Myomectomy

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 14, 2026

Myomectomy is the surgical removal of uterine fibroids (leiomyomas) while preserving the uterus.¹ A restorative approach favors myomectomy over hysterectomy when fibroids are contributing to infertility, recurrent pregnancy loss, or abnormal uterine bleeding, because the goal is to restore normal uterine anatomy rather than remove the organ.

Three main approaches exist, selected based on fibroid location, size, and number. Hysteroscopic myomectomy addresses fibroids that have grown into the uterine cavity (submucosal type) and is performed through the cervix without abdominal incision. Laparoscopic myomectomy removes subserosal or intramural fibroids through small abdominal ports, allowing faster recovery than open surgery. Open myomectomy (laparotomy or mini-laparotomy) is used for large, numerous, or deeply intramural fibroids where laparoscopic access is limited.

Restoring the uterine cavity matters for fertility. Submucosal fibroids that distort the cavity are associated with implantation failure and early pregnancy loss. Removing them corrects the structural problem at its source. The restorative principle applies: restore function, then allow conception to proceed on its own terms.

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.