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The risks of a hysteroscopic myomectomy include bleeding, infection, and blood clots. In rare cases, a hysterectomy may be needed to control uncontrollable bleeding. The procedure takes 30 to 60 minutes on average. The expected outcomes are symptom relief and improved fertility, especially if the issue was caused by fibroids. Women who get pregnant after the procedure can have a normal vaginal delivery. However, those who get an open abdominal or laparoscopic myomectomy will need a cesarean delivery. Fibroids can return after any type of procedure, especially for women under 40 who are at the highest risk. So, let's talk about the risks, outcomes, and complications of this procedure. The surgical risks include bleeding, infection, and blood clots. Now, if the bleeding is uncontrollable, there's a rare chance that a hysterectomy may need to occur to control the bleeding. Average operative times range from 30 to 60 minutes. Expected outcomes include symptom relief and fertility improvement, specifically if a fibroid was causing the issues with the infertility. Women who get pregnant following a successful hystereoscopic myomectomy can have a normal vaginal delivery. This is opposed to those who get an open abdominal myomectomy or a laparoscopic. They must have a cesarean delivery afterwards. Fibroids can return following a myomectomy, and this is the case with any type of procedure. Especially for women under 40, they are at the greatest risk of reoccurrence.