Vaginal myomectomy is a minimally-invasive surgery that can be used to treat uterine fibroids. It is considered to be low-risk, and most people who undergo the procedure are back to their normal routines within a few days. Learn more about vaginal myomectomy, its benefits and risks, and what to expect.

What is a vaginal myomectomy?

Not everyone with uterine fibroids will experience symptoms, but some people experience:

• Heavy periods,
• Pelvic or abdominal pain, 
• Anemia,  
• Pain during sex, 
• Frequent urination, and
• Difficulty getting pregnant.

If you are experiencing severe symptoms that interfere with your quality of life, you may need to have the fibroids removed. Depending on the size and location of your fibroids, your doctor may suggest a minimally-invasive procedure called a vaginal myomectomy.

During a vaginal myomectomy, sometimes called hysteroscopic myomectomy, a thin tube with a camera and a small loop is inserted into the vagina, through the cervix, and then into the uterus. Once your doctor locates the fibroid, they will use the small loop tool to remove it.

This is considered the least invasive type of myomectomy, since your doctor can access the fibroids through the vagina, without making any incisions. 

Benefits and risks

Vaginal myomectomy generally involves lower risk and fewer complications compared to other, more invasive, procedures. Since there are no incisions, there is less risk of infection, post-treatment bleeding, scarring, and discomfort. 

This type of procedure can help reduce symptoms and improve overall quality of life while keeping your uterus intact. If you are planning to get pregnant, some studies suggest that a vaginal myomectomy could improve your chances by up to 70%. 

What to expect after the procedure

The procedure is typically performed in your doctor’s office, and most people are able to go home a few hours afterward. Your doctor will likely give you activity limitations, and a prescription to help manage your pain.

It’s normal to experience a small amount of bleeding during the first few days of recovery, but this usually doesn’t last longer than six weeks. You would most likely be able to return to work and other daily activities within a few days.

If you’re experiencing bothersome fibroid symptoms, speak with your doctor to see what treatment options are right for you.

*Vaginal Myomectomy. (2022, November). Viva Eve. https://vivaeve.com/services/vaginal-myomectomy/