- Less blood loss
- Smaller scars
- Quicker recovery
- Shorter hospital stay (usually same day or next day discharge)
Technology at Zymus Hospital:
We offer advanced robotic-assisted laparoscopic surgery, providing precise, uterus-sparing procedures with excellent outcomes.
- Hysteroscopic Myomectomy
What it involves:
No incisions—fibroids are removed through the vagina using a hysteroscope inserted into the uterus.
When it’s recommended:
- Submucosal fibroids (fibroids that grow into the uterine cavity)
- Smaller fibroids causing heavy bleeding or infertility
Recovery:
Usually same-day discharge; minimal downtime.
Is Myomectomy a Safe Procedure?
Yes, myomectomy is generally considered safe when performed by experienced gynecological surgeons. However, like all surgeries, it carries some risks:
- Bleeding
- Infection
- Scar tissue formation (adhesions)
- Possibility of fibroid regrowth
- Rare need for emergency hysterectomy if bleeding is excessive
At Zymus Hospital, Kanakapura Road, our surgical teams use modern techniques and preoperative planning to minimize risks and improve recovery.
Will Fibroids Come Back After Myomectomy?
Fibroids can recur after a myomectomy, especially in younger women who still have several years before menopause. Studies show that up to 30% of women may experience regrowth within 5 years.
Regular follow-ups and managing hormonal imbalances can help reduce recurrence risk. In some cases, non-surgical treatments may be considered post-myomectomy to control fibroid regrowth.
Can I Get Pregnant After Myomectomy?
Yes! One of the primary reasons for choosing myomectomy over hysterectomy is to preserve fertility. Many women successfully conceive after fibroid removal.
However, factors such as the size, number, and location of fibroids—and the extent of the surgery—can influence fertility outcomes. Your gynecologist at Zymus Hospital will provide detailed guidance on the ideal timing for conception after surgery.
What Is Recovery Like After Myomectomy?
Recovery varies based on the type of myomectomy:
| Procedure Type | Hospital Stay | Full Recovery |
| Abdominal | 2–3 days | 4–6 weeks |
| Laparoscopic/Robotic | 1 day | 2–3 weeks |
| Hysteroscopic | Same day | 1–2 days |
During recovery, patients are advised to:
- Avoid heavy lifting
- Take prescribed medications
- Attend follow-up visits
- Monitor for any unusual symptoms (fever, excessive bleeding, pain)
Zymus Hospital provides a comprehensive post-operative care plan, ensuring every patient returns to daily life smoothly.
Alternatives to Myomectomy
In cases where myomectomy may not be suitable or desired, other fibroid treatments may be explored:
- Uterine Fibroid Embolization (UFE): Minimally invasive, shrinks fibroids without surgery
- Medications: Hormonal treatments to manage symptoms
- MRI-Guided Focused Ultrasound (FUS): Non-invasive, thermal ablation of fibroids
- Hysterectomy: For women who do not wish to preserve the uterus or have complex fibroid conditions
Our specialists at Zymus Hospital walk patients through all available options, ensuring personalized, evidence-based care.
Conclusion
Yes, fibroids can absolutely be removed without removing the uterus. Myomectomy offers a fertility-preserving, effective solution for women dealing with symptomatic fibroids. Whether performed through open surgery, laparoscopy, or hysteroscopy, myomectomy provides relief while maintaining hormonal and reproductive health.
At Zymus Hospital, Kanakapura Road, Bangalore, we are committed to offering advanced, compassionate gynecological care. Our goal is to empower every woman with options that suit her body, her health needs, and her future plans.
