Will uterine fibroids recur after myomectomy?

There is a probability of recurrence after uterine fibroid removal. The risk of recurrence is related to factors such as the surgical method, the number of fibroids, and the age of the patient.

Myomectomy surgically removes fibroids but preserves the uterus. Postoperative recurrence is mainly related to residual or new fibroids. There is little difference in the probability of recurrence between laparoscopic and open surgery, but patients with multiple fibroids have a higher recurrence rate. Young women have a relatively increased risk of recurrence due to their higher estrogen levels. When there is no regular follow-up examination after surgery or there is endocrine disorder, the regeneration of fibroids may be accelerated. Some patients may develop new fibroids within 5 years after surgery, but most grow slowly and do not require secondary surgery.

Rarely, fibroid recurrence is associated with genetic susceptibility or specific pathological types. Certain genetic mutations may cause fibroid cells to proliferate abnormally and may recur even after complete removal. Rarely, leiomyosarcoma misdiagnosed as uterine fibroids preoperatively may relapse rapidly postoperatively. This type of situation usually requires a combination of pathological examination and imaging evaluation to confirm the diagnosis.

It is recommended to perform gynecological ultrasound examination every 6-12 months after surgery to monitor the recurrence of endometrium and fibroids. Maintain a regular schedule, control your weight, and avoid long-term use of estrogen drugs. If symptoms such as increased menstrual flow or lower abdominal distension occur, you should seek medical attention promptly. For patients near menopause, the risk of recurrence gradually decreases as estrogen levels decline.