Slide 17

After a hysteroscopic myomectomy, post-op pain can be managed with NSAIDs and Tylenol, no need for narcotics. Vaginal bleeding may occur but usually stops within a few days. Recovery is quick, unlike abdominal or laparoscopic myomectomy. No sex for 6 weeks, no tampons for 1 month to prevent infections. Contact the doctor if experiencing severe abdominal pain, pain during urination, fever, unusual vaginal discharge, or heavy bleeding. Follow up with the provider as recommended. Lastly, let's talk about the post-op care following a hysteroscopic myomectomy. For post-op pain, this can be controlled with NSAIDs and Tylenol. Narcotics are not required, nor are they recommended. Post-op vaginal bleeding may occur and usually subsides within a few days. Patients are able to return home the same day and can expect a full recovery within a few days. This is in contrast to the abdominal and the laparoscopic myomectomy, where patients have a longer recovery. Sexual intercourse should be avoided for up to six weeks. Avoid tampons for up to one month to reduce risk of infections. Also, you want to contact your doctor immediately if you have any severe lower abdominal pain, pain during urination, fever, vaginal discharge as unusual, or any heavy bleeding following this procedure. And of course, you will want to follow up with your provider at the recommended duration.