myomectomy in 1 week, caught off guard

Hi, I'm new. Late last week I learned that I will require a myomectomy to remove two pedunculated fibroids, one is about 13 cm and the other is only 2 or 3 cm. I was told that I'm the size of a 4.5-5 month pregnancy.

My surgery is scheduled for one week from today.

Despite the size of my larger fibroid, I honestly didn't see this coming. I am a large person, and while I new "something" was there I didn't realize how large it was. Furthermore, after a gyn ultrasound this summer my primary care doctor told me this was nothing to worry about. Turns out she read my report wrong: The larger fibroid is attached via a 4 cm stalk, and she thought the stalk size was the fibroid size. So it wasn't until a follow up with the gyn that I was suddenly aware of the actual size and the recommendation for surgery.

At this time they do not anticipate having to cut into my uterus but I was warned that due to the stalk size I am at a higher risk of bleeding. They are also not sure if they will be able to do a "bikini" incision or a vertical incision through my belly.

One big question I have about all of this is whether I could feel better after surgery and recovery from it. I didn't know I had fibroids, but I've had awful fatigue and malaise for years. In the past I had a nasty case of late-diagnosed Lyme disease so I assumed my problems were after effects of that illness, but the fatigue just gets worse and worse with time, and it takes away my concentration and makes it easy to feel depressed.

I know no one here has a crystal ball, but I am curious to hear about if some people can feel better with fibroids out. I've never tested anemic, and I've read in some places that anemia is the only way that fibroids can cause fatigue. So I'm very curious if others have had fatigue with normal range hemoglobin.

Thank you for reading and for any advice or thoughts on my situation.

Hi,

I had a myomectomy back in 2001 to remove fibroids. There was a big improvement for quite a while.

More fibroids grew and my uterus was bigger this time around. (I read the instance of recurrence like I had is low - maybe 10-25%.). The first surgery was totally worth it.


I'm not sure how they could be considering vertical vs bikini cut and not cut into your uterus. Are you sure that's what they said? If they were thinking vaginal removal, I don't think there would be an incision.

I have had fatigue but I was diagnosed as having hypothyroidism by my obgyn so I can't separate the two. It's too soon after my surgery to know if I will have more energy but again it was worth it to address the other effects of the fibroids.

It my be worth it to get another opinion just to be sure.

Both of my surgeries were via vertical incision, although the hysterectomy was supposed to be a Dvh and I had problems which required them to convert on the table. Probably best for me since they were able to handle another issue at the same time.

My surgery was 7/30 and I'm walking 1.5-1.6 miles per day (divided into to trips) and I stopped taking Percocet after 1 week. I'm doing quite well considering everything I had done - it was more than just the hysterectomy.

If you have questions I will be happy o answer thm.

Diane