A myomectomy is an operation to remove fibroids without removing healthy uterine tissue. It is best for women who want to have children after fibroid treatment or want to keep their uterus for other reasons. You can get pregnant after a myomectomy. This procedure is considered the standard of care to remove fibroids and preserve the uterus. A hysterectomy is the surgical removal of all or part of the uterus or womb. The doctor may also remove the fallopian tubes, ovaries, and/or cervix during the same operation. It is important to know that most women undergoing hysterectomies do not need to have their ovaries removed and therefore will not experience menopausal symptoms after surgery. Hysterectomies are commonly performed as a last resort for chronic problems such as uterine fibroids, endometriosis, pelvic support problems (ie, uterine prolapse), abnormal uterine bleeding, cancer, and chronic pelvic pain.
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