This in itself is not a problem for women who have managed to achieve their reproductive desires and have finished child bearing.
Women who either have not become pregnant or have recurrence of their symptoms whose fibroids have regrown need to consider their choices and what the realistic chances of reaching their objectives are.
Their choices of course will depend on:
The number of fibroids that have regrown
The location of the fibroids that have regrown
The size of the fibroids that have regrown.
They also need to consider the age at which they had their original myomectomy and the age they are when they consider having a repeat procedure.
Factors that will also affect choice will be
How the original myomectomy was performed whether laparoscopically or by traditional open surgery or by Hysteroscopy.
Problems with a repeat myomectomy include
Increased risk of bleeding during the operation
Increased chance of bowel injury during the operation
Increased chance of bladder injury during the operation
Increased chance of hysterectomy during, or after the operation.
Fertility after a second myomectomy
After the first procedure the chances of pregnancy a high, particularly for women who had a fibroid in the uterine cavity. 75% of women who will get pregnant usually do so within the first year after the procedure.
Fertility is not that good after a second abdominal myomectomy with pregnancy rates being as low as 15%.