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Uterine fibroids are noncancerous growths that develop in the uterus, often during childbearing years. While they are common and frequently harmless, some women experience symptoms like heavy menstrual bleeding, pelvic pain, frequent urination, or fertility issues. When fibroids cause significant discomfort or disrupt daily life, treatment may be necessary. Two primary surgical options are myomectomy and hysterectomy. Understanding the difference between the two can help you make an informed decision about your care.

What Are Uterine Fibroids?

Uterine fibroids, also called leiomyomas or myomas, are made up of muscle and fibrous tissue. They can vary in size, number, and location within the uterus. Some women may not have any symptoms, while others may face severe discomfort, long periods, or pressure in the pelvic area.

The decision to treat fibroids depends on their size, symptoms, location, and whether the woman wishes to preserve fertility. That’s where options like myomectomy and hysterectomy come into consideration.

What is a Myomectomy?

A myomectomy is a surgical procedure that removes uterine fibroids while preserving the uterus. This option is ideal for women who want to maintain their fertility or avoid a hysterectomy. There are different types of myomectomy depending on the size and location of the fibroids:

• Abdominal myomectomy: performed through an incision in the lower abdomen
• Laparoscopic or robotic-assisted myomectomy: minimally invasive and done through small incisions
• Hysteroscopic myomectomy: done through the vagina and cervix with no external incisions

The goal of a myomectomy is to relieve symptoms while allowing the uterus to remain intact for future pregnancies. Recovery time varies based on the type of surgery, but most women can return to normal activities within a few weeks.

What is a Hysterectomy?

A hysterectomy is the surgical removal of the uterus. It is a more permanent solution and eliminates the chance of fibroids returning. A hysterectomy may be considered when:

• Fibroids are large or numerous
• Symptoms are severe and not responsive to other treatments
• There is no desire for future pregnancies
• Other uterine conditions are present, such as cancer or endometriosis

Types of hysterectomy include:

• Total hysterectomy: removes the uterus and cervix
• Partial hysterectomy: removes the uterus but leaves the cervix
• Radical hysterectomy: includes removal of uterus, cervix, and surrounding structures

After a hysterectomy, a woman will no longer menstruate or be able to become pregnant. Recovery can take four to six weeks depending on the surgical approach.

Comparing Myomectomy and Hysterectomy

Fertility:
One of the biggest differences between the two procedures is fertility. Myomectomy preserves the uterus and may allow for future pregnancies. Hysterectomy removes the uterus, ending the possibility of pregnancy.

Recovery and Healing:
Minimally invasive myomectomies typically have shorter recovery times than hysterectomies. However, if fibroids are large or complex, both procedures may require similar healing periods.

Symptom Relief:
Hysterectomy offers complete and permanent relief from fibroid symptoms, since it removes the entire uterus. Myomectomy reduces symptoms but may not eliminate them if fibroids grow back.

Risk of Recurrence:
Fibroids can recur after myomectomy, especially in younger women. Hysterectomy eliminates the risk of recurrence entirely.

Choosing the Right Option

Choosing between a myomectomy and a hysterectomy is a personal decision and should be based on your symptoms, age, overall health, and reproductive goals. If you wish to become pregnant or avoid permanent changes to your reproductive system, a myomectomy may be the better option. If your symptoms are severe and you do not plan to have children, a hysterectomy might offer long-term relief.

Consulting with an experienced gynecologist will help you evaluate the risks and benefits of each approach and decide on the best course of action for your specific condition.

Considering Myomectomy in Mountainside, NJ?

At Mothers and Daughters Women's Center, we are committed to helping you make the best decision for your reproductive health. If you are struggling with fibroid symptoms and exploring your treatment options, our compassionate team can guide you. We offer personalized care including Myomectomy in Mountainside, NJ, tailored to your health needs and lifestyle.

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