Fertility Decoded

Myomectomy

A myomectomy is surgery to remove fibroids while leaving the uterus in place, unlike a hysterectomy. It is the usual fertility-preserving option when a fibroid is judged likely to be affecting conception or pregnancy.

A simple illustration of the uterus and fallopian tubes.

A myomectomy removes fibroids from the uterus while leaving the uterus itself in place, which is why it is the option considered when someone wants to preserve fertility, unlike a hysterectomy, which removes the whole uterus. Depending on the fibroid's size, number, and location, it can be done through the cervix (hysteroscopic), with small incisions (laparoscopic), or through an open incision.

Sources and further reading

Source links checked on 7 September 2026. This source check is separate from medical review.

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