Myomectomy is a surgical procedure to remove uterine fibroids (also known as myomas) while preserving the uterus. Unlike a hysterectomy, which removes the entire uterus, myomectomy is the preferred option for women who wish to maintain fertility or plan to undergo IVF. At our IVF, we specialize in fertility-focused myomectomy — ensuring your reproductive health is prioritized at every step.
Fibroids can negatively impact fertility by:
* Blocking fallopian tubes
* Distorting the shape of the uterus
* Affecting embryo implantation
* Increasing the risk of miscarriage
If fibroids are suspected to interfere with fertility or IVF success, a myomectomy may be recommended before beginning treatment.
Depending on the size, number, and location of fibroids, your doctor may suggest one of the following:
* Laparoscopic Myomectomy: A minimally invasive procedure using small incisions and a camera. Ideal for smaller or fewer fibroids. Faster recovery and minimal scarring.
* Hysteroscopic Myomectomy: Done through the vagina using a hysteroscope — suitable for submucosal fibroids inside the uterine cavity. No external cuts required.
* Abdominal (Open) Myomectomy:Recommended for large, multiple, or deeply embedded fibroids. Requires a longer recovery but allows complete removal in complex cases.
After a successful myomectomy:
* Uterine environment improves for embryo implantation
* Menstrual cycles may become more regular
* IVF success rates can significantly increase
* Risk of miscarriage related to fibroids is reduced
Your fertility specialist will guide you on the best timing to begin IVF after recovery, which usually takes between 1 to 3 months, depending on the procedure type.
Myomectomy may be appropriate if:
* You have large or multiple fibroids
* Fibroids are causing symptoms like pain or heavy bleeding
* You’ve had failed IVF cycles possibly due to fibroids
* Imaging shows fibroids distorting the uterine cavity
A personalized evaluation, including ultrasound or MRI, will help determine the need for surgery.
* Fertility-focused surgical team
* Advanced minimally invasive techniques
* Complete IVF and surgical care under one roof
* Compassionate support throughout your fertility journey
A myomectomy is a surgical procedure to remove fibroids from the uterus while preserving the uterus itself. It’s often recommended before IVF if fibroids are interfering with fertility — by blocking the fallopian tubes, distorting the uterine cavity, or affecting embryo implantation.
Yes, if fibroids were affecting your fertility, removing them through myomectomy can improve your chances of natural conception. However, if you're planning IVF, your doctor will advise when it's best to start, usually after a full recovery.
The timing depends on the type of surgery. After a laparoscopic or hysteroscopic myomectomy, IVF can usually start in 4–6 weeks. After an open (abdominal) myomectomy, your doctor may recommend waiting 2–3 months to ensure proper healing of the uterus.
Like any surgery, myomectomy carries some risks such as bleeding, infection, or uterine scarring. However, with an experienced fertility-focused surgical team and advanced minimally invasive techniques, these risks are significantly reduced and fertility is protected.
It’s generally recommended to treat fibroids before starting IVF. Treating them during an IVF cycle is not ideal, as it may interfere with treatment or implantation. A thorough evaluation is done before IVF to decide if myomectomy is needed.
If fibroids were a major barrier to fertility, removing them often improves the chances of successful pregnancy — whether naturally or through IVF. Success depends on factors like your age, reproductive health, and how well your uterus heals after surgery.
With Fertylity IVF in Delhi, we distinguish ourselves by offering personalized care and treatment for infertility. We focus on a holistic evaluation of each couple, blending expert clinical care with comfort and advanced technology.
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