Overview Causes Symptoms Treatment
What is myomectomy pain?
Myomectomy pain refers to discomfort or chronic pain that can occur after a myomectomy, which is a surgical procedure to remove uterine fibroids while preserving the uterus.
Common Related Conditions
Causes of myomectomy pain
Myomectomy pain can result from multiple factors related to the surgical removal of uterine fibroids. Pain may arise from surgical trauma to the uterus and surrounding tissues, or from internal adhesions that form during healing, restricting movement of the uterus and nearby organs. Nerve irritation or entrapment in the pelvic region may cause sharp, burning, or pulling sensations, while changes in pelvic floor function or organ positioning can create additional tension and discomfort. Residual or recurrent fibroids, post-surgical inflammation, or complications such as infection can further contribute to pain. Pre-existing conditions, including endometriosis or prior pelvic surgeries, may amplify discomfort, making myomectomy pain a multifactorial issue that can affect daily activities, menstrual cycles, intercourse, and overall quality of life.
Symptoms of myomectomy pain
Here are common symptoms of myomectomy pain:
- Persistent pelvic or lower abdominal pain beyond normal healing
- Sharp, pulling, or burning sensations in the pelvis or lower abdomen
- Pain during menstruation or heavier menstrual cramping
- Pain during intercourse (dyspareunia)
- Lower back, hip, or groin discomfort due to pelvic tension
- Tenderness or sensitivity around the incision site
- Feeling of tightness, restriction, or pulling in the pelvic region
- Digestive discomfort, such as bloating or constipation, if adhesions affect the bowel
- Limited range of motion or discomfort during physical activity
Treatment for myomectomy pain
When a patient comes to our clinic with pain or infertility after a myomectomy, our physical therapists thoroughly evaluate the areas of tension or restricted mobility. Naturally, they pay particular attention to the uterus and surrounding areas. They will examine the entire pelvis and abdomen, then move on to the rest of the body, feeling for areas of decreased mobility, tension, and pain.
Our “hands-on” treatment has been shown in peer-reviewed medical journals to significantly reduce adhesions, decrease pain, improve fertility, and increase soft tissue mobility – without the risks or side-effects of surgery or drugs.
Other Treatment Options (Surgery, Drugs)
Besides pain-relieving medications, your physician may suggest another surgery – this one to destroy (lyse) adhesions that are causing your pain. While lysis of adhesions can be effective, the surgery has two major drawbacks:
- It carries risks from anesthesia and infection
- Despite the best skills of the finest surgeon, the body creates more abdominal adhesions as it heals from the surgery designed to remove them.
A five-decade study in Digestive Surgery showed that more than 90% of patients develop adhesions after open abdominal surgery, and 55% to 100% of women develop adhesions following pelvic surgery. Another large study reported that 35% of all open abdominal or pelvic surgery patients were readmitted to the hospital more than twice to treat post-surgical complications and adhesions during the 10 years after their original surgery, thus abdominal surgery itself has been implicated as a major cause of adhesion formation, and many patients become trapped in a cycle of surgery-adhesions-surgery. Clear Passage® Therapy eliminates the need for surgery to decrease both adhesions and pain, without surgery.
Condition Specific Disclaimer:
Clear Passage® Therapy provides specialized manual physical therapy intended to address adhesions and improve pelvic mobility, which can often reduce or eliminate pain after a myomectomy surgery. Individual results vary; no medical or therapeutic technique can guarantee pain relief or specific medical outcomes. We always encourage each applicant to consult her physician to rule out underlying conditions and determine the most appropriate course of care.
Testimonials:
To read Clear Passage® Therapy patient success stories, please visit our Testimonials page.