Myomectomy in Aksaray – Causes, Treatment, Recovery and Fertility

Myomectomy is a surgical procedure performed to remove uterine fibroids (also known as myomas or leiomyomas) while keeping the uterus intact. For women suffering from heavy menstrual bleeding, pelvic pressure, pain, or fertility problems caused by fibroids, myomectomy in Aksaray offers a safe, advanced, and fertility-preserving treatment option. Aksaray, located in the heart of Istanbul’s historic district, is home to modern hospitals and expert gynaecologists who perform minimally invasive laparoscopic and robotic fibroid surgeries with high success rates.

Myomectomy is a surgical procedure

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

In Turkey, myomectomy is recommended when fibroids cause significant discomfort, bleeding, or infertility that cannot be controlled with medications or hormonal therapy. Aksaray’s medical facilities provide both local and international patients with state-of-the-art care, combining modern surgical technology with affordable pricing and multilingual medical teams.

What Are Uterine Fibroids?

Uterine fibroids are benign (non-cancerous) muscular growths that develop inside or around the uterus. They vary in size—from small nodules to large masses that distort the uterine shape—and can affect fertility, menstruation, and quality of life.

Types of Fibroids

  • Intramural: Grow within the muscle wall of the uterus.

  • Subserosal: Extend outward toward the pelvic cavity.

  • Submucosal: Grow into the uterine cavity, causing bleeding and fertility issues.

  • Pedunculated: Attached to the uterus by a stalk.

Common Symptoms

  • Heavy or prolonged menstrual bleeding

  • Pelvic or lower abdominal pain

  • Bloating and pressure in the abdomen

  • Frequent urination or constipation

  • Pain during intercourse

  • Difficulty conceiving or recurrent miscarriage

When fibroids cause anaemia or impair daily comfort, surgical treatment such as myomectomy in Aksaray becomes the most effective solution.

When Is Myomectomy Recommended?

A myomectomy is usually recommended for women who:

  • Experience heavy or painful menstruation not responding to medication

  • Have anaemia due to fibroid-related bleeding

  • Have fibroids that affect fertility or pregnancy

  • Have pelvic pressure or discomfort due to large fibroids

  • Wish to preserve their uterus for future pregnancies

In Aksaray, experienced gynaecologists use ultrasound and MRI to assess the size, number, and position of fibroids before planning the most suitable surgical approach.

Types of Myomectomy in Aksaray

1. Abdominal (Open) Myomectomy

Performed through a small incision in the lower abdomen, this technique is ideal for large or multiple fibroids. It allows full visual access but requires a longer recovery period (about 4–6 weeks).

2. Laparoscopic (Keyhole) Myomectomy

This minimally invasive method is widely performed in Aksaray. Using tiny incisions and a camera, surgeons remove fibroids with precision, causing minimal trauma and quick recovery. Patients usually return home within 24–48 hours.

3. Hysteroscopic Myomectomy

Best suited for fibroids inside the uterine cavity. The surgeon inserts a hysteroscope through the vagina and cervix, removing fibroids without external cuts. The procedure is outpatient, and recovery is nearly immediate.

4. Robotic Myomectomy

Advanced hospitals in Aksaray offer robotic-assisted fibroid surgery. This technique provides superior accuracy, minimal blood loss, and fast recovery, making it an excellent choice for complex cases.

Advantages and Limitations

Benefits of Myomectomy in Aksaray

  • Preserves fertility and menstrual function

  • Reduces heavy bleeding and pelvic pain

  • Restores uterine shape and normal function

  • Minimally invasive methods reduce recovery time and scarring

  • Affordable prices compared with Europe or the UK

Possible Risks

  • Recurrence of fibroids (15–30%)

  • Bleeding or infection

  • Scar tissue formation inside the uterus

  • Rare need for hysterectomy if complications occur

  • Uterine rupture risk in pregnancy if conception occurs too early

Your gynaecologist in Aksaray will discuss all risks, benefits, and the best timing for surgery depending on your health and reproductive goals.

Preparing for Surgery

Before myomectomy, patients undergo:

  • Gynaecological examination

  • Ultrasound or MRI imaging

  • Blood tests and anaemia screening

  • Preoperative consultation with the anaesthesiologist

Doctors may prescribe temporary hormonal therapy to shrink fibroids before surgery. Patients are also advised to follow a healthy diet, avoid smoking, and fast before the procedure.

Aksaray hospitals offer multilingual medical staff and full patient coordination for local and international visitors.

The Surgical Procedure

Myomectomy is performed under general anaesthesia. Depending on the method, the surgeon accesses the uterus through the abdomen, small keyholes, or the vagina. Fibroids are removed carefully, and the uterus is reconstructed to maintain its shape and strength.

In Aksaray, surgeries generally last 1–2 hours. Laparoscopic procedures allow same-day or next-day discharge, while open surgery patients may stay in hospital for 2–4 days.

Recovery and Aftercare

Recovery depends on the surgical technique:

  • Hysteroscopic: Same-day discharge, minimal discomfort.

  • Laparoscopic: Back to work in 1–2 weeks.

  • Open: Full recovery in 4–6 weeks.

Patients should avoid strenuous activity, sexual intercourse, or heavy lifting for 4–6 weeks. Light walking is encouraged to improve circulation and prevent blood clots.

Pain is controlled with medication, and follow-up visits ensure proper healing.

Pregnancy After Myomectomy

One of the major benefits of myomectomy in Aksaray is the preservation of fertility. Many women conceive naturally after surgery.

Doctors usually recommend waiting 3–6 months before attempting pregnancy to ensure complete uterine healing. In some cases, caesarean delivery may be suggested to minimise risks during childbirth.

Long-Term Outlook and Recurrence

Myomectomy offers long-term relief from symptoms, but fibroids can recur. Regular ultrasound monitoring and annual gynaecological check-ups help detect recurrence early.

A healthy lifestyle, hormonal balance, and weight management can reduce the risk of fibroid regrowth.

Alternatives to Myomectomy

  • Hysterectomy: Complete uterus removal; suitable for women who do not plan future pregnancies.

  • Uterine Artery Embolisation (UAE): Minimally invasive, blocks fibroid blood flow.

  • Hormonal Therapy: Provides temporary symptom relief but doesn’t remove fibroids.

  • Endometrial Ablation: Reduces bleeding but is not suitable for large fibroids.

Frequently Asked Questions

Is myomectomy painful?
Mild discomfort is normal but easily managed with painkillers. Minimally invasive methods cause much less pain.

Will I still menstruate?
Yes. Myomectomy preserves the uterus, and menstrual bleeding often becomes lighter after surgery.

Can I get pregnant after myomectomy?
Yes. Myomectomy is the best surgical option for women wishing to conceive.

How long does recovery take?
Recovery ranges from 2–8 weeks depending on the surgical approach.

What is the cost of myomectomy in Aksaray?
The cost in Aksaray hospitals averages €1,600–€3,500, depending on fibroid size, hospital facilities, and surgical technique.

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Summary

Myomectomy in Aksaray is a modern, safe, and fertility-preserving surgical procedure for women suffering from uterine fibroids. Performed by expert gynaecologists using laparoscopic and robotic systems, it offers minimal scarring, short recovery, and high success rates.

If you are considering fibroid removal surgery in Aksaray, contact a qualified gynaecologist for a consultation and personalised treatment plan. Information and consultation: +90 541 998 34 34 – Aksaray, Istanbul, Turkey

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