First, some women who undergo myomectomy would end up with a hysterectomy due to excessive bleeding or inability to repair the uterus during surgery. Secondly, the scarring caused by myomectomy will significantly diminish her chances of having a child. Also, most women with symptomatic fibroids have numerous fibroids in their uterus, significantly more than can be safely removed surgically. Therefore, many women will require another surgery in the future.