Do You Need to Wait for Menstrual Cessation Before Fibroid Removal?

Myomectomy

Is it necessary to wait for the menstrual bleeding to stop before removing a fibroid? How long does the surgery take, and will hospitalization be required?

Xiao Yu, 20~29 year old female. Ask Date: 2005/12/11

Dr. Xu Junzheng reply Obstetrics and Gynecology

No need to wait for the menstrual bleeding to stop.
Hospitalization is required, and the surgery duration varies between 30 to 120 minutes depending on the size and location of the tumor, as well as whether laparoscopic surgery is performed.
Thank you!

Reply Date: 2005/12/11

More Info

When considering the removal of uterine fibroids, it is not strictly necessary to wait for menstrual cessation before undergoing the procedure. The timing of the surgery can depend on various factors, including the severity of symptoms, the size and location of the fibroids, and the overall health of the patient.
Uterine fibroids, also known as leiomyomas, are non-cancerous growths in the uterus that can cause a range of symptoms, including heavy menstrual bleeding, pelvic pain, and pressure symptoms. If a patient is experiencing significant symptoms, it may be advisable to proceed with surgery regardless of the menstrual cycle. In fact, some surgeons prefer to schedule the surgery during the menstrual cycle when the fibroids may be less vascular and easier to remove.

The surgical options for fibroid removal include myomectomy (removal of the fibroids while preserving the uterus) and hysterectomy (removal of the uterus). The choice of procedure will depend on factors such as the patient's desire for future fertility, the number and size of fibroids, and the patient's overall health.

In terms of the duration of the surgery, it can vary based on the complexity of the case. A myomectomy typically takes about 1 to 3 hours, while a hysterectomy may take longer. The surgery can be performed through different approaches, including abdominal, laparoscopic, or robotic-assisted techniques, which can also influence the duration of the procedure.

Regarding hospitalization, it depends on the type of surgery performed and the patient's recovery. For laparoscopic myomectomy, patients may be able to go home the same day or after a short overnight stay. In contrast, an abdominal myomectomy or hysterectomy may require a longer hospital stay, typically ranging from 1 to 3 days, depending on the patient's recovery and any complications that may arise.

Post-operative recovery can also vary. Patients are usually advised to avoid heavy lifting and strenuous activities for several weeks following surgery. Most women can return to normal activities within 4 to 6 weeks, but this can vary based on individual circumstances and the type of surgery performed.

In summary, it is not necessary to wait for menstrual cessation before undergoing fibroid removal. The decision should be based on the severity of symptoms and the recommendations of the healthcare provider. The duration of the surgery and the need for hospitalization will depend on the specific procedure and the patient's overall health. It is essential to have a thorough discussion with a healthcare provider to understand the best approach for individual circumstances and to address any concerns regarding the timing and type of surgery.

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