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  1. Home /
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  3. Pregnancy after Myomectomy: Considerations and Success Rates

Pregnancy after Myomectomy: Considerations and Success Rates

Explore the possibility of pregnancy after myomectomy. Learn about the procedure, its impact on fertility, and potential challenges and considerations for conceiving and carrying a pregnancy to term.

  • Gynecologyy

By Mitali Pawar

8th Mar '23

Overview

Every woman's journey is unique. The size and location of your fibroid and the type of myomectomy you had can all impact your chances of getting pregnant. And while the success rate is high, it's worth noting that approximately 25% of women who have had a myomectomy will experience recurrent fibroid growth.
 

It's also important to remember that the road to conception after a myomectomy may take a bit longer than for those who haven't had surgery. The risk of miscarriage is higher for women who have had a myomectomy. And with proper care and monitoring, many women have healthy pregnancies.

If you're considering trying for a baby after a myomectomy, you should wait at least six months before trying to conceive. It will give your body time to heal and recover from the surgery. 

Take charge of your health and your life. Contact us today!

Now, let's discuss, 

What are the different types of myomectomy? 

Myomectomy is a surgical procedure to remove fibroid from the uterus. There are different types of myomectomy. Depending on the size, location, and number of fibroid, as well as the woman's health. Here are a few of the most common types:

  • Open Myomectomy
  • Laparoscopic Myomectomy
  • Hysteroscopic Myomectomy
  • Robotic Myomectomy
     

Want to inquire about personalized treatment expenses? Don't hesitate. Talk to us today.

Are you wondering if pregnancy after a myomectomy is possible? What are the chances of pregnancy after myomectomy? 

Learn about the factors that affect one.

What factors affect pregnancy after myomectomy?

Several factors can affect a woman's ability to become pregnant after a myomectomy. It includes -

Size and location of fibroidLarge and more deeply embedded fibroid are more likely to cause fertility problems. They require a more complex surgical procedure for removal.
Type of myomectomy performedA laparoscopic myomectomy is a minimally invasive procedure. It may be less likely to cause damage to the uterus and surrounding tissue. It increases the chances of pregnancy.
Number of fibroid removedMore fibroid removed can increase the chance of complications and lower the likelihood of success of pregnancy.
Age of the womanA woman's age can impact her ability to conceive after a myomectomy.
The extent of scarring caused by the surgeryA myomectomy may cause scarring in the uterus, making it more difficult for a fertilized egg to implant and grow. 
The woman's healthWomen with other medical conditions, such as diabetes, hypertension, or autoimmune disorders, may have difficulty getting pregnant after a myomectomy.

Success Rate of Pregnancy after Myomectomy

The success rate of pregnancy after a myomectomy depends on several factors. It includes the size and location of the fibroids, the type of myomectomy performed, and the patient's health. Generally, pregnancy rates after a myomectomy range from 60-90%, with most studies showing success rates of around 75%.

Yes, you read that right!

While pregnancy after a myomectomy is possible, the risk of recurrent fibroid growth and complications is higher than in women without a myomectomy. Also, there may be a higher risk of miscarriage after a myomectomy. Although with proper care and monitoring, many women can have healthy pregnancies. 

It's always best to consult with your doctor. For personalized advice and guidance if you're considering trying for a baby after a myomectomy.

If you wish to have a successful pregnancy after fibroid removal, then keep reading further.

Tips to increase chances of successful pregnancy after myomectomy

If you're considering trying for a baby after a myomectomy, there are several steps you can take to have a successful pregnancy after myomectomy.

  1. Preconception advice
Consult with your healthcare professional for personalized advice and guidance on when it's best for you to try to conceive. They can also recommend additional testing or treatments to help increase your chances of conceiving after myomectomy.
  1. Ways to prepare for pregnancy
Maintain a healthy weight, eat a balanced diet, get regular exercise, manage any chronic health conditions, stop smoking or limit alcohol consumption, and take prenatal vitamins.
  1. Fertility treatments
If you're having difficulty becoming pregnant, fertility treatments such as medications, intrauterine insemination (IUI), in vitro fertilization (IVF), and assisted reproductive technologies (ARTs) may be an option.
  1. Timing intercourse
Track your menstrual cycle to determine when you are ovulating, and try to have intercourse during your most fertile days to increase your chances of conception.
  1. Manage stress
High stress levels can affect hormone levels and overall health, which can impact fertility. Try to find ways to reduce stress, such as yoga, meditation, or talking to a counselor.
  1. Get enough sleep
Adequate sleep is important for overall health and well-being, which can help to improve fertility.
  1. Donor eggs or sperm
When a woman's own eggs or a man's own sperm are not viable, donor eggs or sperm may be used in fertility treatments.

Every woman's experience is different, and it's best to consult with your gynecologist for personalized advice and guidance. 
 

How long should one wait to get pregnant after myomectomy?

It is said that there is a right time for everything! 

So, what is the right timing of pregnancy after myomectomy?

It is generally recommended to wait at least six months before attempting to conceive after a myomectomy. This allows time for the uterus to heal and recover from the surgery. The healing process can vary for each individual, so it's best to consult your gynecologist for personalized advice and guidance.

During this waiting period, it is essential to focus on your health, like having a healthy lifestyle by maintaining a healthy weight, eating a balanced diet, and getting regular exercise. It is also essential to manage any chronic health conditions and stop smoking or limit alcohol consumption which can lead to more severe complications gallstones, liver damage, etc..

It's also important to keep in mind that even after the waiting period, pregnancy may take longer to achieve than it would have otherwise. You may also need more frequent check-ups during your pregnancy and have to be monitored more closely to ensure the well-being of both mother and baby.
 

Is pregnancy after myomectomy high risk?

Pregnancy after a myomectomy can be considered a high-risk pregnancy compared to those without a myomectomy, as there may be a slightly higher risk of complications. 

Did this give you an anxiety spike?

Relax!

With proper care and monitoring, many women have healthy pregnancies. After a myomectomy, there is a risk of recurrent fibroid growth. In some cases, the surgery may cause scarring in the uterus, making it more difficult for a fertilized egg to implant and grow.

Additionally, the risk of miscarriage is slightly higher after a myomectomy, although it is still considered a low risk overall.

It's important to note that every woman's experience is different, and it's best to consult a healthcare professional for personalized advice and guidance. Close monitor your pregnancy and additional testing or scans to ensure the well-being of both mother and baby is highly recommended.

While getting pregnant after fibroid removal may be considered high-risk, with proper care and monitoring, many women can have healthy pregnancies and deliver healthy babies.

According to Ms. Brooke Davis, who is a Women’s Health RN, Holistic Nutritionist, Certified Lactation Counselor, and Certified Women’s Health Coach: 

"Women with large or multiple fibroids may be advised to have a cesarean delivery to avoid the risk of obstructed labor or other complications. Women who have undergone an open/abdominal Myomectomy may also be advised to have a cesarean due to the possible risk of uterine rupture from the contractions during labor."

Does the thought come to your mind that myomectomy has an impact on delivery?
The cnontinue reading to know the facts.

What is the impact of myomectomy on delivery?

Myomectomy can impact delivery, depending on the location and size of the fibroid that were removed and the woman's overall health. Here are a few things to consider:

Recovery time

Myomectomy can have an impact on delivery, depending on the size and location of the fibroids. If there are small fibroids or if they are located in the upper part of the uterus, they may not affect delivery. 

However, larger fibroids that are in the lower uterus near the cervix could potentially block the passage of the baby and require a cesarean delivery.

What to Expect During Pregnancy After Myomectomy?

Curious to know what you can expect during pregnancy after myomectomy?

Scroll down!

Pregnancy after a myomectomy can be a different experience for each woman, but there are some things that you can expect during your pregnancy.

  • Monitoring
Your healthcare provider will closely monitor your pregnancy and may recommend additional testing or scans to ensure the well-being of both mother and baby.
  • Higher risk of complications
A woman who has had a myomectomy may have a slightly higher risk of complications during pregnancy, such as recurrent fibroid growth or bleeding.
  • Higher risk of miscarriage
The risk of miscarriage is slightly higher for women who have had a myomectomy, but with proper care and monitoring, many women go on to have healthy pregnancies.
  • More frequent check-ups
You may need frequent check-ups during your pregnancy, and you may have to be monitored more closely to ensure the well-being of both mother and baby.
  • Delivery options
Depending on the location and size of the removed fibroids and overall health, vaginal delivery may be possible, or a cesarean section (C-section) may be recommended.
  • Postpartum care
After delivery, you may need to be closely monitored for any complications and may require more frequent check-ups.

We can conclude by saying that myomectomy is a common procedure for women with uterine fibroids. While it can reduce fertility, there are steps you can take to increase your chances of conceiving after myomectomy.

From pre-conception care to lifestyle changes and fertility treatments, it is possible to maximize your chances of conceiving after a myomectomy.

Take the first step to recovery. Get in touch with us for your treatment.

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Question and Answers

I'm experiencing old blood (black in colour)during my period from the first day to the fourth day(today)and the flow is same.Also it's the first time this has happened. I'm not bleeding fresh blood, which is concerning. What should I do?Typically, I bleed old blood only on the first day of my period, and by the night of the first day, I start to bleed fresh blood. However, this time, that's not the case, and it's now my fourth day, with only a small amount of old blood compared to my previous menstrual cycles

Female | 24

Old blood appears darke­r in color. It's normal, but concerning if it's new or freque­nt. Stress, hormones might cause this. Note­ it down. If it persists, consult a doctor. Being worried is unde­rstandable. Lingering old blood during periods isn't unusual. Howe­ver, monitor such occurrences. Take­ advice from healthcare provide­rs if the issue doesn't re­solve itself. Sudden change­s demand professional opinion. Stay calm, but vigilant.

Answered on 26th Apr '24

Dr. Himali Patel

Dr. Himali Patel

Good day. My period is 4 days, I had unprotected sex 2 weeks ago. I don’t have any pregnancy symptoms. I’ve also been stressed these past couple of days

Female | 18

Fee­ling anxious is understandable. Sometime­s stress impacts your menstrual cycle, causing de­lays or irregularities. If you haven't e­xperienced pre­gnancy indicators and it's only been a fortnight since unprote­cted intimacy, detecting pre­gnancy might be premature. 

Answered on 26th Apr '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

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