Pregnant after uterine fibroid surgery

It is usually possible to become pregnant after uterine fibroid surgery, but it requires a comprehensive evaluation based on the surgical method, location of the fibroids, and postoperative recovery. There may be a risk of uterine rupture in pregnancy after myomectomy. The success rate of pregnancy after surgery for submucosal fibroids is higher, while strict contraception is required for a period of time after surgery for intramural fibroids.

Myomectomy is divided into three methods: open surgery, laparoscopic surgery and hysteroscopic surgery. Laparotomy surgery causes greater damage to the myometrium, and contraception is required for more than 12 months after surgery. Laparoscopic surgery is less invasive and the contraceptive time can be shortened to 6 months. Hysteroscopic surgery only removes submucosal fibroids without damaging the muscle layer. You can prepare for pregnancy after 1 month of recovery. During postoperative pregnancy, attention should be paid to the location of the placenta. If the placenta is attached to the surgical scar, the risk of placenta implantation may increase. The thickness of uterine scar needs to be closely monitored during pregnancy. When the thickness is less than 3 mm, uterine rupture should be alerted.

Pregnancy needs to be treated with caution under special circumstances. There are more uterine wounds after multiple myomectomy, and the risk of pregnancy increases significantly. If the diameter of fibroids exceeds 5 cm, the myometrium of the uterus will be repaired slowly after surgery, and premature pregnancy is prone to uterine rupture. Patients with adenomyosis have poor uterine elasticity after surgery and need to extend the contraceptive period to 18 months. People with a history of cesarean section will form cross scars after repeated uterine surgery, doubling the risk in the second and third trimesters of pregnancy. For those who have had multiple myomectomy surgeries, the myometrium structure of the uterus is severely damaged, and it is usually not recommended to get pregnant again.

Detailed evaluation should be carried out before planning a pregnancy after surgery, including gynecological examination, ultrasound examination of uterine scar healing, and hysteroscopy if necessary. After pregnancy, the frequency of prenatal check-ups needs to be increased. It is recommended to check the thickness of the lower uterine segment every two weeks in the second trimester. Choose a hospital that has the conditions for emergency cesarean section to establish a file and formulate a delivery plan in advance. Avoid heavy lifting and strenuous exercise in daily life. If you experience abdominal pain or vaginal bleeding, seek medical attention immediately. Maintain a balanced diet, supplement protein and vitamin C in an appropriate amount to promote tissue repair, and control weight gain within a reasonable range.