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Why it's done

By Mayo Clinic staff

Your doctor might recommend myomectomy for troublesome fibroids — that is, those in which symptoms are debilitating or interfere with your normal activities — if:

  • You plan to bear children
  • Your doctor suspects uterine fibroids might be interfering with your fertility
  • You prefer to retain your uterus
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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