Can I still have children after myomectomy? Most of them do not affect

Can I still have children after myomectomy? Most of them do not affect

After myomectomy, the woman's uterus can be preserved, and the endometrium will not be greatly damaged, which generally does not affect childbearing. After one or two years of recovery, you can consider preparing for pregnancy. However, improper surgery or improper postoperative care can cause uterine adhesions or fallopian tube blockage, affecting women's fertility. If you choose a total hysterectomy, you will not be able to have children.

Uterine fibroids are a relatively common gynecological disease. When the tumor is too large, it will lead to increased menstrual flow and anemia, so doctors will recommend patients to choose surgical removal. Some women are worried that it will be difficult to get pregnant after surgery and are unwilling to undergo surgery. Can you still have a child after uterine fibroid removal?


1. Can I still have a baby after myomectomy?

1. Most of them do not affect childbearing

Whether or not you can have a baby after myomectomy depends on the method of surgery. If you simply remove the myoma, whether it is a minimally invasive surgery or an open surgery, as long as the surgery is successful, the uterus can be well preserved, the endometrium is not damaged, and it will not affect ovulation and implantation of the fertilized egg, and it will not have much impact on having a baby. After the wound has healed, you can consider preparing for pregnancy.

2. In some cases, uterine myoma surgery may affect fertility

(1) Improper postoperative care

For some patients, the fibroids grow near the opening of the fallopian tube. If the operation is not performed properly, the fallopian tube may be sutured, affecting ovulation and leading to infertility. Some patients do not receive proper postoperative care and develop intrauterine infection, which may cause uterine adhesions, which will also affect normal fertility.

(2) Total hysterectomy

Some patients have fibroids that are too large, or are found to have the potential to become cancerous, so they may need a total hysterectomy, which means they will no longer be able to have children after the uterus is removed.

2. Precautions for fertility after uterine fibroid surgery

1. Pay attention to the time to prepare for pregnancy

After having uterine fibroid surgery, you need to take contraceptive measures to avoid pregnancy in a short period of time to prevent poor wound healing and wound rupture as the fetus grows. Generally, it is safer to consider pregnancy 1 to 2 years after surgery when the uterus has recovered better.

2. Close observation during pregnancy

After a hysteromy resection, there will be scars on the uterus. As the fetus grows larger, the scars may tear and cause uterine rupture, which poses a certain threat to the life safety of both mother and child. Therefore, after pregnancy, you should be closely observed and the entire pregnancy process should be monitored. Once there are signs of uterine rupture, terminate the pregnancy as soon as possible to minimize the risk of pregnancy.

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