GYNECOLOGY

Myomectomy

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What Is a Myomectomy?

A myomectomy is a surgical procedure that removes uterine fibroids (leiomyomas) while preserving the uterus. Fibroids are growths that develop in or on the uterus and are almost always noncancerous, but they can still cause significant symptoms—most commonly heavy menstrual bleeding, pelvic pressure, pain, and anemia.

Unlike a hysterectomy (which removes the uterus), a myomectomy focuses on fibroid removal with the goal of improving quality of life while keeping the option of future pregnancy available for many patients.

Types of Myomectomy We Offer

Fibroids can grow in different locations (within the uterine wall, just under the uterine lining, or on the outer surface of the uterus), and the right surgical approach depends onfibroidsize,number,andlocation.

  • Hysteroscopic Myomectomy (No Incisions): Performed through the vagina and cervix using a hysteroscope to remove submucosal fibroids that protrude into the uterine cavity. Often best for smaller, cavity-based fibroids and may be done as a same-day procedure.
  • Laparoscopic Myomectomy (Keyhole Surgery): Uses a few small abdominal incisions and a camera-assisted approach to remove fibroids and repair the uterus. Typically associated with less postoperative discomfort and faster recovery than open surgery in appropriately selected patients.
  • Robotic-Assisted Laparoscopic Myomectomy: A minimally invasive approach where the surgeon uses robotic instruments for enhanced precision often helpful for more complex cases while still using small incisions.
  • Abdominal (Open) Myomectomy: Uses a larger incision to access the uterus directly. This approach can be recommended when fibroids are very large, numerous, or difficult to remove safely with minimally invasive techniques. Recovery is generally longer compared with laparoscopic or robotic approaches.

When Is Myomectomy Recommended?

A myomectomy may be considered when fibroids are symptomatic, affecting daily life, or when their location may be contributing to fertility or pregnancy challenges.

Common reasons patients pursue myomectomy include:

  • Heavy menstrual bleeding or bleeding between periods
  • Iron-deficiency anemia related to blood loss
  • Pelvic pain, pressure, or back pain
  • Frequent urination, difficulty emptying the bladder, constipation, or pain with intercourse
  • Difficulty conceiving or a fibroid that distorts the uterine cavity

Uterine Fibroids: Causes & Risk Factors

Fibroids are benign uterine growths and are considered a common gynecologic condition. The exact cause isn't fully understood, but evidence suggests fibroids are influenced by:

  • Hormonal factors (especially estrogen and progesterone activity during reproductive years)
  • Genetics and family history
  • Location within the uterus, which strongly affects symptoms (for example, fibroids that impact the uterine cavity are more likely to contribute to heavy bleeding and fertility-related concerns).
Diagnosis & Screening

Diagnosis

Diagnosis typically starts with your symptoms and a detailed gynecologic evaluation. Imaging helps confirm fibroids, map their location, and guide surgical planning.

A step-by-step workup may include:

Surgical Approaches at Surgery Group of LA

Our goal is to choose an approach that matches your anatomy, symptoms, and future plans—especially when fertility preservation matters. When appropriate, we prioritize minimally invasive myomectomy (laparoscopic or robotic) to reduce recovery time, while still focusing on safe, thorough fibroid removal and careful repair of the uterus. Approaches may include:
Because fibroid treatment is highly individualized, your surgeon will review imaging with you and explain why a specific approach is recommended—along with what to expect during recovery.
Treatment

Treatment Beyond Surgery

  • Iron supplementation and anemia optimization before surgery when heavy bleeding has lowered blood counts
  • Medication strategies to reduce bleeding and improve symptoms (the right option depends on whether pregnancy is desired now)
  • Hormonal therapy to temporarily reduce bleeding and, in some cases, reduce fibroid size before a planned procedure
  • Non-surgical procedures (such as uterine artery embolization) may be considered for select patients, though some approaches should be discussed carefully if future fertility is a priority.
Coping Strategies

Recovery After Myomectomy: What to Expect

Recovery depends on the approach used and the complexity of fibroid removal. Hysteroscopic myomectomy is commonly outpatient, with cramping and light bleeding afterward and no abdominal incisions.

Laparoscopic or robotic myomectomy often allows patients to go home the same day or after a short stay, with recovery commonly measured in weeks rather than months. Open (abdominal) myomectomy typically involves a longer recovery period—often 4–6 weeks and may require a hospital stay.

It's also normal to experience light vaginal bleeding/spotting after surgery; duration varies depending on the type of myomectomy performed. Your care team will give y

Minimally Invasive Procedures

Frequently Asked Questions

How can I tell if my symptoms are caused by hemorrhoids?

Symptoms like itching, swelling, and occasional bleeding during bowel movements may indicate hemorrhoids. A professional evaluation can confirm the diagnosis.

Are there lifestyle changes that can help prevent hemorrhoids?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

How long does it take for hemorrhoid treatments to work?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Do all hemorrhoids require medical treatment?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Can untreated hemorrhoids lead to complications?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

What are some signs that I might need hemorrhoid surgery?

Colorectal is a collective term that refers to the colon, rectum, and anus. Similarly, colorectal cancer refers to cancer that originated in the colon or rectum. Colorectal surgeons like Dr. Nasseri and Dr. Barnajian are experts in the surgical and nonsurgical treatment of colon and rectal problems. They have completed extensive training to specialize in the diagnosis, treatment, and repair of disorders affecting these areas, in addition to full training in general surgery.

Experience matters. Our surgeons have achieved the highest standard of recognition for their expertise and skill.

36,782

+

Successful Surgeries

126

Years of Combined Experience

More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.

Schedule a consultation with an Myomectomy Specialist Near Me

Take the first step toward relief. Schedule a consultation today with an experienced myomectomy specialist in Los Angeles at the Surgery Group of LA and get personalized care that makes a difference.

310-861-7493

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