If you’ve been diagnosed with uterine fibroids, you’re not alone. These non-cancerous growths in the uterus are common among women of reproductive age, and many live with them without symptoms. However, for some, fibroids can cause pain and discomfort to everyday life—prompting the need for removal.
Before undergoing any procedure, it’s important to be informed and feel confident in your care. In this article, we’ll share the essential questions you should ask your gynecologist and obstetrician before fibroid removal, and what to consider when seeking treatment in Singapore.
Knowing When Removal is Necessary for Uterine Fibroids
Before covering the questions, let’s cover some general symptoms that usually indicate your fibroids are affecting your health and quality of life.
- Heavy or prolonged menstrual bleeding
- Chronic pelvic pain or pressure
- Frequent urination or difficulty emptying the bladder
- Pain during intercourse
- Difficulty conceiving or carrying a pregnancy
For an accurate assessment of your condition and how badly it’s affecting your health, you should talk to a gynecologist or obstetrician in Singapore. Below are the questions you can start your consultation with.
What to Ask Before Fibroid Surgery
What are my fibroid removal options?
Several treatment options are available, and they vary based on your symptoms, the size and number of fibroids, and whether you plan to have children. These typically include:
- Myomectomy: Removal of fibroids while preserving the uterus.
- Hysterectomy: Complete removal of the uterus; a permanent solution that eliminates future fibroid growth.
Is fibroid surgery painful? What is recovery like?
Pain levels vary depending on the procedure. Minimally invasive options like laparoscopic myomectomy typically result in less pain and faster recovery—often within 2 to 4 weeks. Open surgery may require 6 to 8 weeks of recovery.
Pain is usually well managed with medication, and you’ll be given clear instructions on how to care for yourself during recovery. You should check with your doctor about any specific concerns you may have, depending on your pain sensitivity or any health condition.
Will I lose my uterus with fibroid surgery?
Only if a hysterectomy is performed. If preserving fertility or retaining your uterus is important to you, share this with your doctor. In many cases, fibroids can be removed while keeping the uterus intact, especially with myomectomy or non-surgical approaches.
What’s the difference between hysterectomy vs fibroid removal?
- Hysterectomy eliminates fibroids entirely by removing the uterus. It’s a permanent solution, but it also means you cannot become pregnant after the procedure.
- Fibroid removal (myomectomy) targets only the fibroids, preserving your uterus and fertility.
Your age, family planning goals, and fibroid characteristics will influence which option is ideal. You should share these with your doctor and get an accurate assessment from them.
What are the emotional effects of fibroid surgery?
Surgery can bring emotional relief—especially if you’ve been living with pain or fertility struggles—but it may also trigger anxiety, particularly if a hysterectomy is involved. It’s important to have open conversations with your gynecologist. Ideally, they should be able to relate to your concerns and talk you through the various stages of treatment, so that you’re informed and have peace of mind.
Costs and Where to Seek Treatment in Singapore
What is the typical cost of fibroid removal in Singapore?
The cost of fibroid removal depends on the procedure type, hospital fees, anaesthesia and postoperative care. You should speak to your gynecologist to get an estimate based on their evaluation of your condition.
Are the procedures covered by insurance or Medisave?
Yes, most fibroid removal procedures are claimable under Medisave and Integrated Shield Plans, especially if the surgery is medically necessary. Medisave typically covers up to $5,000 to $7,500 depending on the complexity of the surgery. Be sure to confirm coverage with your gynecologist’s clinic and check with your insurer before your procedure.
Post-Surgery Considerations and Lifestyle Changes
What diet should I follow after fibroid removal?
Post-surgery, focus on foods that promote healing and reduce inflammation, such as:
- Leafy greens and fiber-rich vegetables
- Lean proteins (e.g., fish, eggs, tofu)
- Whole grains and antioxidant-rich fruits
- Plenty of water
Avoid processed foods, excessive caffeine, and alcohol. Iron-rich foods are especially important if you experienced heavy bleeding before surgery. You should talk to your doctor about your lifestyle and any health condition, so you can diet recommendations tailored to your needs.
How long will I take to recover?
Recovery time depends on the procedure:
- Laparoscopic surgery: 2–4 weeks
- Open abdominal surgery: 6–8 weeks
Follow your gynecologist’s guidance on rest, exercise and when to resume normal activities.
Are there long-term effects or hormonal changes?
Unlike hysterectomy, fibroid removal doesn’t typically impact hormones unless the ovaries are also removed. Most women do not experience hormonal imbalances. However, fibroids may return over time, especially in younger women. Maintaining a healthy lifestyle may help reduce recurrence.
What follow-up care do I need?
Post-operative follow-up includes:
- A check-up within a week or two of surgery
- Ultrasound imaging (if needed) to confirm healing
- Discussions on future pregnancy planning or recurrence monitoring
Check with your doctor about the progress of your treatment. They should inform you at each stage of how well your body is doing and if there are any steps you need to take to make the healing process smoother.
Choosing the Right Gynecologist & Obstetrician in Singapore
Your relationship with your gynecologist should be built on trust and clear communication. Ideally, they should:
- Take the time to listen to your symptoms and goals
- Explain complex procedures in a reassuring way
- Tailor treatment recommendations to your personal needs
- Offer emotional support alongside medical care
If you’re exploring fibroid removal, you can ask all the questions above and see how informed and assured you feel after.
Consult Dr T.C. Chang
If you’re seeking personalised care for uterine fibroids, Dr TC Chang is here to help. He has years of experience in women’s health as a gynaecologist and obstetrician in Singapore.
Whether you’re considering fibroid removal for symptom relief, fertility planning or simply peace of mind, Dr Chang will help you weigh your options and make informed choices with confidence. His clinic offers comprehensive fibroid evaluations and both surgical and non-surgical treatment options in a private, supportive environment.
Book a consultation with Dr TC Chang today to explore the best treatment plan for your needs.