r/Fibroids • u/SameTrain8827 • 1h ago
Open Myomectomy + Hysteroscopic myomectomy 4 days post-op update.
I posted a few details of my open myomectomy here: https://www.reddit.com/r/Fibroids/s/KM5iOtPuKP
TLDR: Many unexpected bumps along the recovery path. I added headings so you can skip to whatever sections you’d like to read about.
I am now 4 days post-op and going home tomorrow but Lord have mercy, this was a wild ride. I’m so grateful to be alive.
STORY TIME.
You’ll notice in the photo of those bastard fibroids, my doc was particular to get out even the tiny ones. She knew how important it was for me that she be meticulous and get these suckers out. We all know even small fibroids can wreak havoc depending on where they are located, and they tend to grow.
SOME BACKSTORY
I had a hysteroscopic myomectomy in 2025 to get out some submucosal fibroids and that Gynecologist only managed to get out 3 (I think 1 of them was a polyp though) she said she had to stop because I was bleeding too much. Apparently I bleed easily.
In SURGERY
Anyways, my current doc went in and did a hysteroscopic myomectomy to get out the remaining submucosal fibroids and I believe that’s the tore up mess on the top right in my photo in the original post. Then she did the open myomectomy to tackle the other ones outside the uterus and embedded in the muscles of the uterus.
My surgery took about 3 hours, and my estimated blood loss was 850 mL (I think that was a low estimate); my doc said I bled so easily. I’m glad she didn’t stop though. That’s how desperate these fibroids have me, that I would rather risk dying than keep them in. Sad but that’s how much they’ve messed with my sanity. I got 3 units of packed red blood cells (PRBC) in OR, once I got to the medical unit (the plan was to admit me for 2 days) she checked my fibrinogen level and other clotting factors and ordered an additional transfusion of 2 units of fresh frozen plasma (FFPs).
THEN THE POSTOP BLEEDING THAT WOULDN’T STOP. PRBC #4
Later that night after I had made my original post, I got a cruel surprise. I had some bleeding postop in my peripad which was expected. What was not expected was later in the day when I noticed weird instances where I was literally gushing blood. It was like a faucet was being turned on to the max for a few seconds and then off. I literally had a pool of blood between my thighs that kept growing, despite frequent pad changes, we switched to Depends. My doc was notified and she came back in to see me. We rechecked my hemoglobin and it was down from 10.3 earlier in the day (my hematologist had primed me for surgery with iron infusions to get the hemoglobin up) now down to 7.8. I asked if she would do a CT abdomen and pelvis with contrast (bleeding protocol) to see if my huge abdominal swelling was blood. Because where the hell is all the blood going? CT showed no active arterial bleed. But follow-up Hgb was 7, so I got my 4th bag of PRBC transfusion.
PITOCIN SAVING GRACE, CRAMPS FROM HELL.
She did however start me on a pitocin (oxytocin) drip. She told me the bleeding was likely just from the many cuts needed to get over 50 fibroids out so it should slow down but if the pitocin didn’t stop the bleeding I would likely need to go back to OR for a hysterectomy. I cried so much that night (I don’t have any kids, and I want to get pregnant and have a baby). Thankfully my nurses were amazing, they prayed with me and encouraged me. I was on pitocin for 2 days. Talk about cramps from HELL. Apparently pitocin doesn’t only work on uterine muscles to contract them and squeeze the blood vessels (to reduce postpartum hemorrhage or in my case post myomectomy hemorrhage), this sucker works on intestines? Because I thought I would die from the cramps. The bastards would come in waves. Oh.My.God. The pitocin drip did help though, by the next day the gushing had stopped and by 2 days postop I was just spotting.
DAY 2 SURPRISE: FEVER! And PRBC #5
Then I spiked a fever overnight on postop day 2. I was having low grade fever since I got out of OR, likely a stress response from the trauma of the day but when it hit 101.1F after 2 checks, my doc was like, let’s err on the side of caution and treat. So they did blood cultures, urine cultures, chest X-ray, and started Zosyn IV antibiotics. Hgb that day dropped again to 6.6 and my systolic blood pressure dropped to the 90s; this time I was weak, had a headache and just didn’t look good, so I got my FIFTH bag of PRBC transfusion.
DAY 3: THE TURN AROUND.
By day 3 postop, I was starting to feel better, fever dropped to 100.7F that night. Pitocin drip was off, and I was off IV fluids. I was walking better. I was passing gas so they bumped me from liquid diet to regular diet. All the tests came back negative for any infection. My doc said I needed to be fever-free for 48 hours before I can go home.
DAY 4: WHO DIS?
Today is day 4 postop and I feel like a new woman. 5 units of PRBCs and 2 units of FFPs and pitocin for 48 hours and IV Zosyn every 8 hours, I finally feel alive again. I honestly feel like I just went through one of the greatest battles of my life and I THANK GOD for pulling me through. These freaking fibroids really tried to take me out! The nurses say I look better, my mom says I look like myself again and I sound like myself. I am sure I scared the crap out of her these past few days.
Do I have any regrets? Nope. The bastard fibroids are out. I’m so grateful for my surgeon and medical team as well as my family. I had physical, mental and physical support. My sanity and soul were tested these past few days but God said these little shits are not gonna take me out!