Vaginal Myomectomy

Vaginal Myomectomy

The presence of uterine fibroids can result in anemia, painful sex, pelvic pain, fertility issues, etc. One option to relieve these symptoms is to remove fibroids, and various methods can do this, vaginal myomectomy being one of those methods. A vaginal myomectomy is a minimally invasive surgery designed to eliminate submucous fibroids or endometrial polyps located within the uterine cavity, all while preserving the integrity of the uterus. Alternatively known as a hysteroscopic myomectomy, this procedure is characterized by the absence of incisions, resulting in a swift recovery and minimal risk of complications. The benefits of opting for a myomectomy over a hysterectomy are numerous, particularly for women in their reproductive years. A professional specialist should specifically perform this surgery.

Vaginal Myomectomy Procedure:

During the procedure, a slender and elongated instrument equipped with illumination is inserted through the vaginal canal and cervix into the uterus. Since there are no incisions, this makes this method non-invasive. The physician can visually inspect the interior of the uterus to identify fibroids and other issues, including polyps. Additionally, a camera may accompany the scope. Submucous or intracavitary myomas can be readily observed and addressed by excision or removal using a wire loop or a comparable device.


  • Reduced complications
  • Minimized bleeding risk
  • Limited scarring and discomfort
  • Symptomatic relief
  • Uterine preservation
  • Enhanced fertility


The stay at the hospital for most patients is very short. They can go home after a few hours of this surgery; however, an overnight stay may be recommended in some cases that require monitoring. Pain relievers and limited activity instructions may be given before you leave for home. Slight vaginal bleeding is considered normal in the first six weeks following this procedure. Regular work routines and day-to-day activities can resume within a few days after the surgery. Even though the fertility potential is increased, it is still recommended to wait up to about three months after the surgery before you attempt to get pregnant. Your body and uterus will fully recover within three months, providing a better opportunity for conceiving.

Emotional and psychological considerations:

All surgical procedures can evoke some emotions, especially in women. Vaginal myomectomy is no exception. The feelings may range from relief from symptoms to being anxious about complications, fertility, and recovery. Their emotional well-being is highly dependent on the support from their loved ones and close ones.

Vaginal myomectomy is a valuable surgical option for women dealing with uterine fibroids. However, individual circumstances and these fibroids’ size, number, and location should be carefully considered when determining the most suitable treatment approach.