The short answer
Yes, many women get pregnant after a myomectomy, because the womb is kept. Surgeons usually advise waiting a few months for the womb to heal before trying, and some women are advised to have a planned caesarean for the birth. A myomectomy can help when a fibroid is distorting the inside of the womb, but it cannot guarantee a pregnancy, because many other things affect fertility.
Book a myomectomy, from ₦1,000,000Medically reviewed by Dr Debo Odulana, Founder and Chief Executive, Mezo. Last reviewed . This page is general information, not a diagnosis. Care is decided with you after an examination.
Does removing fibroids improve fertility?
It depends on where the fibroids are. Fibroids that bulge into the cavity of the womb, where a pregnancy implants, are the ones most likely to affect fertility and miscarriage, and removing them may help. Fibroids inside the wall of the womb are less clear: removing them helps some women and not others. Fibroids on the outside of the womb rarely affect fertility.
Fertility also depends on age, ovulation, the fallopian tubes, and your partner's sperm. If you have been trying for a year or more, or six months if you are 35 or older, ask for fertility tests for both of you before or alongside surgery. Surgery on its own may not be the whole answer, and it should not delay other tests you need.
How long to wait before trying
The wall of the womb needs time to heal after it has been cut and stitched. Surgeons commonly advise waiting a few months, often somewhere between three and six, before trying to conceive. The right wait depends on how deep the fibroids were and whether the cavity was opened, so your surgeon will tell you your own number at the six-week review. Use contraception until then, and ask which kind suits you.
Will I need a caesarean?
Possibly. The scar in the wall of the womb can, rarely, give way during labour, which is dangerous for mother and baby. Where the surgeon removed deep fibroids or opened the cavity, a planned caesarean is commonly advised. Where only small fibroids on the surface were removed, labour may be possible.
Ask your surgeon to write down exactly what was done: how many fibroids, where they were, and whether the cavity was entered. Keep this note and show it to whoever looks after your pregnancy, especially if that is a different hospital or doctor.
Looking after the pregnancy
Book antenatal care early with an obstetrician, not a maternity home or prayer house, and tell them about the myomectomy at the first visit. Take folic acid from before you conceive. Because of the scar on the womb, plan to give birth in a hospital that can do a caesarean at any hour.
Go to hospital straight away if you are pregnant after a myomectomy and have sudden severe tummy pain, bleeding, or feel faint, especially late in pregnancy or in early labour.
If pregnancy does not come
This is painful, and in Nigeria the pressure from family can be heavy. It is not a failure on your part. If you have been trying for a year after the recommended wait, or six months if you are 35 or older, see a fertility specialist. Options such as IVF remain open after a myomectomy, and some women are advised to have fibroids removed before IVF.
What it costs on Mezo
Two units of blood cross-matched and available are included.
Common questions
How soon after myomectomy can I get pregnant?
Most surgeons advise waiting a few months for the womb to heal, often between three and six. Your surgeon will give you your own advice based on what was removed.
Can I have a normal delivery after a myomectomy?
Sometimes. It depends on how deep the fibroids were and whether the cavity of the womb was opened. Many women are advised to have a planned caesarean. Your surgeon's operation note should guide the obstetrician.
Will my fibroids come back during pregnancy?
New fibroids can grow over time, and existing small ones can change size in pregnancy. Most pregnancies after a myomectomy are not affected by this. Your antenatal scans will check.
Does a myomectomy guarantee I will get pregnant?
No. It can remove a cause that may be getting in the way, but fertility depends on many other things. Anyone who promises a pregnancy after surgery is not being honest with you.
The procedures
Related health guides
More patient guides
Sources and further reading
The guidelines and patient information this page is checked against. Care in Nigeria follows the same evidence; what differs is the price and where it is done.
- Fibroids. NHS. Patient information.
Links last checked 22 October 2026.
Medical disclaimer: This guide is general information and does not replace advice from your own doctor. Where your centre's instructions differ from this guide, follow theirs.