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Results

By Mayo Clinic staff

After myomectomy surgery, the majority of women — as many as 80 percent — experience relief of bothersome signs and symptoms, including excessive menstrual bleeding and pelvic pain and pressure. However, myomectomy surgery isn't a permanent fix for uterine fibroids. New fibroids could develop that may or may not require treatment.

Often, women who plan a pregnancy after myomectomy conceive within one year of having the surgery. Although studies are limited, the effect of surgery on your fertility appears to be about the same whether you have abdominal, laparoscopic or hysteroscopic myomectomy.

What you can expect
References
  1. The American College of Obstetrics and Gynecologists. Alternatives to hysterectomy in the management of leiomyomas. Obstetrics & Gynecology. 2008;112:387.
  2. Haney AF. Leiomyomata. In: Gibb RS, et al. Danforth's Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2008:916.
  3. The Practice Committee of the American Society for Reproductive Medicine. Myomas and reproductive function. Fertility and Sterility. 2008;90(suppl):S125.
  4. Stovall TG, et al. Myomectomy. http://www.uptodate.com/home/index.html. Accessed Jan. 18, 2011.
  5. Management of uterine fibroids: An update of the evidence. Rockville, Md.: Agency for Healthcare Research and Quality. http://www.ahrq.gov/downloads/pub/evidence/pdf/uterupdate/uterup.pdf. Accessed Jan. 31, 2011.
  6. Breech LL, et al. Leiomyomata uteri and myomectomy. In: Rock JA, et al. Te Linde's Operative Gynecology. 10th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2008:687.
  7. Khaund A, et al. Impact of fibroids on reproductive function. Best Practice & Research Clinical Obstetrics and Gynaecology. 2008;22:749.
  8. Seracchioli R, et al. Obstetric and delivery outcome of pregnancies achieved after laparoscopic myomectomy. Fertility and Sterility. 2006;86:159.
  9. Agdi M, et al. Endoscopic management of uterine fibroids. Best Practice & Research Clinical Obstetrics and Gynaecology. 2008;22:707.
  10. Spies JB, et al. Outcomes from leiomyoma therapies: Comparison with normal controls. Obstetrics & Gynecology. 2010;116:641.
  11. Stewart EA (expert opinion). Mayo Clinic, Rochester, Minn. Feb. 17, 2011.
MY00501 March 31, 2011

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