While myomectomy has a low rate of complications, there is the potential for side effects. These can include:
- Infection of the uterus, fallopian tubes or ovaries
- Scar tissue from the removal of fibroids in uterine muscle
- Childbirth complications, as in rare cases uterine scars may rupture late in pregnancy or in delivery
- Injuries to the bladder or bowel, such as a bowel obstruction
- Excessive bleeding after removing a fibroid, which may require the doctors to perform a hysterectomy
- If the doctor cannot restore the structure of the uterus after removing fibroids, this may also require a hysterectomy during a myomectomy
After a myomectomy, the development of new fibroids is still possible; the doctor may miss tiny tumors called seedlings, and new tumors can also form.