March 30, 2018


Front view cross section of uterus showing fibroids.Myomectomy is a surgical procedure to remove uterine fibroids. This procedure may preserve your uterus and your ability to have children.

Before your surgery

Depending on which procedure you and your healthcare provider choose, you may be asked to do the following:

  • Have tests that your health care provider has ordered.

  • Stop eating and drinking at midnight before your surgery, or as recommended by your healthcare provider.

  • Take medicines as prescribed by your healthcare provider to shrink fibroids.

  • Stop taking aspirin or ibuprofen 1 week before surgery. Tell your healthcare provider what other medicines you take and ask whether you should stop them.

  • Arrange for a ride home after surgery.

Types of myomectomy procedures


Your healthcare provider makes incisions in your stomach and uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.


Your healthcare provider inserts a laparoscope and other surgical instruments through half-inch incisions in your stomach. One or more incisions are made in your uterus to remove the fibroids. Then the uterus is repaired and the incisions are closed.


A hysteroscope is inserted into the vagina. An instrument is used to remove the fibroids from your uterus.

Call your healthcare provider

Contact your healthcare provider right away if you have any of the following:

  • Severe or increasing pain

  • Fever or chills

  • Nausea or vomiting

  • Redness or swelling around your incision

  • Persistent or heavy vaginal bleeding


March 30, 2018


Abdominal myomectomy, Up To Date, Cahill, RA, Duration of increased bleeding tendency after cessation of aspirin therapy, J Am Coll Surg (2005); 200; 564-73, Hysteroscopic myomectomy, Up To Date, Laparoscopic Myomectomy and other Laparoscopic Treatments for Uterine Leiomyomas (Fibroids). UpToDate, Overview of treatment of uterine leiomyomas, Up To Date, Reproductive issues in women with uterine leiomyomas, Up To Date

Reviewed By:  

Freeborn, Donna, PhD, CNM, FNP,Image reviewed by StayWell medical illustration team.,Sacks, Daniel, MD, FACOG