In most cases pregnancy after myomectomy is possible. Few studies demonstrate a higher pregnancy rate in women younger than 35 years or who experienced infertility for less than 3 years. Women with submucosal fibroids have been seen to experience a successful pregnancy after myomectomy. A hysteroscopic myomectomy is recommended for women with submucosal fibroids. Fibroids that are in the wall of the uterus intramural or outside subserosal can be removed through a laparoscopic myomectomy.
Fibroids bigger than 5 cm may require an abdominal myomectomy or open surgery. The scar on the uterus heals in about 3 to 6 months with a myomectomy.
Here are a few tips to keep in mind that may help you have a successful pregnancy after myomectomy. This will help the scar to start healing from the very first day and help strengthen the uterus. Resuming Exercise When you feel healthy enough, you should gradually restart exercising as this helps increase your stamina.
Find articles by Jin-Hoon Chung. Find articles by Yong-Soo Seo. Find articles by Sun-Young Jung. Find articles by Jung-Eun Kim. Find articles by Su-Hyun Chae. Find articles by Han-Sung Hwang. Author information Article notes Copyright and License information Disclaimer.
Corresponding author. Corresponding author: Han-Sung Hwang. This article has been cited by other articles in PMC. Abstract Objective The purpose of this case series was to retrospectively examine records of cases with uterine rupture in pregnancies following myomectomy and to describe the clinical features and pregnancy outcomes.
Methods This study was conducted as a multicenter case series. Conclusion In women of childbearing age who are scheduled to undergo LTM or LSM, the potential risk of uterine rupture on subsequent pregnancy should be explained before surgery. Keywords: Myomectomy, Pregnancy outcome, Uterine rupture. Materials and methods This study was conducted as a multicenter case series.
Table 1 Patient and surgical characteristics of uterine rupture cases in pregnancy after myomectomy. Open in a separate window. Cases unsuspected of uterine rupture after myomectomy. After peritoneal incision, the serosal and myometrial defects of uterus were noted incidentally and the intact fetal membranes remained and protruded forward case 13; E, F. Serious uterine rupture cases after myomectomy with adverse pregnancy outcomes. A An approximately 6-cm-sized longitudinal tear can be seen at the right posterior uterine wall, with massive bleeding case 6.
B Longitudinal uterine rupture can be noted at right posterior lateral wall case 9. C The uterus is torn longitudinally and ruptured throughout the right posterior wall of the uterus case 3. D Before emergency cesarean section, the fetus was stillborn.
Uterine rupture with protrusion of amniotic cavity and placenta, massive hemoperitoneum, and the uterine wall defect white arrow are found on abdominal computerized tomography case 1. Discussion A uterine rupture can occur with a variety of clinical manifestations.
Footnotes Conflict of interest: No potential conflict of interest relevant to this article was reported. References 1. Uterine leiomyomata: etiology, symptomatology, and management. Fertil Steril. Obstet Gynecol. Effect of intramural, subserosal, and submucosal uterine fibroids on the outcome of assisted reproductive technology treatment. Uterine fibroids and subfertility: an update on the role of myomectomy.
Curr Opin Obstet Gynecol. Pregnancy outcome and uterine fibroids. Fibroids and reproductive outcomes: a systematic literature review from conception to delivery. Am J Obstet Gynecol. Uterine rupture: a seven year review at a tertiary care hospital in New Delhi, India. Indian J Community Med. Pregnancy outcomes and risk factors for uterine rupture after laparoscopic myomectomy: a single-center experience and literature review.
J Minim Invasive Gynecol. The risk of uterine rupture after myomectomy: a systemic review of the literature and meta-analysis. Gynecol Surg. Risk factors for uterine rupture after laparoscopic myomectomy. Laparoscopic myomectomy in patients with uterine myomas associated with infertility. Minim Invasive Ther Allied Technol. Trivedi P, Abreo M.
Predisposing factors for fibroids and outcome of laparoscopic myomectomy in infertility. J Gynecol Endosc Surg. Laparoscopic myomectomy: a 6-year follow-up single-center cohort analysis of fertility and obstetric outcome measures.
Arch Gynecol Obstet. If the fibroids grow significantly into the uterine cavity, the procedure may be done through your vagina by hysteroscopy. If the fibroids are located in the wall of the uterus or on its surface, the surgeon might consider removing them by laparoscopy — through several small abdominal incisions.
An open surgery might be needed if the fibroids are large or if there are many of them. After the myomectomy, your uterus is repaired and functions normally. Your doctor will discuss the benefits, risks and potential complications of any treatment option with you. Research shows women who have had more than six fibroids removed are less likely to conceive than women with fewer fibroids taken out.
Keep in mind, this operation is also subject to the parameters of the fibroid. These medications are used to stunt the growth of fibroids , while alleviating symptoms, such as pain and heavy bleeding.
It's always a good idea to consult with your doctor about the effects of the medication beforehand. For serious cases, more advanced surgeries may be required to remove fibroids, but the above are the most common minimally invasive procedure--and they have high success rates when it comes to recovery and achieving pregnancy.
No one should have to face a procedure with any doubts, and that's why working with a team of specialists specifically in fibroid surgeries will provide more relief during a time of worry. Working with a fertility expert also means that you can discuss any worries about your fibroids or other concerns regarding fertility holistically to make sure you have the big picture on your fertility outlook.
Furthermore, getting pregnant after fibroid removal can be a viable option with help from a fertility expert. Rather than thinking of your surgery as a stressful or fearful event, use the opportunity to learn about your body and how you can set your new family off in the right direction. With the right mindset and a team of positive, patient-centered specialists, this can be a time to learn about your fertility and help your body have a healthier future pregnancy.
Kofinas Fertility Group offers you an expert team that specializes in fibroid care and fertility preservation. Our staff will ease your current pain associated with fibroids, but also give you an excellent chance to have a healthy future pregnancy by selecting the right procedure for your issues. Whether you're ready to pursue fibroid surgery or are curious about what the procedures entail, Kofinas Fertility Group is her to guide you along the way. To learn more about fibroids and how they affect you, feel free to give us a call or schedule an appointment.
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