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Uterine fibroids are noncancerous growths that commonly develop in the uterus during a woman’s reproductive years. While they often go unnoticed, fibroids can sometimes cause discomfort, pain, or complications that affect quality of life. For women who wish to preserve their uterus and fertility, myomectomy is a treatment option worth considering.

This procedure is designed to remove fibroids while leaving the uterus intact, making it different from a hysterectomy. Understanding what a myomectomy involves and what other treatment options are available can help you make an informed decision about your health.

Understanding Uterine Fibroids

Fibroids, also called leiomyomas, are made up of muscle and fibrous tissue. They can vary in size from small, almost undetectable nodules to large masses that distort the shape of the uterus. Most fibroids are benign, and many women may never experience any symptoms. However, some women report heavy menstrual bleeding, pelvic pain or pressure, frequent urination, constipation, or even difficulty getting pregnant.

Fibroids can grow within the uterine wall, on the outer surface of the uterus, or into the uterine cavity. Their location and size often determine whether treatment is needed and what kind of treatment will be most effective.

What Is a Myomectomy?

A myomectomy is a surgical procedure that removes fibroids from the uterus while preserving the uterus itself. It is typically recommended for women who want to retain the ability to get pregnant in the future or those who prefer a uterus-sparing option.

There are three main types of myomectomy procedures:

1. Abdominal Myomectomy
This involves making an incision in the lower abdomen to access and remove fibroids. It is typically used for larger or multiple fibroids that are deeply embedded in the uterine wall.

2. Laparoscopic or Robotic Myomectomy
This is a minimally invasive option where small incisions are made and instruments are inserted to remove fibroids. It typically results in faster recovery and less pain compared to open surgery.

3. Hysteroscopic Myomectomy
In this procedure, a thin scope is inserted through the vagina and cervix into the uterus to remove fibroids that are growing inside the uterine cavity. It is often used for smaller fibroids located in specific areas.

Each method has its benefits and considerations. Your doctor will recommend the most appropriate option based on the number, size, and location of your fibroids, as well as your symptoms and future pregnancy plans.

Alternative Treatment Options

While myomectomy is a reliable and effective treatment for many women, other non-surgical and minimally invasive options are available for treating uterine fibroids:

Uterine Fibroid Embolization (UFE): This procedure blocks the blood supply to fibroids, causing them to shrink over time. It is less invasive but may not be suitable for women who wish to conceive.

Hormonal Therapy: Medications such as gonadotropin-releasing hormone (GnRH) agonists can help shrink fibroids temporarily. These are often used as a short-term solution or before surgery to reduce fibroid size.

MRI-guided Focused Ultrasound: A non-invasive technique that uses sound waves to destroy fibroid tissue. This option may be appropriate for specific types of fibroids but is not widely available.

Watchful Waiting: In cases where fibroids are small and not causing significant symptoms, regular monitoring without immediate intervention may be recommended.

When to Consider a Myomectomy

A myomectomy may be the right choice if:

• You are experiencing heavy bleeding, pain, or pressure related to fibroids
  
• Your fibroids are affecting your fertility
  
• You wish to preserve your uterus for personal or reproductive reasons
  
• Other treatments have not been effective or suitable
  

It is important to consult with a healthcare provider to explore your options and decide on the best course of action based on your individual needs.

Ready to Take the Next Step?

If you have been diagnosed with uterine fibroids and are considering your treatment options, speak to a specialist who can guide you through your choices. A personalized evaluation can help determine whether a myomectomy in Westfield, NJ is right for you. By taking action today, you can move toward relief and a healthier future.