A collection of blood at the surgical site. Continued heavy bleeding. Some vaginal bleeding within 4 to 6 weeks after you have the uterus removed is normal. Problems from the medicine used to make you sleep during surgery.
Severe blood loss that causes you to need more blood transfusion. Why might your doctor recommend surgery to treat fibroids? Your doctor might suggest that you have surgery to take out just your fibroids if: You want to treat your fibroids in a way that may make it possible for you to get pregnant later. Your doctor might suggest that you have surgery to remove your uterus if: You have bad symptoms and : Other treatments have not helped.
You're not near menopause. You don't plan to have children or more children. There is a risk of cancer. Compare your options.
Compare Option 1 Have surgery to take out fibroids or your uterus Don't have either surgery. Compare Option 2 Have surgery to take out fibroids or your uterus Don't have either surgery.
Have surgery to take out fibroids or your uterus Have surgery to take out fibroids or your uterus You may take the hormone GnRH-a before surgery to shrink your fibroids. You may have outpatient surgery, which means you would go home the same day.
Or you may spend 1 to 4 days in the hospital after surgery. Recovery can take from a few days to 6 weeks, depending on the type of surgery you have. If you have your uterus taken out, you won't be able to get pregnant. Either surgery can ease your pain and other symptoms. Surgery to take out just your fibroids myomectomy may make it possible for you to get pregnant.
Surgery to take out your uterus hysterectomy will cure your fibroids. Both surgeries have risks, some of which are rare. Risks include bleeding, infection, and scar tissue. Cutting into the uterus to take out just the fibroids could cause a problem with how the uterus works in a future pregnancy. Pelvic pain that you had before either surgery may not get better.
If you have just the fibroids taken out but not the uterus, the fibroids can grow back. Don't have either surgery Don't have either surgery You may take hormones GnRH-a to shrink the fibroids. You may have other procedures such as fibroid embolization , endometrial ablation, or magnetic resonance guided ultrasound.
You may choose to have surgery later if you change your mind. You may be able to control your symptoms without surgery. If you have bad symptoms and are close to menopause, you may be able to control your symptoms long enough to go through menopause. You won't have the risks of surgery. Your pain or other symptoms could get worse. If fibroids are making it hard for you to get pregnant, NSAIDs and hormones won't help you get pregnant.
NSAIDs can cause bleeding and other problems in some people. Talk to your doctor before taking them. Hormones can have serious side effects, such as menopause symptoms and bone-thinning.
Fibroid embolization can have side effects such as infection and pain. Personal stories about surgery to treat uterine fibroids These stories are based on information gathered from health professionals and consumers. What matters most to you?
Reasons to have surgery for fibroids Reasons not to have surgery for fibroids. Fibroids aren't keeping me from getting pregnant. I can control my symptoms with medicine. I want to do everything I can to treat my fibroids. I don't want to have any surgery. My other important reasons: My other important reasons:. Where are you leaning now?
Having surgery NOT having surgery. What else do you need to make your decision? Check the facts. True Sorry, that's not right. Fibroids can grow back after surgery to take them out. The only cure for fibroids is surgery to take out your uterus hysterectomy.
False You're right. I'm not sure It may help to go back and read "Get the Facts. The only cure for fibroids is surgery to take out your uterus.
True That's right. Surgery to take out fibroids is the best choice if you want to get pregnant. Surgery to take out your uterus would mean that you can't get pregnant. False Sorry, that's not right. True You're right. Fibroids usually get smaller or go away after menopause.
Taking non-steroidal anti-inflammatory drugs NSAIDs and maybe hormones may help your symptoms until you go through menopause. False No, that's not correct.
Taking anti-inflammatory medicine and maybe hormones may help your symptoms until you go through menopause. The destroyed fibroid immediately changes consistency, for instance from being hard like a golf ball to being soft like a marshmallow. During the next three to 12 months, the fibroid continues to shrink, improving symptoms.
Because there's no cutting of uterine tissue, doctors consider Lap-RFA a less invasive alternative to hysterectomy and myomectomy. Most women who have the procedure get back to regular activities after 5 to 7 days of recovery. The transcervical — or through the cervix — approach to radiofrequency ablation Sonata also uses ultrasound guidance to locate fibroids. Laparoscopic or robotic myomectomy. In a myomectomy, your surgeon removes the fibroids, leaving the uterus in place.
If the fibroids are few in number, you and your doctor may opt for a laparoscopic or robotic procedure, which uses slender instruments inserted through small incisions in your abdomen to remove the fibroids from your uterus. Larger fibroids can be removed through smaller incisions by breaking them into pieces morcellation , which can be done inside a surgical bag, or by extending one incision to remove the fibroids.
Your doctor views your abdominal area on a monitor using a small camera attached to one of the instruments. Robotic myomectomy gives your surgeon a magnified, 3D view of your uterus, offering more precision, flexibility and dexterity than is possible using some other techniques. Endometrial ablation. This treatment, performed with a specialized instrument inserted into your uterus, uses heat, microwave energy, hot water or electric current to destroy the lining of your uterus, either ending menstruation or reducing your menstrual flow.
Typically, endometrial ablation is effective in stopping abnormal bleeding. Submucosal fibroids can be removed at the time of hysteroscopy for endometrial ablation, but this doesn't affect fibroids outside the interior lining of the uterus. Women aren't likely to get pregnant following endometrial ablation, but birth control is needed to prevent a pregnancy from developing in a fallopian tube ectopic pregnancy.
With any procedure that doesn't remove the uterus, there's a risk that new fibroids could grow and cause symptoms. 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. Many women who are told that hysterectomy is their only option can have an abdominal myomectomy instead. However, scarring after surgery can affect future fertility.
This surgery removes the uterus. It remains the only proven permanent solution for uterine fibroids. Hysterectomy ends your ability to bear children. If you also elect to have your ovaries removed, the surgery brings on menopause and the question of whether you'll take hormone replacement therapy.
Most women with uterine fibroids may be able to choose to keep their ovaries. Morcellation — a process of breaking fibroids into smaller pieces — may increase the risk of spreading cancer if a previously undiagnosed cancerous mass undergoes morcellation during myomectomy.
There are several ways to reduce that risk, such as evaluating risk factors before surgery, morcellating the fibroid in a bag or expanding an incision to avoid morcellation. All myomectomies carry the risk of cutting into an undiagnosed cancer, but younger, premenopausal women generally have a lower risk of undiagnosed cancer than do older women. Also, complications during open surgery are more common than the chance of spreading an undiagnosed cancer in a fibroid during a minimally invasive procedure.
If your doctor is planning to use morcellation, discuss your individual risks before treatment. The Food and Drug Administration FDA advises against the use of a device to morcellate the tissue power morcellator for most women having fibroids removed through myomectomy or hysterectomy. In particular, the FDA recommends that women who are approaching menopause or who have reached menopause avoid power morcellation. Older women in or entering menopause may have a higher cancer risk, and women who are no longer concerned about preserving their fertility have additional treatment options for fibroids.
Hysterectomy and endometrial ablation won't allow you to have a future pregnancy. Also, uterine artery embolization and radiofrequency ablation may not be the best options if you're trying to optimize future fertility. Have a full discussion of the risks and benefits of these procedures with your doctor if you want to preserve the ability to become pregnant. Before deciding on a treatment plan for fibroids, a complete fertility evaluation is recommended if you're actively trying to get pregnant.
If fibroid treatment is needed — and you want to preserve your fertility — myomectomy is generally the treatment of choice. However, all treatments have risks and benefits. Discuss these with your doctor. For all procedures except hysterectomy, seedlings — tiny tumors that your doctor doesn't detect during surgery — could eventually grow and cause symptoms that warrant treatment.
This is often termed the recurrence rate. New fibroids, which may or may not require treatment, also can develop. Also, some procedures — such as laparoscopic or robotic myomectomy, radiofrequency ablation, or MRI -guided focused ultrasound surgery FUS — may only treat some of the fibroids present at the time of treatment.
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Some websites and consumer health books promote alternative treatments, such as specific dietary recommendations, magnet therapy, black cohosh, herbal preparations or homeopathy. So far, there's no scientific evidence to support the effectiveness of these techniques. Your first appointment will likely be with either your primary care provider or a gynecologist.
Because appointments can be brief, it's a good idea to prepare for your appointment. Make sure that you understand everything your doctor tells you. Don't hesitate to have your doctor repeat information or to ask follow-up questions. A person may need to stay overnight in the hospital, so the hospital staff may advise them to bring an overnight bag.
Invasive surgeries, such as a hysterectomy or a nonlaparoscopic myomectomy, typically have the longest recovery time. Surgery can be lifechanging for people whose fibroids interfere with their quality of life, as it can improve many aspects of their health. All surgeries present some risks, however, so it is vital to explore all treatment options.
A doctor can provide advice on which surgeries might be appropriate. A person may also wish to consider seeking a second opinion before agreeing to surgery. A vaginal cuff is a closure made at the top of the vagina in the place of the cervix after a person has a hysterectomy. In this article, we look at…. A vaginal hysterectomy is the removal of the uterus through the vagina.
It can take 6 weeks to recover fully. Recovery is easier and faster than other…. People often stay on hormonal birth control for much of their adult lives, either for contraception or to manage long-term medical conditions.
There are many types of birth control, and safety and reliability are two key factors when choosing the best option. Learn more here. Uterine prolapse is when the pelvic floor muscles are no longer strong enough to support the uterus correctly. This can lead to discomfort and urine…. Types Is surgery necessary? Benefits Risks Fertility Recovery Other treatments Summary Uterine fibroids are noncancerous growths that grow in the wall of the uterus.
Share on Pinterest A doctor may recommend a myomectomy to remove fibroids. Is surgery necessary? How does fibroid surgery affect fertility? Other treatment options. Medically reviewed by Carolyn Kay, M. Latest news Scientists identify new cause of vascular injury in type 2 diabetes. Adolescent depression: Could school screening help? Related Coverage. What is a vaginal cuff and what are the risks? The recovery time takes anywhere from one to three days, depending on the number, size, and location of the fibroids.
During a laparoscopy, a lighted scope and other instruments are inserted through small incisions in the abdomen. Performed using general anesthesia, laparoscopy is usually done on an outpatient basis. It requires up to two weeks of recovery, depending on the number, size, and location of the fibroids removed. During a robotic laparoscopic myomectomy, your NYU Langone surgeon has a high-resolution, three-dimensional view of fibroids and the surrounding tissue, as well as a greater range of motion than with traditional laparoscopy.
Because the robot allows for precise movements of surgical instruments, scarring and blood loss can be decreased. General anesthesia is used during this procedure. You can typically leave the hospital the same day following robotic myomectomy. Recovery can take up to two weeks. A laparotomy is performed using general anesthesia. The doctor makes an abdominal incision that is several inches long to remove large fibroids, multiple fibroids, or fibroids that have grown deep into the wall of the uterus.
This procedure requires a stay of one to three days in the hospital and four to six weeks at home for recovery. Hysterectomy is the surgical removal of the uterus. It is the only treatment that prevents fibroids from recurring.
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