A myomectomy is a surgical procedure to remove uterine fibroids—non-cancerous growths that can cause pain, heavy bleeding and other complications. Understanding the recovery process is crucial for a smooth healing journey. Here’s what to expect and how to care for yourself post-surgery.
Types of myomectomies and recovery times
Recovery after a myomectomy varies depending on whether you had an abdominal, laparoscopic or hysteroscopic procedure:
- Abdominal myomectomy: An abdominal myomectomy, an open surgery procedure, is recommended for removing large or multiple uterine fibroids, or when there is a concern about cancer. This procedure requires a larger incision in the lower abdomen, making it a more invasive surgery with a typical recovery time of four to six weeks.
- Laparoscopic myomectomy: For women who have a small number of subserous fibroids, uterine fibroids that grow on the outer layer of the uterus, a laparoscopic myomectomy may be more suitable. Using small incisions in the lower abdomen while guided by a camera, surgeons can precisely remove fibroids with minimal impact on surrounding tissues. This approach results in less scarring, reduced pain and a faster recovery time, with most patients resuming normal activities within two to four weeks.
- Hysteroscopic myomectomy: A non-invasive procedure used to remove submucosal fibroids, which grow inside the uterine cavity, without external incisions. The procedure is performed through the vagina using a specialized scope. Since it is minimally invasive, recovery usually quicker, often within a few days to two weeks.
Immediate postoperative care
After surgery to remove uterine fibroids, expect to spend some time in the recovery room under observation. Pain management will begin immediately, and you may receive medications to control discomfort and prevent infection. Closely following post-surgery care instructions can help promote healing and minimize complications during recovery.
Self-care tips for a smooth recovery
Recovering from a myomectomy requires not only to follow post-surgery guidance from your provider, but to practice self-care and patience. Every patient’s recovery time will be different, but there are post-surgery recovery tips you can take to promote healing, reduce complications, and ease discomfort.
- Rest and activity:
- Rest: Ensure you get plenty of sleep to aid healing.
- Gentle movement: Start with short walks to boost blood flow, circulation and prevent complications like blood clots.
- Avoid strenuous activities: Refrain from heavy lifting (anything over 10-15 pounds, such as a toddler, grocery bags or a laundry basket), intense exercise and sexual activity for at least four to six weeks, or as directed by your doctor.
- Pain management:
- Medications: Take prescribed pain relievers or over-the-counter options like ibuprofen. Always follow your doctor’s instructions.
- Non-medical relief: Applying a heating pad can help alleviate discomfort.
- Incision care:
- Keep it clean: Gently wash the incision area with warm, soapy water and pat it dry.
- Monitor for infection: Watch for signs like increased redness, swelling, or discharge, and contact your doctor if they occur.
- Diet and hydration:
- Balanced diet: Consume plenty of fruits, vegetables, lean proteins and whole grains to support healing.
- Hydration: Drink ample fluids to prevent constipation, a common postoperative issue.
- Bowel movements:
- Prevent constipation: Consider taking a fiber supplement daily. If you haven’t had a bowel movement after a couple of days, consult your doctor about using a mild laxative.
- Follow-up appointments:
- Schedule visits: Attend all follow-up appointments to ensure proper healing and address any concerns.
When to seek medical attention
Contact your healthcare provider if you experience:
- Severe pain: Unrelieved by prescribed medications.
- Signs of infection: Such as fever, increased redness or discharge at the incision site.
- Heavy bleeding: More than expected vaginal bleeding.
- Difficulty urinating or bowel movements: Especially if accompanied by pain.
Emotional well-being
It’s normal to experience a range of emotions during fibroid removal recovery. Engage in activities you enjoy, stay connected with loved ones, and consider joining a support group to share experiences and gain encouragement.
Final thoughts
Healing from a myomectomy requires patience and self-care. By following your doctor’s advice and listening to your body, you’ll be on the path to a healthy recovery.