What should I know before I have a myomectomy?

When trying to get pregnant after myomectomy, because fibroids can grow back, it is best to try to conceive as soon after a myomectomy as is safely possible and your recovery from surgery is complete.

When incisions have been made into the uterine wall to remove fibroids, future pregnancy may be affected. Sometimes placenta problems develop, such as placenta abruptio or placenta accreta. During labor, the uterus may not function normally, which can make a cesarean delivery necessary.

In rare cases, a hysterectomy is needed when the surgery reveals that the uterus is too overgrown with fibroids for a safe myomectomy.