Surgery
Is a myomectomy the same as a hysterectomy?
The short answer
No, they are different surgeries: a myomectomy removes uterine fibroids while keeping the uterus in place, so it can maintain the possibility of carrying a pregnancy. A hysterectomy removes the uterus, so pregnancy is no longer possible afterward.
No, these are different surgeries. A myomectomy removes uterine fibroids while keeping your uterus in place, which means it can maintain the possibility of carrying a pregnancy.
A hysterectomy removes the uterus, so pregnancy is no longer possible afterward. If keeping your uterus or preserving fertility is a priority, myomectomy is often the first surgical option we consider. If symptoms like bleeding or pain are severe and you’re certain you don’t want future pregnancy, our team may also discuss hysterectomy as an alternative during your consultation.
Where to go from here
Understand it, compare it with what you're feeling, then talk it through with us.
Step 2 · Compare
Symptoms it can relate to
Step 3 · Speak with Us
Surgery Options: Know Your Choices
Our specialists can help you understand whether myomectomy or hysterectomy best fits your needs and fertility goals. Get personalized advice to preserve your health and options.
Questions people ask next
All surgery questionsHow do I know if I'm a good candidate for myomectomy?
Myomectomy may be a good fit if fibroids cause heavy bleeding, pain or other symptoms and imaging shows they can be removed while preserving your uterus. Candidacy depends on fibroid size, number and location, your health, prior pelvic surgeries and pregnancy goals.
Which fibroids affect fertility, and when is myomectomy recommended?
Submucosal fibroids and intramural fibroids that distort the uterine cavity are most consistently linked with fertility challenges. Myomectomy is most often recommended for cavity-distorting fibroids, or intramural fibroids causing significant symptoms that may affect reproductive plans.
Will myomectomy improve heavy bleeding and painful periods?
Myomectomy can significantly improve heavy menstrual bleeding when fibroids are the primary driver, and many patients notice less pelvic pressure and cramping. Pain may persist if adenomyosis or endometriosis is also causing symptoms.
How is robotic hysterectomy done, and when is it recommended?
Robotic hysterectomy uses small abdominal incisions, robotic-assisted instruments and a camera. Whether it is recommended depends on your symptoms, their cause, prior treatments and fertility goals; severe endometriosis does not automatically require it.
Further reading
Why Endometriosis and Fibroids Often Show Up Together—And What That Means for You
Explore why endometriosis and fibroids often coexist, their symptoms, and what it means for your health. Get informed on your care options.
Fertility-Sparing Treatment for Adenomyosis: Pregnancy Chances, Symptom Relief, and Pregnancy Risks
Weigh pregnancy chances, symptom relief, and risks after fertility-sparing adenomyosis treatment. Compare adenomyomectomy vs HIFU, RFA, UAE: when to add hormones
