When to seek an assessment
Heavy or prolonged periods, pelvic pressure, urinary symptoms or concerns about fertility are reasons to arrange a consultation. Ultrasound helps assess the size, number and position of fibroids.
Does every fibroid need surgery?
No. Observation or medication may be appropriate. Treatment depends on symptoms, scan findings, your health and plans for pregnancy. Other procedures or referral may also be discussed.
Laparoscopic and open myomectomy
Myomectomy removes fibroids while retaining the womb. Laparoscopy uses small abdominal incisions. Open surgery uses a larger incision and may be appropriate depending on the size, number and position of the fibroids and the complexity of surgery.
Planning surgery and recovery
Discuss bleeding, infection, injury to nearby organs, scar tissue, possible conversion to open surgery and the chance of fibroid recurrence. Your surgeon will explain alternatives, hospital stay, recovery and implications for a future pregnancy.
Further patient information: NHS patient guide ↗
Seek urgent medical attention for severe sudden pelvic pain, fainting or heavy bleeding with weakness. Do not wait for a routine appointment.