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Myomectomy is used to remove individual fibroids and is effective in reducing bleeding symptoms. This technique is used for women who desire to preserve fertility, but is associated with a risk of recurrent symptoms.
A myomectomy surgically removes only the fibroids and leaves the uterus intact. Stitches are used to bring the walls of the uterus back together. For women with symptomatic fibroids who desire future childbearing, myomectomy is often the preferred treatment. Myomectomy may also help regulate abnormal uterine bleeding caused by fibroids.
Not all women are candidates for myomectomy. If the fibroids are numerous or large, myomectomy can become complicated, resulting in increased blood loss. Myomectomy is not necessarily a permanent solution for fibroids. They can recur after these procedures. The younger a woman is and the more fibroids present at the time of myomectomy, the more likely she is to experience a recurrence of fibroids in the future. Women nearing menopause are the least likely to have problems from fibroids again. The risks for myomectomy are generally the same of those for other surgical procedures, including bleeding and infection.