Myomectomy in Istanbul – Symptoms, Treatment Options, Recovery and Fertility
Myomectomy is a surgical procedure used to remove uterine fibroids (also called myomas or leiomyomas) while preserving the uterus. For many women suffering from fibroid-related symptoms who wish to maintain fertility or avoid hysterectomy, myomectomy in Istanbul offers a safe and effective, uterus-conserving solution performed by experienced gynaecologists in modern clinics. Istanbul has become a preferred destination for women seeking fibroid treatment thanks to its advanced hospitals, affordable medical costs, and internationally trained specialists.
Information and consultation: +90 541 998 34 34 – Istanbul, Turkey
In Turkey and the UK alike, myomectomy is considered when medical or hormonal treatments have failed or are unsuitable. The choice depends on fibroid size, number, location, and the patient’s fertility goals.
Myomectomy is particularly ideal for women who want to relieve symptoms such as heavy menstrual bleeding, pelvic pain, or pressure while preserving their ability to conceive. Istanbul’s gynaecology clinics offer both minimally invasive laparoscopic and traditional open surgical options, ensuring each patient receives the most appropriate approach for her individual case.
What Are Uterine Fibroids?
Uterine fibroids are benign (non-cancerous) growths that develop within or on the uterus (womb). They are also known as myomas or leiomyomas. Fibroids are very common among women of reproductive age. Many cause no symptoms, but when they do, they can significantly affect quality of life.
Studies show that up to two-thirds of women will develop fibroids before menopause, but only a portion require active treatment.
Fibroids are classified according to their position:
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Intramural fibroids grow within the muscular wall of the uterus.
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Subserosal fibroids project outward from the uterus.
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Submucosal fibroids grow into the uterine cavity.
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Pedunculated fibroids are attached by a stalk.
Common fibroid symptoms include:
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Heavy or prolonged menstrual bleeding (menorrhagia)
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Pelvic pain, bloating, or pressure
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Frequent urination due to bladder compression
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Constipation
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Pain during intercourse
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Fertility issues or miscarriage risk
When fibroids enlarge the uterus or cause chronic anaemia, surgical treatment such as myomectomy may be recommended.
When Is Myomectomy Recommended?
Myomectomy is not performed in all fibroid cases. The decision is based on:
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Symptom severity
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Fibroid size, number, and position
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Fertility desire and age
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Overall health condition
Myomectomy in Istanbul is typically recommended when medical treatments fail, or when fibroids cause severe symptoms such as pain, anaemia, or pressure. It is also preferred by women who plan to have children.
If fibroids are excessively large or numerous, your Istanbul gynaecologist may discuss alternative treatments such as uterine artery embolisation or hysterectomy.
Types of Myomectomy
Abdominal (Open) Myomectomy
This traditional surgical method involves a horizontal or vertical incision on the lower abdomen. The surgeon opens the uterus, removes fibroids, and repairs the wall in layers.
It is ideal for large or multiple fibroids but involves a longer recovery time (around 4–6 weeks).
Laparoscopic (Keyhole) Myomectomy
In Istanbul, many private hospitals offer laparoscopic or robotic-assisted myomectomy. Surgeons use small incisions to insert a camera and instruments, removing fibroids with minimal trauma.
Patients experience less pain, smaller scars, and faster recovery—usually returning to work within 2–3 weeks.
Hysteroscopic Myomectomy
Used for submucosal fibroids growing inside the uterine cavity. A hysteroscope is inserted through the vagina and cervix, allowing removal without external incisions.
This method is often performed on an outpatient basis, with same-day discharge.
Robotic Myomectomy
Robotic-assisted myomectomy combines laparoscopy with advanced robotic technology. In Istanbul’s leading hospitals, this method enables greater precision, minimal blood loss, and a quick return to daily activities.
Advantages and Limitations
Advantages of Myomectomy in Istanbul
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Preserves the uterus and fertility potential
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Relieves heavy bleeding, pelvic pressure, and pain
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Improves reproductive outcomes for women planning pregnancy
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Performed in advanced facilities with affordable costs compared to Western Europe
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Shorter recovery times thanks to modern minimally invasive approaches
Risks and Limitations
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Fibroid recurrence in 15–30% of women
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Possible bleeding or infection
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Rare conversion to hysterectomy during surgery
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Adhesion or uterine scarring affecting fertility
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Slight risk of uterine rupture in later pregnancies if conception occurs too early
Your Istanbul specialist will discuss all possible risks and benefits during your preoperative consultation.
Preparing for Myomectomy
Before surgery, patients undergo:
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Blood tests and ultrasound or MRI imaging
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Anaemia correction (if needed)
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Medical review for chronic conditions
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Temporary hormone therapy (GnRH analogues) to shrink fibroids
Lifestyle recommendations include stopping smoking, maintaining a balanced diet, and following fasting guidelines before surgery. Istanbul clinics provide bilingual medical teams and patient coordinators for international visitors, ensuring comfortable communication and preparation.
The Surgical Procedure
Myomectomy is performed under general anaesthesia. Depending on the method chosen (open, laparoscopic, or hysteroscopic), the surgeon makes small or larger incisions.
Each fibroid is carefully removed, blood flow is controlled, and the uterine wall is reconstructed.
In Istanbul hospitals, operations are typically completed within one to two hours. Minimally invasive cases are often discharged within 24 hours, while open surgeries may require a short hospital stay.
Recovery and Aftercare
Recovery depends on the surgical approach:
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Hysteroscopic: same-day discharge
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Laparoscopic: 1–2 days in hospital
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Open (abdominal): 2–5 days in hospital
Pain is managed effectively with medication. Patients are advised to walk early to prevent blood clots, avoid heavy lifting, and keep the wound clean.
Full recovery after open surgery may take 6–8 weeks, while laparoscopic and robotic procedures often allow return to work in 2–3 weeks.
Sexual activity should be avoided until the uterus has fully healed (4–6 weeks).
Pregnancy After Myomectomy
One of the main reasons women choose myomectomy in Istanbul is fertility preservation. Many patients conceive naturally after the procedure.
Doctors usually recommend waiting 3–6 months before attempting pregnancy to ensure complete uterine healing.
In some cases, a caesarean section may be advised for delivery to prevent uterine rupture.
Istanbul’s fertility specialists often collaborate with gynaecological surgeons to manage post-myomectomy conception safely and effectively.
Recurrence and Long-Term Outlook
Although fibroids can recur, most women experience long-lasting relief. Maintaining a healthy lifestyle and balanced hormones helps minimise recurrence risk.
Regular follow-up visits with your gynaecologist in Istanbul are recommended to monitor uterine health.
Myomectomy offers effective symptom relief, preserves fertility, and improves quality of life for women who wish to avoid hysterectomy.
Comparison with Other Treatments
Hysterectomy
Removes the uterus entirely, permanently eliminating fibroids but ending fertility.
Uterine Artery Embolisation (UAE)
Blocks fibroid blood flow, causing shrinkage. It’s a less invasive option but not suitable for women planning future pregnancies.
Medical Therapy
Hormonal medication or IUDs may relieve symptoms temporarily but don’t remove fibroids completely.
Endometrial Ablation
Reduces uterine lining and bleeding but is not appropriate for large fibroids or women desiring children.
Frequently Asked Questions
Is myomectomy painful?
Discomfort is common but controlled with medication. Minimally invasive methods cause significantly less pain.
Will my periods continue?
Yes. Myomectomy preserves the uterus, so menstruation continues, often lighter than before.
How long is the recovery time?
Recovery varies between 2–8 weeks depending on the type of surgery.
Can all fibroids be removed?
Not always. Deeply embedded fibroids or those near vital structures may be left if removal poses risk.
Do fibroids come back after surgery?
Yes, but not always. Around one-third of women may develop new fibroids in later years.
What is the cost of myomectomy in Istanbul?
The average cost in Istanbul’s private hospitals ranges from €1,800 to €3,500, depending on fibroid complexity and hospital facilities—significantly more affordable than UK prices.
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Summary
Myomectomy in Istanbul provides an advanced and cost-effective solution for women suffering from uterine fibroids who wish to preserve fertility and avoid hysterectomy.
Performed by expert gynaecologists using the latest laparoscopic and robotic technologies, this surgery restores health and improves quality of life.
If you are considering fibroid removal surgery in Istanbul, contact a trusted women’s health specialist to discuss your options and plan your treatment. Information and consultation: +90 541 998 34 34 – Istanbul, Turkey
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