A myomectomy is a surgical procedure to remove uterine fibroids (leiomyomas) while preserving the uterus. It is the preferred surgical option for women who wish to retain their uterus — especially those who still want to conceive. Fibroids are benign (non-cancerous) muscle growths in the uterus that affect about 20–40% of women of reproductive age. Large or multiple fibroids can cause heavy periods, pelvic pain, pressure on the bladder or rectum, and difficulty conceiving. At Charak Hospital, we offer laparoscopic myomectomy (keyhole), hysteroscopic myomectomy (for fibroids inside the uterine cavity), and open myomectomy for very large or numerous fibroids.
When Is Myomectomy Needed?
- Heavy or prolonged menstrual bleeding causing anaemia
- Pelvic pain or pressure, especially during periods
- Difficulty conceiving or recurrent miscarriage linked to fibroids
- Bladder or bowel pressure (frequent urination, constipation)
- Rapidly growing fibroids detected on ultrasound
- Fibroid size above 5 cm causing symptoms
- Failed medical management of fibroid symptoms
Types of Myomectomy
Laparoscopic Myomectomy
Fibroids removed through 3–4 small incisions using a camera and instruments. Short hospital stay (1–2 days), minimal blood loss, and quicker recovery. Suitable for fibroids up to 8–10 cm or a limited number.
Hysteroscopic Myomectomy
Submucosal fibroids (inside the uterine cavity) removed through a thin telescope passed through the cervix — no incisions. Day procedure, immediate return home. Excellent for improving fertility.
Open (Abdominal) Myomectomy
For very large fibroids (>10–12 cm), multiple fibroids throughout the wall, or when laparoscopy is not feasible. Bikini-line incision, 2–3 days in hospital, 4–6 weeks full recovery.
The Myomectomy Procedure at Charak
- Pre-operative iron supplementation to correct anaemia
- General or spinal anaesthesia depending on approach
- Laparoscopic: camera and instruments inserted through small ports
- Each fibroid enucleated (shelled out) from the uterine wall
- Uterine wall repaired in layers to maintain strength for future pregnancy
- Fibroids removed in pieces (morcellation) or through an enlarged port
- Duration: 1–3 hours depending on fibroid number and size
Recovery & Aftercare
Laparoscopic myomectomy: discharge in 1–2 days, return to normal activities in 2–3 weeks, conception advised after 3–6 months. Open myomectomy: discharge in 3–4 days, full recovery in 6 weeks, conception after 6 months. Heavy periods usually improve significantly within 1–2 menstrual cycles after surgery.
Why Choose Charak Hospital?
- NABH-accredited facility
- Senior gynaecology team
- Laparoscopic & advanced surgical options
- 24×7 emergency care
- Full NICU & PICU backup
- Transparent treatment planning
- Compassionate multilingual staff
- Affordable, transparent pricing
Frequently Asked Questions
Yes—myomectomy is specifically designed to remove fibroids while preserving the uterus so that pregnancy remains possible. Success rates vary by fibroid type and location, but studies show around 50% of women who were struggling to conceive due to fibroids achieve pregnancy after myomectomy. Your surgeon will advise you to wait 3–6 months after surgery before trying to conceive to allow the uterus to heal fully.
Yes—fibroids can recur after myomectomy because the underlying tendency to grow them is not removed. Recurrence rates are approximately 15–30% over 5 years, but not all recurrent fibroids cause symptoms or require treatment. If you complete your family relatively soon after myomectomy, pregnancy itself reduces the risk of recurrence. Regular ultrasound follow-ups help monitor the situation.
Myomectomy removes only the fibroids and preserves the uterus, so pregnancy is still possible afterwards—it is the preferred option for women who have not completed their family. Hysterectomy removes the entire uterus, permanently ending periods and the possibility of pregnancy. Hysterectomy is a more definitive solution for fibroids (they cannot recur), but myomectomy is the right choice for most women who still want children.
There are three main types: Laparoscopic (keyhole) myomectomy for smaller/fewer fibroids—smaller incisions, faster recovery; Hysteroscopic myomectomy for fibroids inside the uterine cavity—done through the vagina with no external cuts; and Abdominal (open) myomectomy for large or numerous fibroids—larger incision, longer recovery. Your surgeon will recommend the most suitable approach based on the size, number, and location of your fibroids.
Many small fibroids cause no symptoms and can be safely watched—not all fibroids need surgery. However, if left untreated when symptomatic, fibroids can cause progressively heavier periods leading to severe anaemia, increasing pelvic pain, pressure on the bladder and bowel, and in some cases difficulty conceiving. Fibroids often shrink naturally after menopause.
For symptom control, medications such as hormonal treatments can reduce fibroid size and bleeding—but these effects are temporary and the fibroids return to their original size when medication is stopped. Uterine Artery Embolisation (UAE) is a non-surgical option that blocks the blood supply to fibroids, causing them to shrink. Surgery (myomectomy) remains the most reliable long-term solution if you wish to remove the fibroids completely.
After laparoscopic (keyhole) myomectomy, most women are discharged within 1–2 days and can return to light daily activities within 1–2 weeks. Driving and office work can usually resume in 2–3 weeks, and more strenuous activities by 4–6 weeks. Open (abdominal) myomectomy requires a longer recovery of 4–6 weeks. Your surgeon will give you specific instructions including when to try for pregnancy.
The risk of a fibroid being or becoming malignant (leiomyosarcoma) is extremely rare—less than 0.5% of cases. Fibroids are almost always benign. However, rapidly growing fibroids, especially in post-menopausal women, should be evaluated promptly. The presence of fibroids does not increase your risk of uterine cancer.
Myomectomy does carry a risk of significant blood loss, particularly if fibroids are large or numerous—this is one reason some surgeons prefer hysterectomy for very large fibroids. Laparoscopic techniques, use of medications before surgery to shrink fibroids, and careful surgical planning minimise this risk. Blood transfusion is rarely needed in experienced surgical centres.
Myomectomy in India typically costs between ₹65,000 and ₹2,50,000 depending on the type (laparoscopic, hysteroscopic, or open), hospital, city, and complexity of the case. Laparoscopic procedures are usually at the higher end due to specialised equipment. At Charak Hospital, Lucknow, we offer all three approaches with experienced surgeons at transparent, fair pricing.
Related Conditions & Procedures