In this article, we will discuss the answer to the above question. Yes, it is possible to remove fibroids without having a hysterectomy.
Fibroid or myomas are generally non-cancerous growths arising from the muscle tissue in the womb or uterus.
Myomectomy (Fibroid removal) is surgery to remove the fibroids from the uterus and reconstruct the uterus. Hysterectomy is the surgery involving the removal of the uterus. Surgery is done in case of fibroid only when they are causing some problems like difficulty in conceiving, heavy bleeding during menses, pelvic pressure, etc. You may opt to have a myomectomy instead of having a hysterectomy if you are having some symptoms and
- If you wish to bear children in the future
- You don’t want to bear children but want to preserve your uterus.
Surgical methods- Myomectomy (Fibroid removal) If fibroids are causing problems and need to be removed then the surgery may be done by various routes.
Abdominal myomectomy– In this type of surgery, a cut is given over the abdomen and the Uterus is accessed. Small incisions are given at the site of fibroids in the uterus, the various fibroids are removed and the uterus and the abdomen are sutured back again. After the surgery, you are asked to delay pregnancy for 3- 6 months.
Laparoscopic Myomectomy– When the same procedure as above is done through keyhole surgery using a telescope, it is known as laparoscopic surgery. You only have 3-4 one-centimeter size cuts over your belly. The fibroids are either cut into pieces to take them out or are removed through the vagina.
Hysteroscopic myomectomy– When the fibroids are bulging into the cavity of the uterus, they are known as submucous fibroids and they can be removed by using a telescope introduced through the vagina into the uterus and cutting off the fibroid.
Hysterectomy may be rarely required during myomectomy surgery
- if there is excessive bleeding which can’t be controlled and the whole of uterus needs to removed to save the life of a woman
- or other abnormalities are found
- or cancer is suspected.
Hysterectomy may also be done in those women with fibroids who don’t wish to have children in the future and are having problems due to their fibroids like heavy bleeding during menses, pain abdomen, etc. They may have tried medical treatment which has not worked for them or it has worked initially but now there is no relief. Fibroids decrease in size after menopause and these women may have still some time left to reach that stage. In such women, hysterectomy relieves their symptoms and improves their quality of life.
Hysterectomy may also be offered if the fibroids are rapidly growing in size or there is some suspicion of cancer or if the nature of the mass is not clear on ultrasound/ MRI etc. and the woman doesn’t wish to preserve fertility.
To get more information, consult our best specialists of Chaitanya IVF.