Can you be pregnant after myomectomy

summary

Although hysteromyoma belongs to tumor, it is not so terrible. It is a kind of benign tumor, which is also common in life. The common symptoms of this disease are irregular menstruation, excessive leucorrhea, abdominal pressure and so on. Hysteromyoma is common in women of childbearing age, so the impact of hysteromyoma on pregnancy and the impact of pregnancy on hysteromyoma is a very worrying problem for women of childbearing age. Let's share with you the knowledge about pregnancy after myomectomy.

Can you be pregnant after myomectomy

First: most women with uterine fibroids before pregnancy can spend the whole pregnancy smoothly, but the fibroids increase significantly with the gestational age. A small number of cases may occur as follows: if the myoma is large, the pregnancy enlargement is obvious, there may be red degeneration, abdominal pain (mostly seen in myoma diameter more than 3cm), fever and other symptoms, and even abortion and premature delivery; if the myoma affects the uterine morphology, abnormal fetal position may occur; if the myoma is submucosal, and the placenta is attached to the surface of the myoma, placental abruption may occur. After giving birth, more than 90% of the fibroids will retract to the pre pregnancy state 3-6 months after delivery.

Second: it is generally believed that: the myoma growing inside the uterus (submucosal myoma) affects pregnancy; the myoma growing in the middle of the myometrium (intramural myoma) does not affect the small one, but affects the large one; the myoma growing outside the uterus generally does not affect pregnancy; if the myoma grows close to the fallopian tube, the compression of the fallopian tube may also affect pregnancy.

Third: if the expectant mother with uterine fibroids is ready to have a child, it is recommended to remove the fibroids before pregnancy: (1) submucosal fibroids; (2) intramural fibroids or subserosal fibroids larger than 4cm (the main consideration is that large fibroids will grow rapidly during pregnancy, which may cause red degeneration, causing abdominal pain, premature delivery, etc., which may affect the continuation of pregnancy); (3) Other causes of infertility were excluded, which might be caused by myoma.

matters needing attention

For pregnant women with a history of myomectomy, if the myoma is small or subserosal, vaginal delivery can be performed; if the volume of myoma removed is large, penetrating the endometrium, or close to the uterine cavity, especially in the posterior wall of uterus, it is recommended to plan cesarean section after the fetus matures in the third trimester of pregnancy to reduce the risk of uterine rupture.