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Is it possible to get pregnant after removing fibroids

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Pregnancy after removal of fibroids occurs with a probability of 85%. It is very important to undergo a complete examination of the body before planning a pregnancy, and begin timely treatment. A successful operation allows a woman to enjoy motherhood, to feel happy.

Uterine fibroids and conception

The presence of tumors in the cavity of the reproductive organ does not affect the development of the egg, ovulation, fertilization. But it prevents the egg from attaching to the uterus. The probability of pregnancy depends on some factors.

  1. Localization. A myomatous node may form in the uterine cavity, on its neck. If the localization of a neoplasm deforms the cavity of the reproductive organ in the place where the egg cell moves, is attached to the walls, pregnancy is impossible for physiological reasons. In other words, myoma does not allow a fertilized egg to attach after conception. In addition, the presence of fibroids changes the structure of the endometrium, which also reduces the likelihood of pregnancy.
  2. The size. A slight increase in myoma nodes, their location outside the cervix, does not prevent the development of pregnancy. A large tumor reduces the probability of pregnancy by 60%, and in the case of its occurrence it does not guarantee the full development of the fetus. The presence of a neoplasm in the uterus violates the nutrition of the fetus, prevents normal physical development. Major fibroids and pregnancy - incompatible things. Moreover, myoma provokes miscarriages at any stage of pregnancy.
  3. The upward trend. The true nature of the development of fibroids remains unexplained until now. A tumor has been able to remain in a constant position for a long time, without causing any special difficulties. Under such conditions, along with myoma, the fetus can fully develop. The danger is that under the influence of hormones, growth of the neoplasm is activated. No doctor will give a guarantee how myoma will behave during pregnancy. A direct contraindication to conception planning is tumor growth in the last 6 months.

Myoma can occur at any age, for a long time not to be felt. In most cases, it is detected at random at a gynecologist's appointment. Moreover, the tumor is prone to self-extinction without any treatment. A woman can plan a pregnancy without knowing her problem. Therefore, experts recommend to undergo a preliminary examination when there is a desire to become a mother.

Removal of fibroids when planning pregnancy

Small tumor is treated with

drugs, they include hormones. If this treatment option does not give the desired effect, recommend surgery. A woman finds herself in a difficult situation. On the one hand, fibroids will not allow pregnancy to develop fully, interfere with conception. On the other hand, the operation can cause problems with conception. And in the process of carrying a fetus seams can disperse. In case of unavoidable surgery, it is necessary to take seriously the choice of a clinic, a surgeon. Since masterfully sewn seam increases the likelihood of conception and successful pregnancy.

One of the indications for removal of fibroids surgically is the inability to get pregnant, the risk of miscarriage. The method is chosen based on the size of the tumor. Myoma is classified as follows:

  • Small - 2 cm, corresponds to 5 weeks of pregnancy,
  • Average - up to 6 cm, 10 weeks,
  • Large - over 6 cm, size corresponds to a 12-week period,
  • Giant - The uterus increases to the size of a 16-week pregnancy, more.

Currently, there are several methods of surgical removal of neoplasms:

  1. Abdominal surgery. It is used extremely rarely if other options are unacceptable. The indication for abdominal surgery is the twisting of the leg of the tumor, necrotic processes in the nodes.
  2. Laparoscopy. One of the most preferred methods to remove a neoplasm when planning a pregnancy. It involves the conduct of surgical manipulations by several punctures of the abdominal cavity. For a week the patient is in a state of disability, wounds heal quickly, do not leave any characteristic marks. The method is considered low-impact, does not provoke the formation of adhesions. It is used if the size of the fibroids does not exceed 1 cm, and the number of nodes is no more than 4. The total diameter of the numerous fibroids should not be more than 1.5 cm.
  3. Laparatomy. Removal of nodes is carried out through a small incision in the abdominal cavity. The indications for using the method are the large sizes of fibroids, growth in the abdominal cavity, the region of the pelvic organs. The rehabilitation period is about a month, the risk of formation of adhesive processes increases.
  4. Hysterectomy. It is considered a radical method of surgical intervention. Used in extreme cases, involves removal of the entire uterine body.
  5. Hysteroscopy or myomectomy. Conducted on an outpatient basis, is used for a single myoma, located on the front wall, the bottom of the uterus. A hysteroscope is inserted into the uterine cavity by intravaginal route. The operation is well tolerated, does not require long-term rehabilitation.

Alternative methods of fibroid removal when planning

pregnancies are:

  1. Laser. The operation is carried out strictly dosed by a laser beam. Removes only the tumor, does not affect healthy tissue. The patient does not lose blood, no scars remain at the site of exposure. The rehabilitation period does not exceed 3 days.
  2. Uterine artery embolization. Costly procedure with an efficiency of 98%. It is performed under local anesthesia. A catheter is inserted into the uterus through the femoral artery, and a solution of polyvinyl alcohol is directed through it. The substance clogs blood vessels, closes the power, blood flow in myomatous nodes. Myoma shrivels, dies.
  3. FUS ablation. Removal of nodes occurs due to the effect of ultrasound waves under the control of MRI, without compromising the integrity of the tissues. Strictly directed waves cause evaporation of fluid in the nodes, cause cellular destruction. The procedure is carried out with myoma of medium size - 2-9 cm, localized on the mother bottom, the front wall. The method is not recommended for unrealized fertility, as it often provokes a violation of the cycle, tumors with the leg.

Alternative methods for removal of fibroids are costly, effective, but the effects after surgery are not fully understood. This is the main problem when planning conception.

Pregnancy after surgery

The probability of a successful conception after surgery depends on the individual characteristics of the organism, the size of the fibroids, side effects, and the well-being of the procedure. Regardless of the method, planning can begin no earlier than 8 months. The ideal option is considered a year after removal.

Pregnancy after laparascopy

The procedure is low-impact, does not provide

long rehabilitation. However, the pregnancy will have to wait a bit. In the uterus, strong, strong scars should form at the site of fibroids removal. To establish their work should the ovaries. Experts recommend planning conception after 6 months, or even a year after laparoscopy. Pregnancy before this time can cause seam divergence, rupture of the uterus along the scar, as a result of which the organ will have to be removed. The probability of conception 6 months after surgery is 85%. During rehabilitation, a woman is recommended to take hormonal drugs to normalize hormonal levels, activate reproductive functions.

Pregnancy after abdominal removal

To carry out this method requires a good reason, because they resort to it in particularly severe cases. This suggests that before the operation, the reproductive system had suffered significantly, the menstrual cycle had changed. It takes time to recuperate after surgery, scar healing, as well as to normalize the menstrual cycle. It is recommended to start trying to get pregnant one year after the surgery. The chances of a successful intervention are 85%.

Pregnancy after embolization of the arteries

The method is considered highly effective, with minimal rehabilitation time. However, it is not fully understood the consequences of surgical intervention, the effect on the reproductive system. Immediately after the operation, the woman feels pain in the lower abdomen, which lasts about 2 hours. 5% of women after surgery develops amenorrhea, with a long absence of menstruation. Doctors recommend planning a pregnancy after six months. However, the individual characteristics of the organism, the well-being of the operation are taken into account.

Myomectomy and conception

After the operation, the woman must undergo a course of hormonal therapy to prevent relapses, to restore the background. Conception becomes possible when ovulation occurs. To determine this point, an ultrasound examination is conducted, and follicular development is monitored. When small fibroids are removed, the body recovers more quickly, the menstrual cycle is restored, and reproductive functions resume. It is recommended to take birth control pills to prevent the occurrence of pregnancy before 8 months.

Postoperative period

How quickly the body returns to normal depends on the method

removal of fibroids. If he does not provide for the violation of the integrity of tissues, everything happens much faster. The first time after the operation, the woman feels nauseous, weak, pain in the abdomen - the effects of anesthesia. A few days will be felt discomfort, fatigue. After abdominal removal of the uterus, the woman spends at least a week in the hospital. Assign hormonal drugs, painkillers, anti-inflammatory, etc. Individual treatment in each case.

At home, a woman should not overwork, lift weights. Give more time to sleep, rest, walks in the fresh air, proper nutrition. A successful operation allows a woman to become pregnant and have a baby safely. Moreover, after the removal of small fibroids to give birth is permitted naturally.

Is pregnancy possible after removal of uterine fibroids?

Uterine fibroids - the most common pathology in gynecology, requiring mandatory surgical treatment. The disease occurs among women of different age groups, however, the peak of the incidence falls on the menopausal period of life (after 45-50 years). This is due to a whole group of factors contributing to the development of uterine fibroids. But what about young girls whose fibroids were found in the early periods of life, after which it was removed? Is it possible to rehabilitate, recover, become pregnant and carry the baby after such a traumatic operation?

To understand this question, you first need to decide how the operation was performed to remove uterine fibroids. Further rehabilitation, recovery and the course of life will depend on this.

Types of surgical interventions for uterine myoma

The myoma node can be removed in two ways:

  1. Conservative - using a course of hormonal drugs or modern minimally invasive techniques.
  2. Operatively - with the help of an operation, and the surgical intervention can be carried out both by the open method and by the laparoscopic method. The latter option is preferable, as it has a more favorable prognosis for life, and recovery and rehabilitation does not take much time to sweep.

It should be understood that during surgical treatment in most cases the organ is removed completely, therefore, in this case, pregnancy cannot occur under any circumstances. Removal of the uterus is carried out only in case of extreme necessity, when myomatous nodes have reached a huge size and disrupt the work and functioning of neighboring organs, change the quality of life.

Important! If during the operation for the removal of uterine fibroids, the organ was completely removed, then the occurrence of an independent pregnancy is not possible. In this case it is necessary to resort to assisted reproductive technologies: in vitro fertilization, surrogate motherhood.

Modern medicine is aimed at preserving the reproductive function in patients, therefore, most often, women of childbearing age will remove the myoma conservatively or with the help of a small operation (partial removal of the affected area). With hormonal treatment, node reduction occurs within a few months, sometimes years. If your doctor chose this method of treatment, then you should be patient. For pregnancy planning, this is the most favorable treatment option, since upon completion of treatment, the woman is fully restored and rehabilitated, which means she is able to become pregnant and bear the child.

When can you plan a pregnancy

First of all, contact your doctor. The timing of pregnancy planning is directly dependent on the type of operation, the amount of surgery, age, nature of the disease and the postoperative period. Recovery and rehabilitation takes at least 9 months and can last several years.

The generally accepted approximate dates for planning a pregnancy after the removal of uterine fibroids:

  • After removal of fibroids, carried out by laparoscopic (open) method - from 9 to 12 months or more. Here, time is allotted for the healing of the suture and wounds, the implementation of preventive measures during the recovery and rehabilitation period, the stabilization of the scar with the coarsening of its connective tissue. In this case, the scar becomes wealthy, that is, it can grow after the pregnant uterus without the risk of rupture or thinning.
  • After the laparoscopic removal, the pregnancy planning dates remain the same (9-12 months). The operation performed using laparoscopic techniques is less traumatic and most favorable for the patient's life, but leaves the same scar on the uterus as with an open intervention. Therefore, before complete healing and scar formation, during the entire period of recovery and rehabilitation, it is strongly recommended to use contraceptives.
  • After conservative treatment with hormonal drugs - the timing varies and depends on the degree of reduction of the myoma host. As a rule, upon completion of the course of treatment, you can immediately begin planning a pregnancy, without waiting for full rehabilitation and recovery. With this type of treatment, the integrity of the tissues of the uterus is not violated, which means that there are no contraindications to conception.

Features of the course of pregnancy after surgery to remove uterine fibroids

The course of pregnancy and the observation of the pregnant woman in the antenatal clinic has its own characteristics.

As soon as you know that you have become pregnant, go through an ultrasound examination of the pelvic organs. To do this, contact the antenatal clinic.

Important! Pregnant women with a scar on the uterus (after prompt removal of fibroids) are subject to ultrasound monitoring of the postoperative suture condition in the early stages. If the doctor determines that the scar is not yet consistent, the issue of termination of pregnancy is resolved, since in this case there is a high risk of a life-threatening complication, uterine rupture.

For girls who have undergone hormonal treatment, an ultrasound study is carried out to assess the effectiveness of treatment and visualization of the affected area.

If there are no contraindications, then for forty weeks the pregnancy is conducted in the antenatal clinic as a normal physiological one. However, these girls are still recommended at least 1 time per trimester in addition to screening to undergo ultrasound control of the uterine scar, since the timing and method of delivery depend on it.

In the overwhelming majority of cases, such women are admitted to independent childbirth through the birth canal. The exception is made by those patients at whom the threat of a rupture of a uterus or a relapse of a disease was recognized. In this case, the issue of caesarean section is decided, but it is carried out strictly according to the indications and with the decision of the medical consultation.

What to do if you can not get pregnant after removing fibroids

First of all, do not panic, infertility is put no less than a year later of regular sex life without the use of any means of contraception. Only after 12 months can we begin to sound the alarm. However, if the couple have not succeeded in conceiving a child for more than one month after the expiration of the period of recovery and rehabilitation, it is worthwhile to begin the examination.

For this, the patient is recommended to undergo the following set of diagnostic examinations:

  • Ultrasound examination of the pelvic organs to determine the patency and functioning of the fallopian tubes.
  • Провести тесты на овуляцию (определяется функциональные способности яичников).
  • Гистероскопию, чтобы оценить состояние эндометрия. Миома матки изменяется свойства эпителия, выстилающего внутренние слои стенок матки. Это мешает эмбриону прикрепиться («заякориться») в эндометрии, а значит, он отторгается уже на ранних сроках жизни. In this case, a woman may get the feeling that she is pregnant, and the tests are negative.

Conclusion

The onset of pregnancy after removal of uterine fibroids is possible upon completion of the course of recovery and rehabilitation of reproductive health. It is important to choose the right timing for planning the conception of a child and pass all necessary examinations to determine contraindications. During pregnancy, observe with an obstetrician-gynecologist and do ultrasound monitoring of the state of the pelvic organs, in particular the scar on the uterus. These simple tips will help you do everything right and find female happiness even after such an unpleasant illness.

Pregnancy and childbirth after removal of uterine fibroids

Medical studies show that there has recently been an increase in the number of cases of gynecological diseases requiring surgical intervention. Moreover, the patient is much younger, that is, many girls give birth to a scar on the uterus. Is pregnancy possible after myomectomy? What are the features of childbirth and childbirth after the removal of uterine fibroids?

Every girl should understand the importance and necessity of undergoing annual gynecological examinations. After all, they help to identify diseases of the reproductive system in the early stages. Timely treatment of fibroids allows not only to prevent the tumor from degenerating into a malignant form, but also to realize the dream of motherhood.

Pregnancy after myomectomy and before tumor treatment

Many representatives of the weaker sex are interested in the question, after what time can you become pregnant after myomectomy? And is it not better not to treat her at all before the birth of the child?

Experts believe that fibroids and pregnancy are an undesirable and dangerous combination. And in some cases, this neoplasm is an obstacle to conception. For example, when it is formed in the uterus, it prevents the embryo from consolidating, and when a fallopian tube appears at the base, it is impossible for spermatozoa to meet an egg cell.

Pregnancy after myomectomy free from many complications characteristic of this disease. The tumor often provokes the tone of the uterus, impairs uteroplacental blood supply. During growth and development, the fetus may block the blood vessel supplying the node with oxygen, followed by inflammation, accompanied by severe pain and requiring emergency medical care.

Pregnancy after myomectomy is not overshadowed by experiences about how a child and pathological education will blend within the child's reproductive organ, whether the placenta will form correctly, and whether there will be pelvic presentation. Even experienced gynecologists argue that to predict the development of the disease after conception is impossible. Neoplasms can both decrease in size and sharply increase their volume. Births are also complicated by many dangerous moments, so they are often performed using a cesarean section.

Pregnancy after myomectomy: features of the state

What happens if you get pregnant immediately after myomectomy? At the postoperative consultation, doctors explain that a weakened body can not cope with carrying a child. Moreover, the uterus, the main genital organ, underwent surgery. It takes time to heal the scars and restore the function of the reproductive system.

What do young women after myomectomy, after how much can you get pregnant? The answer to this question depends on the method of operation.

Pregnancy after myomectomy hysteroscopic and laparoscopic method

  • Hysteroscopy is a minimally invasive method of dealing with a tumor. It is carried out through the vagina with the help of a resectoscope - a long narrow instrument equipped with cutting tools. If the nodes are superficial and are in an accessible place, then they are removed mechanically, and with difficult access, an electrosurgical attachment is used. After these procedures, the body is restored within six months.
  • Laparoscopy is the removal of tumors through small incisions in the abdominal cavity. Through them carbon dioxide is injected, trocars with instruments are inserted and the necessary manipulations on the uterus are performed. The location and type of pathological formations depends on how much the pregnancy will have to be postponed after myomectomy.

Between the operation with abdominal incision and the expectation of a child, doctors advise to withstand about two years. That is how much time is required to form a strong scar. However, a period of more than four years is undesirable, as the scar can be rough and lose elasticity.

The condition of the scar can be assessed using such diagnostic measures:

  • MRI - the ratio of connective and muscle tissue
  • hysteroscopy - shape, color, presence of the circulatory network,
  • hysterography - internal relief,
  • Ultrasound - thickness, the presence or absence of non-congruent sites.

Pregnancy after myomectomy with abdominal technology requires careful monitoring and control. Especially if the embryo is attached in the area of ​​the scar. Complications can manifest as an abnormal location of the placenta, its increment to the basal or muscular layer, rupture of the scar at a later period.

Therefore, questions about whether myomectomy is dangerous, when you can become pregnant after it and how to give birth, are solved individually, taking into account the characteristics of the course of the disease and the rehabilitation period.

Is pregnancy real after removal of fibroids?

The benign process, characterized by abnormal growth of muscle tissue in the uterus, is called a myoma. This disease is among the most common diseases of the female genital. That is why for many girls and women the question of whether pregnancy is possible after the removal of fibroids is very relevant. The benign nature of the tumor allows doctors to postpone surgical treatment as much as possible and try to solve this problem by conservative means. However, the rapid growth of the muscular layer of the body of the uterus often forces to resort to an operation, the volume of which depends on the stage of the process and the place of its development.

The effect of a woman's uterine fibroids on reproductive function

A benign tumor of the main reproductive organ of a woman in 85% of cases directly affects the muscle layer, and in other cases it is located in the cervix. About 60% of patients in the presence of such a diagnosis perfectly endure the entire period of pregnancy and childbirth, and the process of conception itself goes without any problems.

We should not forget about the complete unpredictability of a benign tumor during pregnancy. During this period, the change in the hormonal background of the patient comes first. The medical literature describes cases where, under the action of female sex hormones, the muscle nodes in the uterus completely disappeared and did not appear in the future. However, more rapid growth of muscle tissue occurs, which leads to the threat of miscarriage and even rupture of the uterine wall.

In addition, excessive growth of the uterine nodes leads to difficulties during childbirth, as it reduces the contractility of the uterus, and during a cesarean section, this pathology can cause bleeding and provoke organ amputation.

All of the above poses a rather difficult dilemma for specialists: whether to allow pregnancy to a patient with such a disease or insist on a sanitizing operation.

Hysteroscopic knot removal

If for a woman the question of future motherhood remains in the first place and she is diagnosed with the presence of a submucous node, such surgery becomes the method of choice. With the help of a special apparatus, without any incision of the skin, specialists penetrate into the uterine cavity through the neck. All manipulations are performed under general anesthesia, but this operation does not have the usual invasive effects.

It should be borne in mind that, depending on the size of the tumor, the surgeon may use an electrosurgical or laser removal method. However, most commonly used conventional mechanical method. At the same time, the process itself is fairly simple technically and requires only 10 to 15 minutes.

Laparoscopic surgery

If the patient requires a large amount of surgery, or the question is about hysterectomy with appendages, then the surgeon's choice should remain with the laparoscopic method of treatment. This operation is the most common in modern medical centers, therefore, it is classified as the safest.

The use of special equipment allows to reduce the postoperative period as much as possible and to guarantee a woman the opportunity to have children with operations that preserve the uterus. Pregnancy after a band operation, to which laparoscopy refers, occurs much more often than when the fibroids are removed in the usual open way.

Embolization of the arteries supplying the uterus with blood

Embolization of uterine vessels is one of the most advanced methods of removing fibroids or its nodes with minimal intervention. At the same time, a special substance is injected into the arteries and veins of the uterus and its appendages, which covers the lumen of the vessels in a certain area and deprives nutrition of the altered areas of the uterus.

After cessation of blood supply to myoma, it decreases in size and is necrotized in the future. This method is the safest for future mothers.

What is dangerous myomectomy for future pregnancy

Most modern obstetricians and gynecologists advocate for carrying out laparoscopic surgery or hysteroscopy if the patient has fibroids of the uterus. This is due to the guaranteed removal of the provoked areas and control over the possible malignancy process.

There are other risks for future moms who have undergone myomectomy:

  • First of all, with such surgical interventions, the risk of adhesions is high, which, even in the absence of uterine nodes, may prevent the development of the desired pregnancy.
  • Such methods of treatment do not guarantee the absence of subsequent relapses of the disease. After prompt removal of uterine fibroids, recurrence of lesions was noted in 15–18% of cases.
  • Complications of labor are possible in the form of uterine rupture along the scar and uterine bleeding remain one of the most alarming problems of modern obstetrics.

We should not forget that any abdominal interventions, especially on the female genital organs, can provoke such complications during pregnancy as:

  • ectopic pregnancy,
  • early or late miscarriage
  • abnormal development of the fetus due to malnutrition of the uterus blood.

In addition to the possible risks listed above, the specialist also faces other issues related to the transferred operations on the uterus. Of interest is the number of scars on the operated organ, whether an opening of the uterine cavity itself was performed, the probability of scar tissue growth by the end of pregnancy. Successful gestation of pregnancy and minimization of risk at the birth of the child depends on all this.

In modern clinics, women are recommended to use the EMA method as the most benign, giving the lowest percentage of complications and the most physiological for the expectant mother to remove myoma nodes. Most studies confirm such advertising, but the last word when deciding on surgery is left to the attending physician.

We recommend reading the article on surgery for uterine myoma. From it you will learn about the possible consequences after surgery to remove uterine fibroids, as well as the chances of preserving the organ.

What should a woman do after surgery to remove uterine fibroids

Attitude to the postoperative period should be the same as after the usual abdominal surgery. On the first place, naturally, questions of a diet enter. Patients with such a diagnosis are strictly prohibited constipation, namely, violation of the chair is a common condition after surgery.

The diet of this group of patients should be rich in fiber, which increases intestinal motility. In addition, the diet should include buckwheat porridge, avoiding rice, jelly, strong tea. Chamomile and a series of microclysters can also be of great help.

Exercise should completely eliminate the effects on the abdominal organs and the small pelvis. Allowed swimming, quiet walking in the fresh air, exercise therapy.

The woman needs constant control over the state of the abdominal cavity, pelvic organs and scars on the wall of the uterus. The success of the conception of a child depends on this.

Can I get pregnant after removing fibroids? It all depends on the volume of the operation, the state of the female reproductive system and the strength of the scar on the uterus. Most experts believe that if all recommendations of the attending physician are followed, the diet and regimen, a woman, after removing an organ, can become pregnant and endure a healthy child. The main requirement is that the conception process itself should take place no earlier than 12 months after the operation.

During pregnancy, doctors have additional requirements for such a contingent of expectant mothers. Most often this is an urgent request to wear a bandage for the entire 40 weeks to reduce the burden on the postoperative scar.

Maternity after removal of fibroids is not a phenomenon, more than 50% of all treated women are capable of such a condition. And it is only on the joint efforts of doctors and the future mother that a successful solution of the task of the birth of a new man depends.

Elena Basanova

Psychologist, Family Psychologist Skype. Specialist from the website b17.ru

And I gave birth to my two.

And with a rather large myoma, I endured two without problems and gave birth. To me, the doctor categorically forbade her to be removed before delivery. My subserous on the back wall was 45 mm in size. At conception did not affect, during pregnancy only increased to 6 cm and that's it. When such fibroids are removed, a scar remains on the uterus and a uterine rupture may occur during pregnancy. And here it is kapets
So consult a few doctors about what specific fibroids are and how appropriate it is to remove them for future pregnancies and deliveries.

I probably upset you .. I went to remove myoma, and I was removed in FIG all and the uterus and one ovary, you know, and simply thanked God and that she had at least one to give birth. The news about the removal of everything cleaned up was brought to me exactly in the hospital, and I laid down on a planned operation and then brought a piece of paper, like you agree and so that everyone cut you on the female line .. I sobbed a full day, it was not an ordinary hospital and the Central Clinical Hospital

3, and maybe in vain? My daughter-in-law also offered, let's cut out everything, she refused, the current myoma, six months later she got pregnant.
with the birth of one child gave birth, but everything was linked with the threat ..

Anna, and what size and what fibroid was before pregnancy?
I have here two fibroids - 6 cm and 3 cm on the front and back wall, intermuscular. Some doctors say to remove, others don’t touch before giving birth. I try to get pregnant for half a year. I am 36.

Girls, I had as many as 8 knots, though small. I tried to get pregnant for 1 year, it did not work. And so it happened, in July of this year I became pregnant, the result was a miscarriage (((And then I decided to remove, the doctor I said that after 6 months I can already plan, and that with my multiple fibroids, I couldn’t get pregnant, but I could not bear it either.

Related topics

Anna, and what size and what fibroid was before pregnancy?
I have here two fibroids - 6 cm and 3 cm on the front and back wall, intermuscular. Some doctors say to remove, others don’t touch before giving birth. I try to get pregnant for half a year. I am 36.

Anna, thank you, give hope! Glad you won it))
And get pregnant on any cycle happened, if not a secret?

Girls, hello! Tell me please, did anyone manage to get pregnant after removing fibroids?

Removed myoma from Dr. Puchkov. After the operation, she gave birth to a miracle daughter.
Good luck to you and the baby

Guest Removed myoma from Dr. Puchkov. After the operation, she gave birth to a miracle daughter.
Good luck to you and the baby. And how many months did you get pregnant and how was your fibroid?

There were 2 operations. One -4 fibromas from 4 to 9 centimeters. The second time was one 5 cm. I got pregnant after 8 months.

There were 2 operations. One -4 fibromas from 4 to 9 centimeters. The second time was one 5 cm. I got pregnant after 8 months.

Raised my fibroids with 5mm. up to 6cm. (I was hoping for a miracle-dissipation), I couldn’t get pregnant for 8 years, the result, when the long-awaited pregnancy came on the 7th week, the fetus froze - placental insufficiency, after 2 weeks I go for an operation, then we hope for the best. The doctor says that you can plan in 8-12 months. Everyone has their own history and their sores, but do not believe in a miracle, believe the doctors. Good luck everyone.

Removed myoma from Dr. Puchkov. After the operation, she gave birth to a miracle daughter.
Good luck to you and the baby

Irina, I heard from many doctors that usually six months after the operation, you have to wait with conception. Months 8 certainly will be enough) They watch the suture as it heals and in fact speak exactly when you can stop protecting yourself.

Lion girls Dr. Martin Taras Yulianovich

I had a fairly large myoma removed using a hysteroresectoscopy. After removal, an inner scar is left on the uterus. Забеременнела довольно легко и если бы не расслаблялась (много ходила пешком) и себя поберегла, то беременность прошла бы намного легче. А так на 30 неделе поставили писсарий, который при промывании спровоцировал отслойку планенты.The last 2 months had to spend on strict bed rest. Then the cop.

I am 35, no children, 5 years hope for a miracle, but I see you have to do an operation. Myoma subser-intramur 6cm, in this cycle we will do the second AI. So I am afraid of the operation, suddenly the doctors will leave me without a womb. What to do ??

I am 35, no children, 5 years hope for a miracle, but I see you have to do an operation. Myoma subser-intramur 6cm, in this cycle we will do the second AI. So I am afraid of the operation, suddenly the doctors will leave me without a womb. What to do ??

DO NOT sign an agreement on the removal of the uterus, only on the removal of fibroids, I have a large myoma of 7 cm intramural removed 7 months have now passed, I feel fine

I have two intramural fibroids, one 5 cm and a second 4 cm along the back and in front of it. Doctors speak delete. I still wait until November, if I don’t get pregnant, then I’ll go delete, but I’m afraid everyone will chop it off .. Or later I will not get pregnant (

I tried to get pregnant for 7 years with submicose-interstitial myoma (10 weeks). There were two pregnancies, both times there was a miscarriage. Three weeks ago, had surgery to remove fibroids. Everything went well. The doctor said that you can plan a pregnancy in 6-8 months. But first you will need to consult your doctor.

I have fibroids 6.7 weeks, pregnancy 5-6 weeks, can I carry a child with myoma

My sister gave birth to a wonderful girl at the age of 45 after removing fibroids.

Tell us, pzhl, as after the removal of monthly came. I was assigned Janine for two months without a break, then a break of 7 days and again two months without a break. The first months came 10 days after the operation, painlessly and poorly. But now it's already the ninth day, how the lower abdomen hurts decently. I do not know whether it is normal or to run to the doctor? Janine drink 8 days.

Girls, and how you used to remove the laparo or open cavity, and then I have on the back of the intramuscular 6 cm. And the doctor says that you may have to remove ate the laparo with the uterus.

Girls, and how you used to remove the laparo or open cavity, and then I have on the back of the intramuscular 6 cm. And the doctor says that you may have to remove ate the laparo with the uterus.

I did the lane, 3 months ago myoma was 7 cm along the back wall.

I did the lane, 3 months ago myoma was 7 cm along the back wall.

I have fibroids 6.7 weeks, pregnancy 5-6 weeks, can I carry a child with myoma

Girls, I also got pregnant with two subserous fibroids (3 and 7 cm). Myomas were removed during cesarean. two years have passed. Now the ultrasound is spoken by a very thin wall of the uterus in this place; a rupture is possible during the next pregnancy Tell me, and who had the experience of pregnancy, after abdominal removal of fibroids? Scary, how dangerous is it?

Go to Puchkov, save the uterus ... I removed a huge myoma with a lapar of 13 cm

Girls, and how you used to remove the laparo or open cavity, and then I have on the back of the intramuscular 6 cm. And the doctor says that you may have to remove ate the laparo with the uterus.

DO NOT sign an agreement on the removal of the uterus, only on the removal of fibroids, I have a large myoma of 7 cm intramural removed 7 months have now passed, I feel fine

the girls removed me with a laparotomy 3 the size of the uterus in its muscular wall in the front and numerous inside and outside the uterus were kept in Donetsk by a professor gull. said before the operation: or remove the incision in the entire abdomen or uterus. so the incision is HUGE, but now the uterus on the spot is now waiting for you to be allowed to save. The operation was 03/10/2013. Yes, the uterus was increased by 15 weeks.
Good luck and good doctors.

I have a uterine myoma removed on 20. 03.2013. There were numerous nodes, the largest 8 cm, another large external and many small ones. Before the operation, all attempts to get pregnant failed. The operation was done in a paid hospital, so they immediately asked me whether to keep the uterus or not. I said I want to save. So did. Doctors recommended pregnancy after 3, and preferably 6 months after surgery. She got pregnant after 9 months after surgery.

Light, how good that you could get pregnant! it gives hope.
Girls, after my lapar the first menstrual periods are very painful. I climb on the wall of pain. Has anyone had this? I usually have tolerated monthly periods before. Maybe this is due to the fact that not everything has healed inside after the operation and it will be better further.
Another question - I was not prescribed any treatment after surgery. No hormonal drugs and contraceptives. What should I take advise.

Light, how good that you could get pregnant! it gives hope.
Girls, after my lapar the first menstrual periods are very painful. I climb on the wall of pain. Has anyone had this? I usually have tolerated monthly periods before. Maybe this is due to the fact that not everything has healed inside after the operation and it will be better further.
Another question - I was not prescribed any treatment after surgery. No hormonal drugs and contraceptives. What should I take advise.

ME REMOVED THE 18TH WEEK

I had myomectomy in October 2013, I really want to start planning, I drink the 4th month Janine, I read a lot about pregnancy after the removal of fibroids, I also wrote on the websites of specialists, I learned from numerous information that everything is individual, but I still need to plan not earlier than in 6 months, although the scar is formed in 3-4 months and remains unchanged. I really want to start planning in March, but it's scary.

I have my fibroids removed for 20 weeks. subserous on the front wall, not on the leg. There was also a deformation of the uterus. Of course, they offered to remove everything, but I did not want to remove the uterus. As a result, abdominal surgery removed only myoma. Thanks to the doctors. Now I want to plan a pregnancy. Already a month has passed after the operation. I am 42 years old.

Girls, hello! Tell me please, did anyone manage to get pregnant after removing fibroids?

I was removed myoma through the abdominal route, got pregnant after a month, I do not know what to do, tell me.

The girls are already at home here, they were operated on 5 days ago. I’m 22 and single and no child, myoma was 6 cm. The first 2 days after the operation, she died of pain. A female doctor didn’t delete me, and he didn’t offer me, although the fibroid was in the womb, I was even surprised why I’m afraid. Now I hope for the best and wish you all good luck!

A year ago, myoma (s) was very large (1.5 kg) - they operated on - abdominal surgery, they left the womb, they wanted a baby. Almost all eco were after that - absolutely unsuccessful.
Yak - is, embryos - is, good, and there were five days, only they would plant. and in response, silence.
Doctors began to spread rot to me with age, but I didn’t believe that my grandmother gave birth to a son at 46 years old — naturally, she became pregnant.
And today - for the first time. There is hCG. HOORAY. I still do not believe in this miracle.

on day 20 DPO HCG - 1212

Myoma was removed by a band operation, 9 cm. I cannot take contraceptives for some reason, my husband never used condoms, we protect ourselves as much as we can! I'm afraid to get pregnant before the time, tell me who knows what the minimum time must pass after the operation, so that you can get pregnant.

I was removed myoma through the abdominal route, got pregnant after a month, I do not know what to do, tell me.

Hello, a month ago I was diagnosed with multiple uterine fibroids, 3 nodes, dominant 2.5 cm subserous, 2 nodes in the isthmus 16 and 8 mm (1 on the back wall), I am 23 years old. The doctors said that it is necessary to get pregnant urgently, or after half a year with the growth of the operation nodes, and after it there is a big risk of normal delivery. for my own reasons I cannot get pregnant the next year, I am also afraid of operations and the very fact that I can be left without babies is frightening (((

I was removed myoma through the abdominal route, got pregnant after a month, I do not know what to do, tell me.

And I would like to add - the girls, upon learning that you have fibroids - DO NOT PULL. Nothing good from the fact that you will shed tears at night in the pillow and delay the treatment will not work! Myoma will grow and the chances that everything will end well will decrease with each passing month. Be sure to consult with SEVERAL DOCTORS. And listen carefully to what they say. The probability of a surgical issue is great, so prepare yourself for finding a good surgeon. In principle, with the question of myoma - this is your main task - to find a good surgeon. Good luck to you girls.

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Pregnancy after removal of fibroids - the main risks

Removal of myomatous formations of the uterus is fraught with the development of many complications, which in the future may adversely affect the woman's ability to conceive and carry a pregnancy. After surgery, the patient may have the following complications:

  • development of adhesions in the fallopian tubes
  • relapse of myoma node development - no operational treatment method, except for hysterectomy (complete removal of the organ), does not guarantee that the disease will not recur, of course, this does not happen often, but there are still risks,
  • bleeding and the formation of rough scars on the wall of the uterus - the scar is formed from connective tissue that is not capable of contraction and stretching, so its presence on the wall of the uterus can cause difficulties with the implantation of the ovum or cause problems with the child before the due date.

The most common and dangerous pregnancy complication after removal of fibroids is scar formation. Accurate prediction of the fertility and conception of the fetus is based on the following factors:

  • the type of fibroid that was removed and its location (inside the cavity, on the surface, in the thickness),
  • the number of scars on the uterus (depending on the number and location of nodes)
  • the size and viability of the scar as the body stretches during pregnancy.

Difficulties with the attachment of the ovum and placenta

If, after the removal of the myoma node, a scar remains on the uterine wall, unfavorable conditions are created for the normal attachment of the ovum to the endometrium. A fertilized egg is introduced into the wall of the uterus, where there are no modifications, which leads to the formation of the placenta in the wrong place. For example, when attaching an ovum to the lower part of the uterus, a woman in most cases develops a complete placenta previa. As the gestation period increases, the uterus will increasingly stretch, the vessels of the placenta become injured, which is accompanied by bleeding, sometimes abundant and life-threatening, to the fetus and the woman. There is no talk of natural childbirth in such a situation, since the placenta completely overlaps the internal orifice of the cervix - in such a situation, the only way out is a planned cesarean section.

When the placenta is located directly along the uterine hem, placental insufficiency develops - a complication in which the development of the vessels of the pediatric place is disturbed, as a result of which a sufficient amount of oxygen and nutrients do not flow to the fetus. This can lead to premature birth, delayed fetal development, fetal death.

The risk of rupture of the uterus along the scar

One of the dangerous and life-threatening complications of a pregnant woman after surgical removal of fibroids is rupture of the uterus along the scar. Such a complication can develop, both during pregnancy - as the period of stretching and tension of the tissues of the reproductive organ grows with the growing fetus, and during childbirth. Excessive tension of the uterus tissues and the threat of rupture at the scar site is accompanied by the following clinical signs:

  • bleeding from the genital tract,
  • increased and not passing the tone of the uterus,
  • pain in the abdomen radiating to the perineum and rectum.

When you break a woman has a sharp pain in the abdomen, a rapid drop in blood pressure, dizziness, nausea, loss of consciousness. If you do not immediately provide surgical assistance to the patient, then death soon comes.

Cervical insufficiency

This complication often develops after the removal of cervical fibroids and the formation of a scar on the cervix. Pregnancy in this case occurs normally, a woman bears a child up to 14-16 weeks, and after a high probability of developing cervical insufficiency. In the case of failure to provide timely assistance, a woman has a spontaneous abortion or premature birth of a non-viable fetus. To prevent a similar outcome of pregnancy by imposing on the cervix pessary or stitches.

The presence of scars on the cervix also causes difficulties in the first stage of labor and leads to a slow opening of the cervix and the omission of the fetus in the birth canal. If the cervix does not open properly, the doctor makes a decision on caesarean section.

Childbirth after removal of fibroids

The doctor may decide on whether to allow a woman to give birth after removal of fibroids, based on the following parameters:

  • the position of the fetus in the uterus - natural childbirth is permitted only when the head presentation of the fetus,
  • fetal size and its compliance with the parameters of the pelvis of a pregnant woman,
  • location of the placenta outside the rumen,
  • the normal course of pregnancy throughout the entire gestation period,
  • Scar consistency - uniform density over the entire surface.

Pregnancy after removal of fibroids requires the most careful attention, so it is better to plan it only with the permission of the gynecologist. When the pregnancy has come, the woman must register with the antenatal clinic before 9-10 weeks to prevent the development of possible complications.

When arises

This benign formation has many reasons for occurrence, the main ones are:

Often, fibroids occur in women due to heredity. If the grandmother, mother had such a problem, most likely, the daughter will also have it.

Hormonal failure happens for a variety of reasons. Stress, a sharp weight gain or a strong weight loss affects the excessive production of estrogen, which is the causative agent for the appearance of tumor cells. The chance of the appearance of fibroids in obese women increases, since estrogen is produced by fat cells, too.

A very important role is played by the quality of sex. During intimacy, blood rushes to the pelvic organs. When reaching orgasm, the blood drains back for a few minutes.

How is it treated?

There is a medical and surgical treatment. The treatment of fibroids using the drug method is carried out if the woman is of childbearing age, the tumor does not grow and is small. They try to resort to surgical intervention only in rare cases when it is necessary:

  • large size of fibroids in the uterus,
  • fast growing tumor
  • strong blood loss during menstruation, which leads to anemia,
  • abnormal nutrition of myoma node,
  • squeezing of the pelvic organs,
  • growing fibroids in the cervix (present in 1% of patients with myoma).

Pregnancy after removal of fibroids laparoscopy

Two or three small cuts are made. One incision for the laparoscope (thin tube with a camera and illumination), the second for the instrument. The operation is complex technically and requires great accuracy. Laparoscopy is also called "bloodless" intervention.

This method of operation is less damaging to the uterus, which is very important if there are plans to become pregnant. Only the doctor will tell you how long you need to wait with conception. If the education was small, you can become pregnant within six months. With a more complex operation, you need to wait at least a year.

Invasive removal and pregnancy

You can remove uterine myoma in several ways.

  1. Open lane operation. It happens the same way as cesarean section. Most often it is done on the skin fold 2.5 cm above the pubis. With pregnancy after such an operation, you need to wait at least a year, since the incision in the uterus must completely heal.
  2. Robotic myomectomy. The principle is the same as with laparoscopy. The only difference is that the surgeon controls the instruments not with his own hands, but through a special console.
  3. Hysteroscopic myomectomy. Removal of fibroids occurs through the vagina. A special instrument, the resectoscope, is inserted inside.During the operation, he uses an alternating high-frequency current or laser beam. This operation is done in the case of submucous fibroids (when the tumor grows inside the uterus).

Pregnancy after conservative myomectomy

If you figure out what the term "conservative myomectomy" means, you get: "conservo" - save. Hence, this is a type of operation in which the uterus is not removed, and only myoma nodes are eliminated. In the further planning of pregnancy, the role is played by how the fibroid was removed, how large the tumor was, and where it was located. The doctor advises the patient, explaining when it will be possible to become pregnant, and for what reasons it can not be done earlier.

Can I get pregnant after uterine fibroids

If the tumor makes it difficult to get pregnant, and medical treatment is not suitable, it is necessary to remove it surgically. After some time, you can conceive a child, if during the operation the appendages were not removed.

In no case can not become pregnant immediately after surgery. When removing a benign lesion, cuts and stitches were made. During pregnancy, a growing baby severely stretches the uterus, which is why fresh stitches will immediately diverge. This will result in loss of the fetus, re-operation and a course of recovery.

Through how much can

Depending on the complexity of the operation, the doctor says how long it is impossible to get pregnant. Often, it is from six months to one and a half.

The scar on the uterus must heal. If the connective tissue is from muscle cells, then the uterus is ready for the onset of pregnancy. Otherwise, there is a chance of seam divergence. The doctor will check the condition of the suture and tell you when the woman is ready to bear the fetus.

Probable complications

In all, the rehabilitation period is different. Some quickly come back to normal, others suffer pain for some time. There are certain rules that a woman must adhere to so that new myomatous nodes will not appear. Recovery after surgery occurs with the help of medication, and at this time it is necessary to exclude alcohol. Clothing should be comfortable, not squeeze the seams so that they do not become inflamed.

How is pregnancy going after fibroids?

If the recommendations for recovery after surgery are followed, the suture on the uterus healed, and there are no contraindications to pregnancy, then it is possible to conceive a child.

A woman in the position after myomectomy is constantly observed by a doctor, but, in fact, carrying a child after the operation has nothing to do with normal pregnancy.

Surgery to remove a tumor in the uterus is the only chance to get pregnant. Sometimes the tumor becomes so large that it overlaps the fallopian tubes and the entrance to the uterus, because of which the egg does not fertilize or is not fixed in the uterus. Before you get pregnant after myomectomy, you should wait some time. Constantly consulting with the doctor, he will tell you when the uterus is ready to bear the baby.

Impact of operation on childbearing function

Treatment of uterine fibroids can be carried out conservatively, but often the patient is shown surgery to eliminate the tumor formation. After removal of the fibroids, the reproductive function is impaired. But depending on the type of surgery, the problem may be temporary or permanent.

When using gentle methods of treatment, only the tumor itself is removed, or part of the tissues of the organ together with the myoma node. In this case, the reproductive organs continue to function normally after recovery. Only when the organ itself (uterus) is removed is the diagnosis “infertility”. In other cases, the possibility of conception, according to statistics, remains in 85% of women. The remaining 15% include patients with complications.

Hysteroscopy

Modern way to remove myomatical neoplasms - hysteroscopy. This method is used for diagnostic examination, as well as for surgical purposes. Hysteroscopy is the least traumatic for the female body.

The advantages of hysteroscopy is the absence of tissue incisions and a long rehabilitation period. In the future, pregnancy after the removal of uterine fibroids by this method may occur within two months.

Hysteroscopy is used in the diagnosis of very small tumors that are on the surface of the tissues inside the cavity of an organ. Hysteroscopy is not recommended for all patients, as it has multiple contraindications.

Laparoscopy

In most cases, treatment in the presence of myomatous nodes is performed by laparoscopy. The method is considered quite modern. For the operation, the surgeon needs to make three incisions through which the tumor is eliminated. Used to eliminate the formation of small sizes.

Laparoscopic myoma removal

Pregnancy after laparoscopy of uterine fibroids is possible. However, recovery of reproductive functions after laparoscopy requires much more time than using hysteroscopy.

At least half a year is required for restoration. In case of complications, the patient must undergo additional treatment. Before planning conception, the consent of the attending physician should be obtained.

Recommendations

Removal of uterine fibroids, regardless of the method used, is a serious operation that has a direct impact on the state of the reproductive organs. Under the influence of the disease and subsequent treatment, the entire genital system is disrupted. It is advisable to plan pregnancy after successful treatment, having previously passed all necessary examinations to exclude the pathological development of the fetus and the period of gestation.

Despite the fact that with a positive outcome of the operation, conception can occur even after two to three months, experts recommend using contraceptives for at least six months. In order for the body to fully recover, it will take at least a year.

Rehabilitation

The method of surgical intervention affects the duration of the rehabilitation period. Rehabilitation after hysteroscopy is much faster. The functionality of the organs is restored within one month. After laparoscopy, full rehabilitation can last up to two months. As a rule, there are no complications during the rehabilitation period.

The most difficult is rehabilitation after abdominal surgery. Tissue injury, suturing and direct damage to the organ leads to painful sensations for a long time. The uterus itself is also restored for a long time. It takes about ten days to heal the incision, but it takes about 1 month to fully restore.

During the rehabilitation period, a woman is recommended:

  • monitor changes in your condition,
  • periodically undergo an ultrasound examination,
  • take hormonal drugs
  • drink a course of drugs to prevent inflammation and tumor recurrence.

During the rehabilitation, the restoration of the menstrual cycle takes place, which is important for conception.

Recovery of the menstrual cycle

Uterine fibroids are often triggered by hormonal disorders. An imbalance of hormones affects the functionality of the ovaries responsible for the menstrual cycle. In the first month after surgery, menstruation may not come in due time. After hysteroscopy and laparoscopy, for the second month already the cycle should recover. With abdominal surgery, menstruation may not be regular for three to six months.

In some patients, the period may be completely absent in the first four to six weeks. If this period is delayed, then you should contact your doctor to identify the causes of the deviation. Possible violation of the functionality of the ovaries.

As soon as menstruation becomes regular, and all necessary examinations are carried out, a woman can plan a pregnancy, but only with the prior consent of the doctor.

Pregnancy planning

To increase the chances of successful conception, the normal course of pregnancy and the process of delivery, it is necessary to properly prepare the body for the upcoming changes.

Preparation for pregnancy planning includes the examination:

  • Ultrasound of the uterus and ovaries,
  • colcospopy,
  • delivery of analyzes.

You should also take medications for prevention:

An expectant mother and father are encouraged to start a healthy lifestyle:

  • elimination of the use of alcohol and tobacco products,
  • food mainly natural products
  • exclusion of any stressful situations
  • limitation of physical activity.

In the absence of contraindications to conception, you should also follow the periods of ovulation, in which the chances of becoming pregnant are much higher.

Uterine fibroids should not be perceived by a woman as a sentence. The tumor is benign in nature, so the disease can be completely cured. The most important thing is to start treatment in time to eliminate complications.

With the timely diagnosis of tumors and the conduct of complex treatment, after removal of fibroids, a woman may not worry about the possibility of becoming a mother. When a tumor is detected in patients of childbearing age, doctors seek not only to get rid of the disease, but also to preserve the genital organs with the possibility of their full functioning. To prevent radical treatments, experts advise women to regularly visit a gynecologist, at least twice a year.

What types of surgery are used?

When uterine fibroids cannot be eliminated with the help of drug therapy, the tumor can be removed by a doctor with the help of an operation. This is done by means of the hysteroscopic, laparoscopic method, vascular embolization, and ordinary abdominal surgery. Each of these methods has its own characteristics and influence on the reproductive function of women.

Hysteroscopy is one of the safest ways to remove uterine fibroids for a woman who wants to have a baby in the future. The doctor does not make any incisions; penetration into the uterus is made through the vagina.

Removal can be performed electrically, laser or mechanically without opening the uterus. The operation takes about 15 minutes, does not leave scars on the uterus, patients recover quickly enough.

Laparoscopy is also safe for future mummies, as it allows preserving the genital function in full. After therapy, a woman is rehabilitated in a short time, approximately six months later she is able to plan for the birth of a child.

Another method used to remove uterine fibroids as embolization of blood vessels, which provide the reproductive organ with nutrition. With this treatment, the vessels feeding the neoplasm overlap, with the result that the tumor gradually decreases and eventually dies off. This method is the most harmless to women planning a future pregnancy.

In some cases, patients have to settle for abdominal surgery to remove uterine fibroids. This can only be done in severe cases. After such surgery, the reproductive organ acquires scars, the menstrual cycle fails.

The patient takes quite a long time to fully rehabilitate. Pregnancy after myomectomy of this type is possible not earlier than in a year. The probability of conception is very high, but carrying a child can be complicated, since there are scars on the uterus.

Can I get pregnant after therapy?

Can I get pregnant after removing fibroids? Thanks to modern medical methods, it has become possible to preserve the fertility function in women. The main thing is that further after the operation there will be no complications that would prevent conception and carrying the baby.

After surgery, the following risks are possible:

  • The formation of adhesions that can prevent a woman from normally carrying a child.
  • Repeated development of uterine fibroids. No operation can guarantee that over time the pathology will not reappear. This happens not so often, but still there is a possibility. This can complicate the conception and carrying a baby.
  • The appearance of scars on the walls of the uterus and bleeding. Scars can occur during abdominal surgery. This results in the development of an ectopic pregnancy after the removal of fibroids, spontaneous abortion.

The most important and dangerous sign for future pregnancy after fibroids is scar formation.

The forecast regarding the favorableness of carrying a child is made depending on how much such damage is on the uterus, whether the reproductive organ itself was opened, whether the scar can grow before the baby is born. It depends on all these factors whether the woman carries the child after the operation or not.

Diseases of the placenta

If a woman has a scar on the wall of the uterus after the operation, then a serious obstacle to the normal attachment of the placenta is created. A fruit egg cannot find the most favorable place for itself, therefore it has to be attached in a not very convenient place.

If the fertilized egg stops its choice of place on the lower region of the reproductive organ, then the woman will have a complete placenta previa, and the likelihood that hemorrhages will disturb the baby will increase. With such a diagnosis, a pregnant woman will not be able to give birth on her own, so a cesarean section is prescribed.

If the placenta is located directly on the scar of the uterus, then placental insufficiency occurs. As a result of this, the blood circulation of the reproductive organ is disrupted, thereby impairing the activity of the fetal place. This leads to the fact that the baby does not receive enough nutrients and oxygen.

When the fetus does not fully provide oxygen, there is a violation of intrauterine development of the child’s brain. And if the baby does not receive the necessary vitamins, then a delay in the physical development of the crumbs is possible. After the baby is born, a variety of failures in the body of the child are guaranteed.

The occurrence of uterine rupture

Another rather dangerous condition of the woman, when she became pregnant after the removal of uterine fibroids, is the rupture of the organ to the place where the scar passes. This can occur both during gestation and during labor.

The uterus may rupture due to the fact that the scar is very weak and does not withstand strong stretching. When a rupture approaches during pregnancy after laparoscopy of fibroids, the woman will experience the following symptoms:

  • Nausea and vomiting.
  • Soreness in the abdomen, giving to other areas of the body.
  • Muscle tension of the reproductive organ.
  • Blood discharge from the vagina.

If the uterine rupture has already occurred, then there are also signs such as:

  • The rapid deterioration of the general condition of women.
  • Dizziness.
  • Low blood pressure.
  • Increased heart beat.
  • Killed breath.
  • Pallor of the skin.

When the uterus ruptures, a lot of blood goes into the abdominal cavity, fetal hypoxia occurs, the baby’s condition worsens. In this case, urgent medical care is important.

If the uterus began to rupture directly during labor, the following manifestations are noticeable:

  • Nausea, vomiting.
  • Pain syndrome.
  • Weakness.
  • Increased pain during labor.
  • Bad progress of the baby, despite the full disclosure of the uterine cervix.

Also added is an overstrain of the muscles of the uterus, the appearance of blood discharge from the vagina. The rupture of the reproductive organ occurs almost immediately after the onset of these symptoms. Therefore, it is necessary to urgently provide medical care, otherwise the pregnant woman and the baby may die.

How is planned and being re-pregnancy?

After how much time you can get pregnant, decides the attending physician. Before conceiving, be sure to check your body well, so that in the future there will be no problems with gestation and childbirth.

If a woman becomes pregnant, it is necessary to register as early as possible, no later than 12 weeks. In the process of carrying it is necessary to undergo an examination. Ultrasound is considered one of the most important.

It allows you to identify signs of insolvency of the scar on the wall of the uterus, namely, to determine whether its contours are intermittent, whether the muscles of the reproductive organ are thinned, whether there are particles of connective tissue in the rumen.

If an insignificant uterine scar is revealed, then women will not be allowed to give birth on their own. In this case, only cesarean section is shown. Otherwise, natural childbirth after myomectomy can cause a rupture of this damage, the formation of bleeding, the death of the laboring woman and the child itself.

If a full-fledged scar is detected, the doctor may allow to give birth on his own, but only under the following conditions:

  • Head presentation of the fetus.
  • The same size of the head of the baby and the pelvic part of the pregnant.
  • Finding the placenta outside the rumen.
  • The absence of negative consequences of carrying a child.

В случае, когда миомэктомия матки проводится непосредственно во время вынашивания малыша, то рожать женщина будет исключительно с помощью кесарева сечения. If in the course of natural childbirth with a full-fledged scar, complications have suddenly arisen or the condition of the baby has worsened, then emergency assistance is provided through a cesarean section.

Rehabilitation period

In order for a woman to fully recover and think about future offspring, she needs to follow certain rules after laparoscopy of uterine fibroids or other operations. The patient should take medication prescribed by a doctor.

At home, it is important to monitor your health, do not allow overwork, hypothermia, lifting heavy loads, a long stay in the sauna, bath or on the beach. Need more time to spend in the fresh air, eat right.

Thus, it is possible to conceive and give birth to a child after the removed fibroids, even of large sizes. But it depends on many factors, so each case is individual. When it is possible to conceive a child, only the attending physician can say more precisely.

Factors affecting the course of pregnancy after conservative myomectomy

Removal of uterine fibroids is not a routine procedure. The operation is appointed according to strict indications and only when other methods are not effective or meaningless.

The removal of a tumor by surgery is prescribed only according to indications, when the use of other methods of therapy is impractical.

Indications for myomectomy:

  • The size of the node is more than 3 cm in the presence of obvious clinical symptoms (menstrual disorders, abdominal pain, bleeding, compression of the pelvic organs),
  • Infertility against the background of uterine fibroids,
  • Pregnancy failure - more than two miscarriages with confirmed leiomyoma,
  • Rapid tumor growth (more than 4 weeks per year),
  • The development of complications of fibroids (necrosis of the node, infection, etc.).

In all these situations, the operation cannot be done, and the question of whether to remove myoma does not arise. Unfortunately, many women refuse surgery, fearing the development of complications up to infertility. Opinion of doctors about this is unequivocal: if there are indications for the removal of leiomyoma, the operation should be carried out as soon as possible. The tumor will not disappear and will not resolve itself. Spontaneous regression of fibroids happens only in menopause, but during this period conception and childbirth are already impossible.

Removal of fibroids can be carried out during pregnancy according to the following indications:

  • The compression of the pelvic organs is a big tumor,
  • Necrosis or myoma node infection,
  • An abortion that has begun, fetal death and the impossibility of curettage of the uterus without prior removal of fibroids (at the location of the tumor in the neck of the organ),
  • Giant knots and the lack of prospects for the development of pregnancy.

Giant fibroids with uterus after removal.

In a planned manner, the fibroid is removed for a period of 16-19 weeks by laparoscopic access. Emergency surgery can be carried out at any time.

Can I get pregnant after myomectomy? Reviews of women who underwent surgery indicate that after removal of the tumor, in most cases the desired pregnancy occurs. According to statistics, the average interval between surgical treatment and conceiving a child is 6-12 months. More rarely, pregnancy occurs a year after myomectomy. A small percentage of women need to wait more than 12 months or undergo additional treatment by a gynecologist.

Conception of a child can occur against the background of fibroids, and this will not be an indication for an abortion, however, such a pregnancy does not always end successfully. Early miscarriage is the most common complication of leiomyoma.

The possibility of conceiving and carrying a child after myomectomy is determined by the following factors:

  • The size and number of myomatous nodes before the operation. The more formations in the uterus and the larger their size, the more traumatic the operation will be and, accordingly, the worse the prognosis
  • The method of surgical intervention. Hysteroscopic myomectomy and uterine artery embolization are considered benign variants. After hysteroresectoscopy and EMA, the likelihood of a favorable outcome of pregnancy is much higher than after laparoscopic and, moreover, open myomectomy,
  • The presence of a scar on the uterus. If a scar remains after surgery, this increases the likelihood of complications during pregnancy and childbirth,
  • The rehabilitation period. If a woman follows all the recommendations of a doctor, her chances of becoming a mother are increased,
  • The time elapsed after myomectomy. Tumor of the uterus has a tendency to recur, so gynecologists do not advise to postpone conceiving a child for a long time.

Hysteroscopic myomectomy allows a woman after the rehabilitation period to safely get pregnant and carry the child.

Comparative characteristics of methods of removal of leiomyoma are presented in the table:

Uterine artery embolization is considered the safest procedure. During surgery, uterine tissue is not damaged, and manipulation does not adversely affect the reproductive function of women.

Uterine artery embolization is one of the most benign methods of surgical intervention in the treatment of fibroids.

In hysteroresectoscopy, the degree of damage to the uterine tissue depends on the location and size of the node. The submucous myoma on the pedicle is removed at one time by simple unscrewing from the bed, and the endometrial and myometrial tissues are hardly injured. The deeper the tumor is located, the greater the damage will be. With submucous and interstitial myoma, most of which is located in the muscle layer of the uterus, hysteroresectoscopy is usually not performed in nonpartum women.

Laparoscopic myomectomy involves the introduction of a tool through neat punctures of the abdominal wall and uterus. Organ tissues are damaged slightly, the effects are minimal. During abdominal surgery, the surgeon opens all layers and then extracts myoma from the myometrium. Such an intervention is very traumatic, especially in case of multiple formations, and in the future it can prevent a woman from becoming a mother.

Complications after surgery and their effect on pregnancy

The main danger that traps a woman after a pelvic surgery is the formation of adhesions. Synechiae occur in the uterus during hysteroresectoscopy, are formed in the fallopian tubes after excision of subserous tumors. Thin adhesions are not dangerous and dissolve on their own within a few months. Problems arise in the formation of coarse adhesions, disruptive organs:

  • Synechiasis in the uterus leads to the clogging of its lumen, violation of the menstrual cycle,
  • Adhesions of the fallopian tubes create their obstruction,
  • The adhesions in the pelvic cavity cause chronic pain.

One of the types of postoperative complications is adhesions.

All of these factors can lead to infertility, and this is not at all the outcome that a woman expects to become a mother. The following methods are used to prevent such complications:

  • Selection of gentle fibroid removal techniques: EMA, laparoscopic surgery,
  • Careful enucleation of the tumor within healthy tissue. ,
  • Competent management of the postoperative period,
  • Prescription drugs that accelerate the regeneration and prevent the formation of adhesions in the pelvic cavity,
  • Ultrasound monitoring of the state of the uterus and other organs after surgery.

With the formed spikes, repeated intervention is required to remove them.

Do I need to remove myoma or can I do without surgery?

Fearing the undesirable effects of surgery, many women refuse surgery — and end up with an even greater number of problems and complications. Leiomyoma is a disease that interferes with the conception and carrying of the fetus, therefore it is not advisable to give birth in the presence of a large node. You must first get rid of the tumor and only then think about planning a pregnancy.

Planning a pregnancy is necessary only after the removal of the leiomyoma, since the presence of a tumor practically deprives the woman of the possibility of becoming pregnant and carrying out the child.

5 reasons to remove myoma before conceiving a child:

  • A benign tumor can lead to infertility, especially if the node is located in the submucosal layer and goes into the uterus,
  • Myoma with a size of 3 cm may result in repeated termination of pregnancy in the early stages,
  • The prosperous first trimester does not guarantee a good outcome. Many women fail to deliver the child before the due date. Myoma provokes the launch of preterm labor, which is fraught with serious problems for the mother and baby,
  • During pregnancy, every fourth woman fibroids increases in size. The maximum growth of the node is noted in the I and II trimester. More often grow medium and large education (10-12% of the original value, but not more than 25%),
  • Births with myoma do not always pass through the birth canal. Caesarean section may be required.

If we analyze the feedback from women who have undergone myomectomy, one can see a clear tendency: it was the operation that in most cases helped to conceive, bear and give birth to a child. After removal of the fibroids, factors that prevent the successful course of pregnancy and childbirth are eliminated: deformation of the uterus, changes in the structure of the myometrium, hormonal failure. And, on the contrary, when intact myoma such complications are noted:

  • The threat of termination of pregnancy at any time,
  • Isthmic-cervical insufficiency - a condition in which the cervix opens prematurely due to the pressure of myoma node,
  • Placental insufficiency when a tumor is located near the site of attachment of the ovum. The natural result is fetal hypoxia and delayed development,
  • Anomalies of the location of the placenta: previa, low attachment, increment,
  • Placental abruption and bleeding during pregnancy or childbirth,
  • Crush and thrombosis of the pelvic veins,
  • Pelvic presentation and incorrect position of the fetus.

Pregnancy with uterine myoma may cause bleeding.

The list of complications is impressive and the conclusion here is only one: uterine fibroids can and should be removed, and this should be done before planning pregnancy. As an alternative to surgical treatment, the doctor may suggest hormones (only for fibroids up to 3 cm in diameter).

Conception planning after removal of uterine fibroids

Theoretically, a woman can conceive a child a month after myomectomy. As soon as the cycle is restored and ovulation occurs, a long-awaited pregnancy can occur. However, practitioners do not advise to rush and recommend to wait at least 6 months after surgery. This time is necessary so that the tissues of the uterus recover and the pregnancy goes without complications.

Terms of conceiving a child depend on the method of treatment of fibroids:

  • After uterine artery embolization, pregnancy can be planned after 6 months. At this time, the process of node replacement with connective tissue is completed. Many doctors recommend waiting for at least 12 months,
  • After hysteroresectoscopy, there is no scar on the uterus, however, it takes at least 6 months to heal the endometrium and myometrium. When removing deeply located nodes, rehabilitation is delayed up to 12 months,
  • After laparoscopic myomectomy, tissue repair occurs within 6-12 months and is determined by the amount of surgical intervention,
  • In the case of abdominal surgery on the formation of a full-fledged scar on the uterus, it takes at least 12-18 months. In some cases, gynecologists advise to wait 2 years before planning to conceive a child.

It is categorically impossible to get pregnant the first 3-6 months after the operation, since in such a short period the uterine tissue does not have time to recover. Until full recovery a woman should use reliable methods of contraception.

After surgery, the woman must be protected from possible pregnancy until full recovery.

Possible risks and undesirable consequences

Pregnancy that occurred before the end of the rehabilitation period threatens with the development of serious complications:

  • Damaged tissue of the uterus is not able to take the ovum and ensure successful implantation. Pregnancy that occurs during the first 3 months after surgery usually ends in miscarriage,
  • Not fully restored tissues can not create conditions for the normal nutrition of the fetus and supply it with oxygen, which threatens to delay its development and other problems
  • A defective scar on the uterus can rupture during pregnancy or childbirth, leading to massive bleeding. Scar rupture is a condition that threatens the life of a woman and a child.

On the Internet you can find a lot of stories when the pregnancy happened 3-4 months after the operation. A satisfactory outcome is possible against all odds, but doctors warn: the chances of enduring and having a baby in this situation are extremely low. Is it worth the risk to go through a difficult operation and hurry if you can wait for the deadline and avoid serious complications?

Childbirth after myomectomy

Natural childbirth after removal of a uterus tumor is possible under the following conditions:

  • No scar on the uterus or full scar,
  • Full-term pregnancy (from 37 weeks) and a satisfactory condition of the fetus,
  • Headache presentation and longitudinal position of the fetus,
  • The normal size of the pelvis of a woman.

After treatment of uterine fibroids surgically, vaginal birth is quite possible if there are no contraindications.

An indication for cesarean section becomes an inferior scar on the uterus, as well as other reasons that impede the safe flow of labor. You can give birth after removal of fibroids yourself, but this requires not only the good health of the woman, but also the high qualifications of the doctor. If a woman belongs to a high-risk group for the development of complications during labor, a cesarean section will be the best way out.

Deliveries after the removal of a large node rarely pass through the natural birth canal. Husking large fibroids leads to significant tissue damage, and in childbirth it can lead to abnormalities in the contractile activity of the uterus. Myomectomy in masses from 6 cm in diameter also often involves the opening of the uterus with its subsequent closure and scar formation, which becomes a contraindication to independent labor.

Features of the formation of the uterine scar after surgery

The course of pregnancy and the upcoming delivery depends on the state of the scar on the uterus after the removal of fibroids. This is the key factor determining the answers to the following important questions:

  • When can I plan a pregnancy?
  • How will pregnancy proceed?
  • Can I give birth on my own or have to do a cesarean section?

The results of numerous studies show that a day after the operation, the edges of the wound stick together and the regeneration processes start. On the first day at the site of the incision, the formation of new blood and lymphatic vessels and the active reproduction of myocytes take place. After 7 days, the production of collagen increases, elastic fibers appear. By the end of the third week, the germination of muscle cells in the damaged area ends, the tissue structure is restored. If all processes have gone well, a full-fledged scar on the uterus is formed. When a debugged mechanism fails, atrophy of the muscle fibers occurs, and instead of full healing of the tissues, they are hardened.

After removal of uterine fibroids, a full-fledged scar is formed within a month, provided that the tissue repair algorithm is not disturbed.

Evaluation of a formed uterine scar is carried out using ultrasound. A full-fledged scar is considered to meet the following criteria:

  • Thickness from 5 mm,
  • A well-defined layer of muscle tissue along the entire length of the scar,
  • Lack of local thinning in the area under study.

A scar less than 3 mm thick, with the presence of heterogeneous inclusions indicating sclerosis of tissues, is unambiguously inadequate. Difficulties arise when evaluating a scar 3.5–5 mm thick. In Western countries with such indicators a woman is allowed into natural childbirth. In Russia, it is considered that for a safe generic process the scar should be at least 4-5 mm thick. The final decision is made after evaluating all risk factors, the condition of the woman and the fetus.

Myomectomy: indications and technique

Uterine myoma is a benign, hormone-dependent tumor that develops from myometrium cells (the muscle layer of the uterus). In most women, the disease manifests itself after the age of 35 years. Recently, there has been a steady trend towards rejuvenation of the disease. Often, fibroids are found in young women, including during pregnancy.

In 60% of women, fibroids are asymptomatic. There are various violations of the menstrual cycle, the appearance of irregular intermenstrual bleeding. Large fibroids squeeze adjacent organs, leading to impaired urination and bowel movements. Chronic pelvic pain is common. In some women, infertility is the only symptom.

Surgical treatment of fibroids is indicated in such situations:

    uterine fibroids in women planning pregnancy

Удаление миомы матки может проводиться лапароскопическим или открытым доступом. В первом случае хирург делает несколько аккуратных проколов брюшной стенки. Through the holes formed a tool is inserted, which performs all the necessary actions. After laparoscopic surgery, recovery is much faster than with the removal of fibroids with a classical approach (through an abdominal incision).

Preparing for pregnancy after myomectomy

After myomectomy, you should not delay the birth of a child. You can plan a pregnancy a month after the operation (provided that you feel well and there are no complications). Otherwise, fibroids will begin to grow again, and the onset of a long-awaited pregnancy will be a big question. Before conceiving a child, all drugs used to treat fibroids are canceled.

Pregnancy after myomectomy

After removal of fibroids on the uterus remains a scar. This condition does not pass without a trace for a woman and can affect the course of pregnancy and childbirth. Waiting for a baby may develop such complications:

  • spontaneous miscarriage,
  • threatened miscarriage
  • preterm labor,
  • low location of the placenta
  • placenta previa (localization of the fetal place in the lower segment of the uterus in the way of the birth of the child),
  • true rotation of the placenta
  • pelvic presentation of the fetus,
  • oblique or transverse position of the fetus,
  • placental insufficiency and concomitant delay of fetal development,
  • rupture of the uterus along the scar.

Pathology of the placenta

A scar on the uterus is a serious hindrance to the normal attachment of the placenta. Not finding the optimal place on the altered mucous membrane of the uterus, the ovum is not introduced in the most convenient place. The attachment of the ovum in the lower part of the uterus threatens to place the placenta and place a high risk of bleeding during pregnancy. Independent labor with this pathology is not possible. According to the same scheme, a low location of the placenta and other pathologies of attachment of the fetal place are formed.

Placental insufficiency develops when the placenta is located along the scar. In this place the blood supply to the uterus is impaired, which inevitably affects the functioning of the fetal place. As a result, the fetus does not receive in the right amount of nutrients and oxygen. Long-term oxygen deprivation inevitably affects the development of the brain, and a lack of vitamins, trace elements and other beneficial substances leads to a delay in the physical development of the fetus. After birth, this condition will inevitably lead to the emergence of various health problems.

Uterine rupture on the rumen

Uterine rupture along the scar is one of the most dangerous states in obstetrics. This complication can occur both during pregnancy and childbirth. The cause of rupture of the uterus is the failure of the scar.

Symptoms of uterine rupture:

  • nausea and vomiting,
  • pain in the epigastric region with irradiation to the navel and the hypochondrium,
  • increasing the tone of the uterus,
  • bleeding from the genital tract.

At the accomplished rupture, signs of hemorrhagic shock join these symptoms:

  • rapid deterioration of the general condition
  • weakness,
  • dizziness,
  • lowering blood pressure
  • increased heart rate and respiration,
  • pallor of the skin.

When the rupture along the scar occurs, bleeding into the abdominal cavity occurs. There is hypoxia of the fetus, its condition worsens. Help for women and children in this situation should be provided as soon as possible.

Uterine rupture of the scar during childbirth is accompanied by the following symptoms:

  • nausea and vomiting,
  • epigastric pain,
  • weakness or discoordination of labor,
  • increased pain in contractions
  • delayed advancement of the fetus with full disclosure of the cervix.

When the rupture of the uterus occurs, its hypertonus joins, bloody discharge from the genital tract appears. In most cases, a few minutes pass from the onset of the first symptoms to a complete rupture. In the absence of adequate assistance, death of the fetus and the mother is possible.

Conducting pregnancy and childbirth after myomectomy

All women who have undergone surgery to remove fibroids should register for pregnancy as early as possible (up to 12 weeks). In anticipation of the baby, all routine examinations are required, including hormonal and ultrasound screenings. During the ultrasound, the location of the placenta and the scar condition are evaluated.

Ultrasound symptoms of uterus scarring:

  • discontinuity of the contours of the scar,
  • thinning of the muscular layer of the uterus,
  • the appearance of hyperechoic inclusions along the scar (areas of connective tissue).

Insolvent scar on the uterus is the reason for the cesarean section. With independent birth in such a situation, the risk of rupture of the scar, development of bleeding, death of the woman and the fetus is too high. Natural childbirth is possible only with a full-fledged scar in combination with other factors:

  • headache presentation of the fetus,
  • the size of the head of the fetus and the pelvis of the mother
  • localization of the placenta outside the rumen,
  • the absence of other complications of pregnancy, which may become an indication for cesarean section.

Myomectomy performed directly during this pregnancy is an absolute indication for elective cesarean section.

Natural childbirth in the presence of a scar on the uterus after myomectomy go according to the standard scenario. With the development of complications and the deterioration of the fetus is an emergency caesarean section.

The effect of fibroids on pregnancy

Statistics show that about 4% of pregnancies occur on the background of uterine fibroids. The presence of knots does not mean that a woman cannot become pregnant or bear a healthy child. However, the nodes can interfere with the implantation of a fertilized egg in the uterus wall, causing complications in the development of the fetus and in the process of delivery.

Myoma is not a definite factor of infertility, but can cause it. Infertility and recurrent miscarriage are often caused by many additional factors:

  • Congenital and acquired pathologies of the reproductive system (in addition to myomatous nodes),
  • The inflammatory process in the reproductive organs,
  • Adhesions,
  • Uterine injuries as a result of surgical interventions, abortions, scraping,
  • Hormonal disorders
  • Genetic abnormalities
  • Psychological infertility
  • Infertility of unknown etiology.

Treatment of myomatous tumors is included in the list of recommended measures in the process of infertility therapy, however, this does not guarantee a safe pregnancy if the problem was not in the myoma. Therefore, the elimination of infertility requires an integrated approach, with a comprehensive survey of women and men.

Myomatous nodes do not always need to be removed before pregnancy. In some cases, uterine fibroids may even be treated with pregnancy, since the nodes regress in 8-27% of cases. Small-sized neoplasms begin to decrease due to changes in the hormonal background. For the same reason, their growth is observed in 22-32% of cases. Predict the behavior of the pathology can only be qualified gynecologist. The doctor will prescribe a woman a series of studies, based on which determines the feasibility of treatment of myoma nodes during pregnancy.

Complications of pregnancy with myoma occur in 10-40% of cases. The most common of these include:

  • Abortion,
  • Pathology of the fetus,
  • Rupture of fetal membranes,
  • Preterm labor
  • Postpartum bleeding.

The most dangerous for the fetus are large submucous and intramural nodes located behind the placenta. If there is a high risk of complications, the doctor may recommend pregnancy after removal of the fibroids with laparoscopy. Reviews of minimally invasive operations, mostly positive. Such surgical interventions are gentle to the tissues of the uterus. Embolization of uterine arteries is considered the safest among minimally invasive methods of treatment. During the procedure, the uterus is not subjected to mechanical stress, and the nodes regress gradually, leaving no scars or other injuries.

Features and risks of pregnancy after removal of fibroids

The danger of the removal of nodes in the uterus is that under the surgical influence of the tissue of the reproductive organ can be deformed. This leads either to the impossibility of becoming pregnant, or to complications in the process of carrying a child and childbirth. Removal of fibroids during pregnancy should be for good reason. Surgery to remove fibroids during pregnancy is fraught with a great risk of harming the fetus and mother, and therefore must have good reasons. Such intervention can be recommended if there is an intensive growth of nodes and their absolute negative impact on the condition of the woman and the fetus.

Removal of fibroids prior to planned conception may be recommended in the following cases:

  • Observed multiple nodes of medium size,
  • There is a growth of nodes
  • Neoplasms grow in the direction of the uterus,
  • Reproductive history shows that neoplasms can cause infertility.

There are two main methods of treatment of this pathology: drug and surgical. The first is shown in the case when the nodes are small and their intensive growth is not noted. This method cannot be applied in the cases listed above, since it will not be effective for them. That is, the second method will be recommended to the woman - surgical.

Here, a choice is usually made between myomectomy and uterine artery embolization. Myomectomy can be performed by laparoscopic or open (abdominal) access. The latter is used in modern gynecology extremely rarely in particularly complex and emergency situations. Laparoscopy is a minimally invasive intervention that allows you to remove all visible nodes. Pregnancy after removal of uterine fibroids by laparoscopic method will have the following risks:

  • Relapse of pathology due to the growth of nodes that were hidden from the surgeon,
  • The development of adhesions,
  • The presence of scars after the removal of large nodes that can disrupt the structure of the tissues of the uterus.

Women planning a pregnancy after the removal of fibroids, members of the expert council of our site recommend to prefer embolization of the uterine arteries. This method allows you to remove all the nodes at the same time - both large and small (still emerging), which eliminates the risk of pathology recurrence. After the procedure, there is no scarring or other damage to the uterus, that is, its tissues remain unchanged. The likelihood of developing postoperative complications after uterine artery embolization is significantly lower than after myomectomy. Also, after embolization, recovery is much faster.

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