Myomectomy in Turkey – Symptoms, Treatment Options, Recovery and Fertility

Myomectomy is a surgical procedure performed to remove uterine fibroids (also known as myomas or leiomyomas) while preserving the uterus. For women suffering from fibroid-related symptoms who wish to maintain fertility or avoid hysterectomy, myomectomy in Turkey offers a safe, modern, and effective treatment performed by experienced gynaecologists using the latest medical technologies. Turkey has become a global destination for women’s health surgery, offering advanced hospitals, internationally accredited specialists, and affordable prices.

Myomectomy is a surgical procedure

Information and consultation: +90 541 998 34 34 – Istanbul, Turkey

In Turkey, as in the UK or EU, myomectomy is considered when hormonal or medical treatments are not effective or suitable. The choice of procedure depends on the size, number, and location of fibroids, as well as on the patient’s future fertility plans.

Myomectomy is ideal for women who experience heavy bleeding, pelvic pain, or pressure symptoms but still wish to preserve their uterus. Many leading hospitals across Istanbul, Ankara, Izmir, Antalya, and Bursa provide both minimally invasive and open surgical approaches for the best possible outcomes.

What Are Uterine Fibroids?

Uterine fibroids are benign (non-cancerous) muscular growths that develop inside or on the uterus. Also known as myomas or leiomyomas, fibroids are among the most common gynaecological conditions in women of reproductive age.

Research shows that up to 70% of women develop fibroids at some stage, although not all experience symptoms or require treatment.

Types of Fibroids

  • Intramural fibroids – grow within the uterine muscle wall.

  • Subserosal fibroids – project outside the uterus.

  • Submucosal fibroids – grow into the uterine cavity.

  • Pedunculated fibroids – attach by a thin stalk inside or outside the uterus.

Common Symptoms

  • Heavy or prolonged menstrual bleeding

  • Pelvic pressure or lower abdominal pain

  • Frequent urination or constipation

  • Pain during intercourse

  • Infertility or recurrent miscarriage

When fibroids enlarge the uterus or cause anaemia, medical or surgical intervention is often necessary.

When Is Myomectomy Recommended?

Myomectomy is recommended when fibroids cause severe symptoms or affect fertility. Doctors in Turkey typically advise surgery if:

  • Fibroids are large or cause visible abdominal swelling.

  • Menstrual bleeding is excessive, leading to anaemia.

  • The patient wishes to preserve her uterus and conceive.

  • Hormonal therapy or medications have not worked.

Women who wish to avoid hysterectomy but want long-term relief from fibroid symptoms are ideal candidates for myomectomy.

If fibroids are too large or numerous, your gynaecologist may suggest alternative treatments such as uterine artery embolisation or, in rare cases, hysterectomy.

Types of Myomectomy in Turkey

1. Abdominal (Open) Myomectomy

This technique involves a small incision on the lower abdomen to access and remove fibroids directly. It is suitable for very large or multiple fibroids and allows the surgeon to reconstruct the uterus carefully. Recovery usually takes 4–6 weeks.

2. Laparoscopic (Keyhole) Myomectomy

Turkey’s top gynaecology hospitals often perform laparoscopic myomectomy. Small incisions are made, and a camera is used to remove fibroids with minimal tissue trauma. Patients benefit from shorter recovery times, smaller scars, and less pain.

3. Hysteroscopic Myomectomy

For fibroids inside the uterine cavity, a hysteroscope is inserted through the vagina and cervix, requiring no external incision. This outpatient procedure allows quick recovery and minimal discomfort.

4. Robotic Myomectomy

Robotic-assisted surgery is available in many advanced hospitals in Istanbul and Ankara. The robotic arms provide precision and better visualisation, resulting in less bleeding and faster healing.

Advantages and Limitations

Benefits of Myomectomy in Turkey

  • Preserves the uterus and fertility

  • Relieves pain, pressure, and heavy bleeding

  • Improves reproductive outcomes

  • Short recovery period with minimally invasive methods

  • Performed by internationally trained specialists in modern facilities

  • Affordable prices compared with the UK or EU

Limitations and Risks

  • Fibroids may recur over time (15–30% of cases)

  • Potential for bleeding or infection

  • Adhesion or scarring inside the uterus

  • Rare conversion to hysterectomy if complications arise

  • Uterine rupture risk during future pregnancies if recovery time is not respected

Your doctor in Turkey will assess your case carefully, explain all potential risks, and recommend the safest surgical option for your needs.

Preparing for Myomectomy

Before surgery, patients will undergo:

  • Detailed gynaecological examination

  • Ultrasound or MRI imaging

  • Blood tests to check for anaemia and clotting

  • Medical history review and anaesthesia assessment

Lifestyle advice before surgery includes maintaining a healthy diet, stopping smoking, and following preoperative fasting instructions. In some cases, hormone therapy may be prescribed to shrink fibroids before surgery.

The Myomectomy Procedure

Myomectomy is performed under general anaesthesia. The surgeon removes fibroids through small incisions (laparoscopic) or a larger incision (open). The uterus is then reconstructed to preserve its shape and function.

In Turkey, operations are performed in modern, fully equipped surgical units with advanced safety protocols. Surgery typically lasts between one and two hours, depending on complexity.

After removal, fibroid tissue is examined in a laboratory to confirm its benign nature.

Recovery and Aftercare

The recovery period depends on the surgical method:

  • Hysteroscopic: discharged the same day

  • Laparoscopic: 1–2 days in hospital

  • Abdominal (open): 2–5 days hospital stay

Patients usually experience mild pain, which is well controlled with prescribed medication. Light activities can resume within a week after laparoscopic surgery.
It is important to avoid heavy lifting and sexual intercourse until your doctor confirms full recovery (usually after 4–6 weeks).

Turkey’s hospitals provide comprehensive post-operative follow-up care, and many international patients can continue communication via online consultations after returning home.

Pregnancy After Myomectomy

Myomectomy allows women to maintain their fertility. Many patients who undergo myomectomy in Turkey successfully conceive afterward.

Doctors usually advise waiting 3–6 months before trying to become pregnant to allow the uterus to heal completely. In some cases, delivery by caesarean section may be recommended to reduce the risk of uterine rupture during labour.

Long-Term Outlook and Fibroid Recurrence

Although fibroids can recur, many women experience long-term relief after myomectomy. Regular gynaecological check-ups and ultrasound monitoring are important for early detection of any recurrence.

A balanced diet, healthy weight, and hormonal stability can also help prevent new fibroid growth.

Alternative Treatments to Myomectomy

Hysterectomy

Removes the uterus permanently, ending menstruation and fertility. Recommended only when no fertility desire remains.

Uterine Artery Embolisation (UAE)

A non-surgical procedure that blocks fibroid blood supply, leading to shrinkage. Effective but not ideal for women planning pregnancy.

Medical Therapy

Hormonal treatments or IUDs can temporarily relieve symptoms but do not remove fibroids.

Endometrial Ablation

Removes the uterine lining to control bleeding but is unsuitable for large fibroids or women wanting future pregnancies.

Frequently Asked Questions

Is myomectomy painful?
Mild discomfort is expected after surgery, but it is easily controlled with medication. Minimally invasive approaches significantly reduce pain.

How long is recovery?
Recovery usually takes 2–8 weeks depending on the surgical method.

Can all fibroids be removed?
Not always. Some fibroids may be left in place if removing them could weaken the uterus.

Do fibroids return?
Recurrence is possible, but many women remain symptom-free for years after surgery.

How much does myomectomy cost in Turkey?
The average cost ranges between €1,800 and €3,800, depending on hospital, location, and fibroid complexity—much lower than European prices while maintaining international medical standards.

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Summary

Myomectomy in Turkey is an advanced and affordable solution for women with uterine fibroids who want to preserve fertility and avoid hysterectomy. Performed by highly experienced gynaecologists using laparoscopic and robotic techniques, it offers minimal scarring, fast recovery, and excellent results.

If you are considering fibroid removal surgery in Turkey, contact a specialist to receive personalised information, cost details, and treatment planning. Information and consultation: +90 541 998 34 34 – Istanbul, Turkey

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