It may also be the preferred procedure for a woman who feels a strong desire to keep her uterus and have only the diseased tissue removed. Fibroids may return following a myomectomy. However, even if you did develop another fibroid, it is unlikely that it would grow to a bothersome size prior to your natural menopause. It is generally felt that the chances for regrowth decrease significantly if a myomectomy is performed after age 35. A myomectomy is associated with a greater risk of infection as well as a greater blood loss than an average hysterectomy.
Fibroids have a rich vascular supply which helps support their growth.
As a fibroid is removed, the space which it occupied is obliterated with suturing, yet a small pocket of blood may remain and serve as a potential source of infection. Because of the increased blood loss that occurs during a myomectomy, I always discuss autologous blood donation with my patients undergoing this procedure. Many women prefer to have banked their own blood in advance as a precaution. Women who elect a myomectomy are motivated to preserve their uterus and are willing to accept a greater risk to do so. As for the removal of your ovaries at the same time, I think you need to consider your age.