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Myomectomy for Fertility: What Patients Should Know

If you've been told you have fibroids and are hoping to grow your family, you may be wondering what that means for your fertility journey. A myomectomy is one of the most common fertility-preserving surgeries available, and for the right candidate, it can make a meaningful difference. At the Reproductive Science Center of New Jersey, we believe every patient deserves clear answers and compassionate care.

What Is a Myomectomy and When Is It Recommended?

A myomectomy is a surgical procedure that removes uterine fibroids while leaving the uterus intact. Unlike a hysterectomy, this approach is specifically designed for women who wish to preserve their ability to conceive. Your doctor may recommend a myomectomy if fibroids are distorting the uterine cavity, blocking the fallopian tubes, or appear to be interfering with implantation or pregnancy. The decision is always individualized, based on the size, number, and location of your fibroids as well as your overall reproductive goals.

How Fibroids Can Affect Fertility?

Not all fibroids require treatment, but certain types can create obstacles on the path to pregnancy. Fibroids that grow inside the uterine cavity — called submucosal fibroids — can disrupt the uterine lining and make it harder for an embryo to implant. Others may alter the shape of the uterus or compress nearby structures. When fibroids are identified as a contributing factor to difficulty conceiving or recurrent pregnancy loss, removing them surgically may help restore a more supportive environment for pregnancy.

What to Expect From the Procedure and Recovery

Depending on the number and location of your fibroids, a myomectomy may be performed using a minimally invasive approach such as laparoscopy or hysteroscopy, or in some cases through open surgery. Minimally invasive techniques typically involve shorter recovery times and less post-operative discomfort. Recovery can range from a few days to several weeks depending on the complexity of the procedure. Your care team will give you specific guidance on when it may be appropriate to begin trying to conceive after your surgery.

Take the Next Step With Reproductive Science Center of New Jersey

At RSCNJ, our team has extensive experience in fertility-preserving surgery and takes a thoughtful, personalized approach to fibroid treatment. If you've been diagnosed with fibroids and are concerned about your fertility, we're here to help you understand your options and find a path forward. Schedule a consultation today — we're ready to support you every step of the way.

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