I have a 10cm transmural fibroid (basically going through the entire wall and entering my uterine cavity), and want to get a myomectomy. Both times I mentioned it to my surgeon, he recommended a partial hysterectomy instead and his reasoning was the lower risk of adhesions for that surgery vs myomectomy. He said my uterus is essentially "destroyed". It does seem to be true that myomectomy is more likely to cause adhesions, but I also read that most adhesions don't cause too many problems.
Has anyone been told myomectomy isn't recommended for this reason? I'm only 31 and would really prefer to wait until closer to 40 before a hysterectomy because I've seen studies showing that removing the uterus can affect the ovaries and increases the risk of early menopause.
Thanks!