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Uterine fibroids are one of the most common gynecological conditions affecting women of reproductive age. While many fibroids remain asymptomatic, some can cause heavy menstrual bleeding, pelvic pain, pressure symptoms, infertility, or recurrent pregnancy loss. In such cases, myomectomy surgery is often recommended as an effective treatment option that removes fibroids while preserving the uterus.
As the best lady gynecologist in Kolkata, I believe in educating women so they can make informed decisions about their health. This blog explains how myomectomy surgery is performed, the different techniques used, and what patients can expect before and after the procedure.
Myomectomy surgery is a surgical procedure aimed at removing uterine fibroids (also called myomas) while keeping the uterus intact. It is especially preferred for women who wish to preserve fertility or want to avoid hysterectomy.
Unlike uterus removal, myomectomy surgery focuses only on fibroids, allowing women to maintain normal hormonal function and reproductive potential.
Myomectomy surgery may be advised if you experience:
Consulting the best lady gynecologist in Kolkata ensures accurate diagnosis and personalized treatment planning.

The method of myomectomy surgery depends on the size, number, and location of fibroids, as well as the patient’s overall health and fertility goals.
This traditional approach involves an incision in the lower abdomen.
How it’s performed:
Best for:
Large, multiple, or deeply embedded fibroids
A minimally invasive form of myomectomy surgery using small incisions and a camera.
How it’s performed:
Benefits:
This technique is commonly recommended by the best lady gynecologist in Kolkata for suitable candidates.
An advanced form of laparoscopic myomectomy using robotic technology.
Advantages:
Used for fibroids located inside the uterine cavity.
How it’s performed:
Best for:
Submucosal fibroids are causing heavy bleeding

Before undergoing myomectomy surgery, patients usually undergo:
Proper preparation guided by the best lady gynecologist in Kolkata ensures safety and optimal outcomes.
Also Read: How Useful Is Laparoscopy for Fibroid Removal?

Recovery depends on the type of myomectomy surgery performed:
Patients are advised to:
One of the biggest advantages of myomectomy surgery is fertility preservation. Many women conceive successfully after recovery. However, the timing of pregnancy and mode of delivery should be discussed with the best lady gynecologist in Kolkata.
Though generally safe, potential risks include:
Choosing an experienced surgeon significantly reduces these risks.

Myomectomy surgery removes uterine fibroids while preserving the uterus, with types chosen based on fibroid size, number, location, and patient factors like fertility goals. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I guide patients on the ideal myomectomy surgery approach for optimal results.
This traditional myomectomy surgery uses a large lower abdominal incision, like a C-section, for direct uterus access. Choose it for large fibroids (>10 cm), numerous or deeply embedded growths, or complex cases with scarring from prior surgeries. Recovery takes 4-6 weeks, allowing for a thorough removal.
In this minimally invasive myomectomy surgery, 3-5 small incisions allow a camera and tools to excise fibroids, which are morcellated for removal. Select for smaller (<8 cm), fewer intramural or subserosal fibroids in women seeking quicker recovery (2-4 weeks). It’s less painful with minimal scarring.
Performed via the vagina and cervix with a scope, this myomectomy surgery shaves submucosal fibroids inside the uterine cavity. Ideal for small, protruding fibroids causing bleeding, with same-day discharge and 1-2 day recovery. No abdominal cuts make it least invasive.
A laparoscopic variant using robotic arms for enhanced precision and 3D views, this myomectomy surgery suits moderate-sized fibroids or those needing fine suturing. Opt for it when advanced visualization aids complex cases, offering 2-4 week recovery like laparoscopy.
The best lady gynecologist in Kolkata evaluates via ultrasound/MRI to match myomectomy surgery type to fibroid specifics—hysteroscopic for cavity fibroids, laparoscopic/robotic for accessible ones, open for extensive disease. Factors like surgeon expertise and fertility preservation guide decisions for safest outcomes.

Myomectomy surgery carries risks like any procedure, but they are generally low when performed by experienced specialists. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I prioritize minimizing these through preoperative planning and advanced techniques.
Excessive bleeding is the most frequent complication during myomectomy surgery, especially with large or multiple fibroids, often requiring transfusions in open cases. Uterine injury, such as hematomas or incomplete excision, and rare organ damage to bladder or bowel can occur, heightened in open myomectomy surgery approaches. Vasoconstrictors and precise suturing reduce these risks significantly.
Infection, wound issues, and adhesions (scar tissue) affect recovery after myomectomy surgery, potentially causing pain, bowel obstruction, or fertility problems like Asherman’s syndrome. Blood clots, anemia, and prolonged hospital stays are more common in open procedures, with open myomectomy surgery linked to higher grade II+ complications. Minimally invasive myomectomy surgery types lower adhesion rates.
Fibroid recurrence happens in 15-30% of cases post-myomectomy surgery, and uterine rupture risk in future pregnancies (0.5-2%) necessitates cesarean delivery. Fertility impacts vary, but adhesions may impair implantation; the best lady gynecologist in Kolkata monitors via follow-ups. Anesthesia risks and rare morcellation issues apply broadly.
Preoperative GnRH agonists shrink fibroids to cut bleeding in myomectomy surgery, while laparoscopic/robotic methods reduce overall complications versus open. Expert care from the best lady gynecologist in Kolkata ensures patient selection and technique match risks for safer outcomes.
Preparation for myomectomy surgery optimizes patient safety, reduces bleeding risks, and supports faster recovery. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I emphasize comprehensive preoperative steps tailored to each patient’s health profile.
Complete a thorough assessment including blood tests for anemia (hemoglobin check), coagulation profile, and imaging like ultrasound or MRI to map fibroids before myomectomy surgery. Discuss all medications, vitamins, and supplements; stop blood thinners or NSAIDs 7-10 days prior as advised. Correct anemia with iron supplements or GnRH agonists to shrink fibroids, minimizing blood loss during myomectomy surgery.
Adopt a nutrient-rich diet weeks ahead: prioritize iron (leafy greens, lentils), protein (eggs, paneer), and hydration while avoiding spicy/oily foods, alcohol, and tobacco at least 4 weeks before myomectomy surgery. Fast from midnight the night prior, allowing only clear fluids if permitted, to prevent anesthesia complications. Maintain light exercise like walking to build strength without fatigue.
Arrange home support for recovery: prepare meals, childcare, and transportation, as someone must drive you post-myomectomy surgery. Shower the night before without lotions or shaving the site; manage anxiety through deep breathing or family discussions. The best lady gynecologist in Kolkata reviews all instructions personally for peace of mind.
Arrive early for vitals check and IV placement; wear loose clothing and follow exact fasting rules. Confirm no allergies or changes in health with your surgical team before proceeding to myomectomy surgery.

Recovery after myomectomy surgery varies by procedure type, with minimally invasive options allowing quicker return to normal activities. As Dr. Megha Khanna, the best lady gynecologist in Kolkata, I counsel patients on realistic timelines to ensure smooth healing post-myomectomy surgery.
This least invasive myomectomy surgery permits discharge the same day, with most resuming light activities in 3-5 days. Full recovery takes 1-2 weeks; avoid tampons or intercourse for 2 weeks to prevent infection. Patients often feel minimal pain, managed with over-the-counter meds.
Expect hospital discharge in 1-2 days after this myomectomy surgery, with return to work in 2-3 weeks and full activities by 4 weeks. Shoulder pain from gas resolves in days; no heavy lifting over 10 lbs for 4-6 weeks. The best lady gynecologist in Kolkata monitors via follow-ups at 1-2 weeks.
Hospital stay lasts 2-4 days post-myomectomy surgery, with 4-6 weeks off work and no strenuous exercise until 6-8 weeks. Incision healing peaks at 2 weeks; vaginal bleeding lasts 2-4 weeks. Gradual walking prevents clots.
Follow-up at 2 weeks checks healing; pregnancy planning waits 3-6 months after myomectomy surgery. Watch for fever, heavy bleeding, or severe pain—contact the best lady gynecologist in Kolkata immediately. Nutrition, rest, and light walks speed recovery across all types.

Myomectomy surgery is a procedure to remove uterine fibroids while preserving the uterus, making it a preferred option for women who wish to retain fertility.
Myomectomy surgery is performed by carefully removing fibroids through open surgery, laparoscopy, or hysteroscopy, depending on the size, number, and location of the fibroids.
Myomectomy surgery is usually performed under general anesthesia to ensure the patient remains comfortable and pain-free throughout the procedure.
Recovery time varies with the surgical approach—minimally invasive myomectomy allows recovery within 2–4 weeks, while open surgery may take 6–8 weeks.
Yes, new fibroids can develop after myomectomy surgery, but regular follow-ups and medical guidance can help monitor and manage future risks.
Expertise, experience, and compassionate care play a crucial role in successful outcomes. Consulting the best lady gynecologist in Kolkata ensures:
Myomectomy surgery is a highly effective solution for women suffering from fibroids who wish to preserve their uterus and fertility. With modern surgical techniques and expert guidance, recovery is smoother and outcomes are excellent.
If you are experiencing fibroid-related symptoms, timely consultation with Dr. Megha Khanna, the best lady gynecologist in Kolkata can help you regain comfort, confidence, and reproductive health.