body changes after myomectomy

3 min read 16-03-2025

A myomectomy is a surgical procedure to remove uterine fibroids (myomas). While highly effective in alleviating fibroid-related symptoms, it's crucial to understand that your body will undergo changes during recovery. This article explores the common physical and emotional changes women experience after a myomectomy and offers advice for managing them.

Physical Changes After a Myomectomy

Scarring

The most visible change is surgical scarring. The location and size of the scar depend on the type of myomectomy performed (abdominal, laparoscopic, or hysteroscopic). Laparoscopic procedures typically leave smaller, less noticeable scars. Abdominal incisions will be more prominent and require longer healing time.

Pain and Discomfort

Post-operative pain is expected. It varies in intensity depending on the procedure and individual tolerance. Pain medication prescribed by your doctor will help manage this. Expect some abdominal discomfort, cramping, and shoulder pain (from gas used during laparoscopic procedures).

Bleeding and Discharge

Vaginal bleeding is common after a myomectomy. The amount and duration vary. Some women experience heavier bleeding initially, gradually decreasing over several weeks. Unusual heavy bleeding or prolonged bleeding should be reported to your doctor immediately.

Changes in Menstrual Cycle

Your menstrual cycle might be altered after surgery. It could become lighter, heavier, more regular, or irregular. These changes are often temporary, but some women experience long-term changes. Your doctor will discuss your individual risks and outcomes.

Bowel and Bladder Changes

Some women experience constipation or urinary frequency and urgency post-surgery due to the effects of anesthesia or surgical manipulation. Increasing fluid intake and fiber consumption can help alleviate constipation. These issues usually resolve within a few weeks.

Infertility Concerns

While myomectomy generally preserves fertility, it's important to discuss potential risks and impact on future pregnancies with your doctor. Scar tissue formation may affect future pregnancies.

Emotional Changes After a Myomectomy

Fatigue and Weakness

Recovery takes time and energy. Expect to feel fatigued and weak for several weeks. Prioritize rest and gradually increase activity levels as you heal. Avoid strenuous activities and heavy lifting during recovery.

Mood Swings

Hormonal fluctuations after surgery can contribute to mood swings. These can include irritability, anxiety, or sadness. It's important to discuss your emotional state with your doctor, particularly if they are persistent.

Managing Post-Myomectomy Changes

Follow Your Doctor's Instructions

This is crucial for optimal healing and managing potential complications. Adhere to medication schedules, wound care instructions, and activity restrictions.

Healthy Diet and Exercise

A balanced diet rich in fruits, vegetables, and fiber promotes healing and improves overall health. Gentle exercise gradually helps improve strength, stamina, and mood. Consult your doctor before starting any exercise program.

Rest and Relaxation

Allow yourself adequate rest to facilitate healing. Prioritize relaxation techniques like deep breathing, meditation, or yoga to manage stress and improve well-being.

Support System

Lean on your support system for emotional and physical assistance during recovery. Don't hesitate to ask for help with household chores or childcare.

When to Seek Medical Attention

Contact your doctor immediately if you experience any of the following:

Excessive bleeding
Severe pain not controlled by medication
Fever or chills
Increased vaginal discharge with foul odor
Signs of infection at the incision site

Conclusion

While a myomectomy offers relief from fibroid symptoms, it's important to understand and manage the various physical and emotional changes that can occur during recovery. By following your doctor's advice, prioritizing self-care, and seeking support, you can navigate this phase effectively and return to your normal life.

Remember to always consult with your healthcare provider for personalized advice and management of your specific situation after a myomectomy. They can address any concerns and help you adjust to the changes your body experiences.