Myomectomy in Multan is a surgical procedure used to remove uterine fibroids while preserving the uterus. Unlike hysterectomy, which removes the uterus, myomectomy is designed as a uterus-preserving treatment for women who have symptomatic fibroids and, in appropriate cases, wish to retain the possibility of future pregnancy.
Uterine fibroids are common non-cancerous growths that develop in or around the uterus. They can cause heavy menstrual bleeding, pelvic pressure, painful periods, abdominal enlargement, frequent urination, anemia, and sometimes fertility or pregnancy-related problems.
For women searching for myomectomy in Multan, fibroid removal surgery in Multan, fibroid surgery in Multan, uterine fibroid treatment in Multan, myomectomy cost in Multan, or a gynecologist for fibroids in Multan, this guide explains the procedure, types, indications, surgical approaches, recovery, risks, estimated cost, and frequently asked questions.
Important: Myomectomy is not appropriate for every woman with fibroids. The recommended treatment depends on fibroid size, number, location, symptoms, age, reproductive plans, medical history, and other clinical factors.
What Is Myomectomy?
A myomectomy is surgery to remove uterine fibroids while leaving the uterus in place.
Fibroids are also called uterine leiomyomas or myomas.
They can develop:
- Inside the uterine cavity
- Within the muscular wall of the uterus
- On the outer surface of the uterus
The location, number, and size of fibroids influence symptoms and determine which treatment approach may be appropriate.
Myomectomy in Multan
Women may consider myomectomy when fibroids are causing significant symptoms or when a fibroid is affecting the uterus in a way that requires treatment.
Possible symptoms include:
- Heavy menstrual bleeding
- Prolonged periods
- Painful periods
- Pelvic pressure
- Pelvic pain
- Abdominal fullness
- Increased abdominal size
- Frequent urination
- Constipation
- Anemia
- Fertility concerns
Not every fibroid requires surgery.
Small fibroids that are not causing symptoms may sometimes be monitored without immediate surgical treatment.
What Are Uterine Fibroids?
Uterine fibroids are usually benign growths arising from the muscular tissue of the uterus.
They can vary significantly in:
- Size
- Number
- Location
- Growth pattern
Some women have a single small fibroid, while others may have multiple fibroids of different sizes.
Fibroids are generally not cancerous, although unusual symptoms or rapidly changing masses require appropriate medical evaluation.
ACOG describes fibroids as common non-cancerous growths of the uterus and notes that treatment depends on symptoms, fibroid characteristics, and individual circumstances.
Types of Fibroids
Submucosal Fibroids
These develop close to or within the uterine cavity.
They can be particularly associated with:
- Heavy menstrual bleeding
- Prolonged periods
- Fertility-related concerns
Some submucosal fibroids can be treated through hysteroscopic surgery rather than abdominal surgery.
Intramural Fibroids
These develop within the muscular wall of the uterus.
They may cause:
- Heavy bleeding
- Pelvic pressure
- Pain
- Enlarged uterus
Treatment depends on size, number, symptoms, and location.
Subserosal Fibroids
These develop toward the outside of the uterus.
They may cause pressure symptoms such as:
- Abdominal fullness
- Pelvic pressure
- Frequent urination
- Constipation
Why Is Myomectomy Performed?
Myomectomy may be considered when fibroids cause clinically significant problems.
Common reasons include:
Heavy menstrual bleeding
Large or strategically located fibroids can contribute to heavy menstrual bleeding.
Pelvic pain
Some fibroids can cause pressure or pain.
Pressure symptoms
Large fibroids may press on the bladder or bowel.
Anemia
Persistent heavy bleeding can lead to iron-deficiency anemia.
Fertility concerns
Certain fibroids, particularly those affecting the uterine cavity, may be associated with difficulty becoming pregnant.
Pregnancy-related concerns
Some fibroids can affect pregnancy depending on their location and size.
Myomectomy for Heavy Periods
Heavy menstrual bleeding can interfere with daily activities and may lead to anemia.
Before recommending surgery, the doctor may investigate the cause of bleeding through:
- Medical history
- Gynecological examination
- Ultrasound
- Blood tests
- Other investigations when indicated
If fibroids are identified as an important cause, treatment may include medication, minimally invasive treatment, myomectomy, or another appropriate approach.
Myomectomy for Fertility
One of the major reasons women consider myomectomy is the desire to preserve the uterus.
Certain fibroids can interfere with fertility, particularly when they distort the uterine cavity.
However, not every fibroid requires removal before pregnancy.
The decision should consider:
- Fibroid location
- Fibroid size
- Number of fibroids
- Uterine cavity distortion
- Previous fertility history
- Other fertility factors
ACOG notes that myomectomy may be an option for women who wish to preserve fertility, depending on the individual situation.
Does Myomectomy Preserve Fertility?
Myomectomy preserves the uterus, unlike hysterectomy.
However, preserving the uterus does not guarantee pregnancy or fertility.
Fertility depends on many factors, including:
- Age
- Ovulation
- Fallopian tubes
- Sperm factors
- Endometriosis
- Uterine anatomy
- Other medical conditions
Women considering pregnancy should discuss their individual reproductive goals with their gynecologist.
Types of Myomectomy
There are several surgical approaches.
The most appropriate approach depends on the fibroid’s location, size, and number.
1. Hysteroscopic Myomectomy
Hysteroscopic myomectomy is a minimally invasive procedure used primarily for selected fibroids that project into the uterine cavity.
A hysteroscope is inserted through the vagina and cervix into the uterus.
There is no abdominal incision.
The surgeon uses specialized instruments to remove the fibroid.
This approach may be particularly suitable for selected submucosal fibroids.
2. Laparoscopic Myomectomy
Laparoscopic myomectomy uses small abdominal incisions and a camera.
The surgeon removes fibroids through minimally invasive techniques.
Potential benefits compared with open surgery may include:
- Smaller incisions
- Less visible scarring
- Shorter hospital stay in suitable patients
- Faster recovery in many cases
However, laparoscopic myomectomy is not appropriate for every fibroid.
Very large, numerous, or deeply located fibroids may require another surgical approach.
3. Abdominal Myomectomy
Abdominal myomectomy involves an incision in the abdomen through which the surgeon accesses the uterus.
It may be considered when:
- Fibroids are very large
- There are multiple fibroids
- Fibroids are deeply located
- The uterus is significantly enlarged
- Extensive reconstruction of the uterus is required
The recovery period is generally longer than minimally invasive surgery.
Hysteroscopic vs. Laparoscopic vs. Abdominal Myomectomy
| Feature | Hysteroscopic | Laparoscopic | Abdominal |
|---|---|---|---|
| Abdominal incision | No | Small incisions | Larger incision |
| Main use | Selected cavity fibroids | Selected accessible fibroids | Large/multiple/complex fibroids |
| Hospital stay | Often shorter | Often shorter | Usually longer |
| Recovery | Usually faster | Usually faster | Usually longer |
| Suitable for every fibroid | No | No | No |
| Fertility-preserving | Yes | Yes | Yes |
The surgeon chooses the approach based on the individual fibroid characteristics.
How Is Myomectomy Diagnosed and Planned?
Before surgery, the doctor may perform:
- Gynecological examination
- Pelvic ultrasound
- Blood tests
- Pregnancy testing where appropriate
- MRI in selected cases
- Review of previous medical records
Imaging helps determine:
- Number of fibroids
- Size
- Location
- Relationship to the uterine cavity
- Uterine size
- Other pelvic findings
Ultrasound for Fibroids
Ultrasound is commonly used to evaluate uterine fibroids.
It can provide information about:
- Fibroid size
- Number
- Location
- Uterine structure
- Endometrial cavity
- Ovaries and surrounding pelvic structures
Additional imaging may be recommended when ultrasound does not provide enough information for surgical planning.
MRI Before Myomectomy
MRI is not required for every patient.
It may be useful when:
- There are numerous fibroids
- Fibroids are very large
- The anatomy is complex
- Surgical planning requires more detailed imaging
- Another pelvic condition needs evaluation
The doctor decides whether MRI is necessary.
What Happens Before Myomectomy?
Before surgery, the medical team may review:
- Symptoms
- Menstrual history
- Pregnancy history
- Fertility goals
- Previous operations
- Current medications
- Medical conditions
- Allergy history
- Imaging
- Blood tests
The surgeon should explain:
- Why surgery is being recommended
- Which approach is planned
- Possible alternatives
- Potential risks
- Expected recovery
- Possible impact on future pregnancy
Preparing for Myomectomy
Patients may be instructed to:
- Complete preoperative blood tests
- Follow fasting instructions
- Review medications
- Stop certain medicines only when instructed
- Arrange transportation
- Arrange assistance at home
- Follow hospital admission instructions
Prescription medications should not be stopped without medical advice.
How Is Myomectomy Performed?
The exact procedure depends on the surgical approach.
Hysteroscopic approach
The surgeon accesses the uterus through the vagina and cervix and removes the fibroid from within the uterine cavity.
Laparoscopic approach
Small abdominal incisions are made and a camera and specialized instruments are used to remove the fibroid.
Abdominal approach
An abdominal incision provides access to the uterus, allowing the surgeon to remove larger or multiple fibroids.
After removal, the surgeon repairs the uterine tissue as necessary.
Myomectomy and Anesthesia
Myomectomy is generally performed with appropriate anesthesia.
Depending on the procedure, anesthesia may include:
- General anesthesia
- Regional anesthesia in selected circumstances
The anesthesiologist evaluates the patient’s medical condition and determines the appropriate anesthetic plan.
How Long Does Myomectomy Take?
The duration varies considerably.
It depends on:
- Number of fibroids
- Size of fibroids
- Location
- Surgical approach
- Complexity
- Presence of adhesions
- Additional procedures
A simple hysteroscopic procedure may be considerably shorter than complex abdominal myomectomy.
Your surgeon can provide a more accurate estimate after reviewing imaging.
Myomectomy Recovery
Recovery depends on the surgical approach.
Hysteroscopic myomectomy
Recovery is generally shorter because there is no abdominal incision.
Laparoscopic myomectomy
Recovery is generally faster than open abdominal surgery in appropriate cases.
Abdominal myomectomy
Recovery is longer because the procedure involves an abdominal incision and uterine repair.
The surgeon will provide individualized instructions regarding:
- Walking
- Bathing
- Exercise
- Work
- Driving
- Sexual activity
- Future pregnancy
When Can You Return to Work?
The timing depends on the surgical approach and the type of work you perform.
Patients undergoing minimally invasive procedures may return to normal activities sooner than those undergoing abdominal myomectomy.
People whose work involves:
- Heavy lifting
- Long periods of standing
- Physical labor
- Strenuous activity
may require a longer recovery period.
Follow your surgeon’s instructions rather than using a fixed recovery timetable.
Exercise After Myomectomy
Walking is generally encouraged during recovery when medically appropriate.
However, strenuous activity and heavy lifting should be avoided until the surgeon confirms that healing is adequate.
The return to:
- Gym workouts
- Running
- Weightlifting
- Heavy household work
should be individualized.
Sexual Activity After Myomectomy
The appropriate time to resume sexual intercourse depends on the type of procedure and healing.
After hysteroscopic surgery, recovery may be relatively quick.
After abdominal or laparoscopic myomectomy, the surgeon may recommend waiting longer.
Follow your surgeon’s specific instructions.
Pregnancy After Myomectomy
Many women undergo myomectomy specifically to preserve the possibility of future pregnancy.
However, pregnancy after myomectomy requires individualized obstetric planning.
The surgeon may consider:
- Depth of uterine incision
- Location of fibroid
- Number of fibroids removed
- Extent of uterine reconstruction
- Healing of the uterine wall
In some patients, the surgical history may influence decisions about delivery method during a future pregnancy.
This should be discussed before conception.
How Soon Can You Become Pregnant After Myomectomy?
There is no single waiting period that applies to every patient.
The recommended interval depends on:
- Surgical approach
- Depth of uterine incision
- Number and size of fibroids
- Extent of uterine repair
- Healing
- Individual reproductive history
Your surgeon should provide personalized advice before attempting pregnancy.
Does Myomectomy Increase the Risk of C-Section?
It can in some circumstances.
If the uterine wall has been significantly incised or reconstructed, the obstetrician may recommend cesarean delivery in a future pregnancy.
However, not every myomectomy automatically requires C-section.
The delivery plan depends on the details of the surgery and the individual pregnancy.
Risks of Myomectomy
Myomectomy is a surgical procedure and has potential risks.
These may include:
- Bleeding
- Infection
- Scar tissue
- Injury to nearby organs
- Need for blood transfusion
- Adhesions
- Recurrence of fibroids
- Anesthesia-related complications
- Need for additional surgery
Rarely, severe bleeding may make removal of the uterus necessary during surgery as a life-saving measure.
This is uncommon but is an important surgical risk that should be discussed during informed consent.
Can Fibroids Come Back After Myomectomy?
Yes.
Myomectomy removes existing fibroids but does not permanently prevent new fibroids from developing.
Some women may develop additional fibroids later.
The likelihood depends on factors such as:
- Age
- Number of fibroids
- Genetic factors
- Hormonal influences
- Individual biology
Regular follow-up may be recommended when clinically appropriate.
Myomectomy vs. Hysterectomy
The main difference is whether the uterus is preserved.
| Feature | Myomectomy | Hysterectomy |
|---|---|---|
| Fibroids removed | Yes | Yes, with uterus |
| Uterus preserved | Yes | No |
| Future pregnancy possible | May remain possible | No |
| Menstrual periods | Usually continue | Stop |
| Fibroids can recur | Possible | Uterine fibroids cannot recur after uterus removal |
| Fertility preservation | Designed to preserve uterus | Not fertility-preserving |
The best treatment depends on the woman’s diagnosis and reproductive goals.
Can Fibroids Be Treated Without Surgery?
Yes, depending on the situation.
Possible treatments may include:
- Observation
- Medication
- Hormonal treatment
- Uterine artery embolization
- Radiofrequency ablation
- Other minimally invasive treatments
ACOG lists several fibroid treatment options and emphasizes that treatment should be individualized.
Not every woman needs surgery.
When Is Surgery More Likely to Be Considered?
Surgery may be considered when:
- Symptoms are significant
- Heavy bleeding causes anemia
- Fibroids are large
- Fibroids distort the uterine cavity
- Pressure symptoms are substantial
- Medication has not provided adequate relief
- The patient has specific fertility-related indications
- Another treatment is unsuitable
The decision should follow a complete gynecological assessment.
Myomectomy Cost in Multan
The myomectomy cost in Multan varies according to the number, size, and location of fibroids, surgical technique, hospital, surgeon, anesthesia, investigations, and postoperative care.
Estimated Myomectomy Price in Multan
| Procedure / Service | Estimated Price Range |
|---|---|
| Gynecology consultation | PKR 2,000 – 5,000 |
| Fibroid ultrasound assessment | PKR 3,000 – 10,000+ |
| Hysteroscopic myomectomy | PKR 100,000 – 200,000 |
| Laparoscopic myomectomy | PKR 180,000 – 350,000 |
| Abdominal myomectomy | PKR 180,000 – 350,000 |
| Complex/multiple fibroid surgery | PKR 250,000 – 450,000+ |
| Myomectomy with additional procedures | PKR 300,000 – 500,000+ |
These are estimated informational ranges and are not a fixed quotation.
Actual charges can vary depending on:
- Hospital
- Surgeon
- Anesthesia
- Operating-room charges
- Room category
- Imaging
- Laboratory testing
- Medicines
- Blood products
- Histopathology
- Length of hospital stay
- Surgical complexity
A personalized estimate should be obtained after examination and review of imaging.
What Determines Myomectomy Cost?
Number of fibroids
Multiple fibroids can make surgery more complex.
Size of fibroids
Very large fibroids may require more extensive surgery.
Location
Fibroids near the uterine cavity may be treated differently from deeply embedded or outer-surface fibroids.
Surgical approach
Hysteroscopic, laparoscopic, and abdominal procedures require different equipment and hospital resources.
Hospital
Costs vary between hospitals and room categories.
Additional treatment
Blood transfusion, additional surgery, or extended hospitalization can increase the final cost.
How to Choose a Fibroid Surgeon in Multan
When looking for myomectomy in Multan, consider:
- Qualification in obstetrics and gynecology
- Experience with uterine fibroid surgery
- Access to appropriate imaging
- Ability to perform or arrange suitable surgical approaches
- Hospital operating-room facilities
- Anesthesia support
- Emergency surgical capability
- Postoperative follow-up
- Fertility-preservation counseling when relevant
The doctor should explain why a particular procedure is recommended rather than assuming that one surgical method is suitable for every patient.
Questions to Ask Before Myomectomy
Before surgery, ask:
- How many fibroids do I have?
- What are their sizes?
- Where are they located?
- Are they affecting the uterine cavity?
- Do I definitely need surgery?
- Are there non-surgical options?
- Which type of myomectomy is appropriate?
- Can the uterus be preserved?
- Could the surgery affect future pregnancy?
- Will I need C-section in a future pregnancy?
- What are the risks of bleeding?
- Could I need a blood transfusion?
- How long will recovery take?
- How long will I stay in hospital?
- When can I try to become pregnant?
- What is the estimated total cost?
Frequently Asked Questions About Myomectomy in Multan
What is myomectomy?
Myomectomy is surgery to remove uterine fibroids while preserving the uterus.
How much does myomectomy cost in Multan?
Estimated costs can range from approximately PKR 100,000 to PKR 350,000, while complex surgery may cost PKR 450,000 or more, depending on the procedure and hospital.
Is myomectomy better than hysterectomy?
Neither is universally better. Myomectomy preserves the uterus, while hysterectomy removes it. The appropriate choice depends on symptoms, diagnosis, age, reproductive goals, and medical circumstances.
Can I get pregnant after myomectomy?
Pregnancy may remain possible after myomectomy because the uterus is preserved. However, myomectomy does not guarantee fertility or pregnancy.
Can fibroids return after myomectomy?
Yes. New fibroids can develop after myomectomy.
What is laparoscopic myomectomy?
It is minimally invasive fibroid-removal surgery performed through small abdominal incisions using a camera and specialized instruments.
What is hysteroscopic myomectomy?
It is a minimally invasive procedure used for selected fibroids that project into the uterine cavity. The surgeon accesses the uterus through the vagina and cervix.
Is abdominal myomectomy major surgery?
Yes. Abdominal myomectomy is a major operation and generally requires a longer recovery than minimally invasive approaches.
Can myomectomy treat heavy periods?
It can help when fibroids are an important cause of heavy menstrual bleeding, particularly when the fibroids are suitable for surgical treatment.
Can myomectomy improve fertility?
In selected women, removal of certain fibroids may improve reproductive outcomes, particularly when fibroids distort the uterine cavity. However, fertility depends on many factors.
Does myomectomy always require C-section in the future?
No. The delivery plan after myomectomy depends on the details of the uterine surgery and the individual pregnancy.
What are the risks of myomectomy?
Potential risks include bleeding, infection, adhesions, injury to nearby organs, anesthesia complications, recurrence of fibroids, and, rarely, the need for hysterectomy in the event of uncontrollable bleeding.
Book a Fibroid Consultation in Multan
If you are searching for:
- Myomectomy in Multan
- Myomectomy surgery in Multan
- Fibroid removal surgery in Multan
- Fibroid treatment in Multan
- Uterine fibroid treatment in Multan
- Fibroid surgery in Multan
- Myomectomy cost in Multan
- Fibroid surgery cost in Multan
- Laparoscopic myomectomy in Multan
- Hysteroscopic myomectomy in Multan
- Abdominal myomectomy in Multan
- Gynecologist for fibroids in Multan
you can arrange a consultation with:
Dr. Naila Frukh
Cosmetic Gynecologist in Pakistan
Qualifications & Experience
- MBBS – Nishtar Hospital (2015)
- WMO – Population Welfare Department (2016)
- FCPS – Obstetrics & Gynecology (2024)
- Fellowship in Aesthetic Gynecology – American Board (2023)
During consultation, Dr. Naila Frukh can assess symptoms, review ultrasound or other imaging, discuss fibroid treatment options, and determine whether surgical management or referral is appropriate.
Important: The website should only state that Dr. Naila Frukh personally performs a particular myomectomy approach if her current surgical privileges, hospital affiliation, and scope of practice have been confirmed.
Appointment & WhatsApp
WhatsApp / Appointment: 0300 7706050
Contact for gynecology consultation, fibroid assessment, treatment planning, and appointment availability.
Final Thoughts
Myomectomy in Multan is an important uterus-preserving surgical option for selected women with symptomatic uterine fibroids.
Unlike hysterectomy, myomectomy removes the fibroids while keeping the uterus in place. This makes it an important consideration for women who wish to preserve reproductive potential, although it does not guarantee future pregnancy.
Depending on fibroid size, number, location, and other medical factors, myomectomy may be performed through a hysteroscopic, laparoscopic, or abdominal approach.
The decision should be based on proper gynecological assessment, imaging, symptoms, reproductive goals, and a discussion of alternative treatments.
Women should not undergo fibroid surgery simply because fibroids are present. Treatment should be based on the patient’s symptoms, medical circumstances, and individual goals.
For women seeking myomectomy in Multan or professional assessment of uterine fibroids, consultation with a qualified obstetrician-gynecologist is an appropriate first step.
Dr. Naila Frukh provides gynecology consultation and treatment-planning guidance.