How long after myomectomy can I get pregnant

It is generally recommended to wait 6 months to 1 year after myomectomy before becoming pregnant. The specific time depends on the surgical method, the size and location of the myoma, and the postoperative recovery. Regular checkups are required during the postoperative recovery period to ensure that the uterus is completely healed before considering pregnancy.

1. Postoperative recovery time: The recovery time after myomectomy varies depending on the surgical method. Laparoscopic surgery is less invasive and recovers faster. Usually, you can consider pregnancy after 6 months. Open surgery is more invasive and it is recommended to wait for 1 year. Regular ultrasound examinations are required after surgery to observe the healing of the uterus and ensure that there are no residual myomas or postoperative complications.

2. Influence of surgical method: Myomectomy is divided into laparoscopic surgery, hysteroscopic surgery and laparotomy. Laparoscopic surgery is less invasive and has a quick recovery, which is suitable for patients with smaller and shallower fibroids; hysteroscopic surgery is suitable for submucosal fibroids and has a shorter recovery time; laparotomy is suitable for patients with larger or complex fibroids and has a longer recovery time.

3. Fibroid size and location: The size and location of the fibroid directly affect the postoperative recovery time and pregnancy safety. Patients with larger fibroids or those located deep in the uterine wall will have a longer uterine healing time after surgery and will need to wait longer before becoming pregnant. Patients with fibroids located in the uterine cavity need to pay special attention to the recovery of the endometrium after surgery.

4. Postoperative review and evaluation: Ultrasound examination and gynecological examination are required regularly after surgery to evaluate the healing of the uterus and the thickness of the endometrium. If symptoms such as abnormal menstruation and abdominal pain occur after surgery, you need to seek medical attention in time to rule out postoperative complications. The doctor will evaluate whether you are suitable for pregnancy based on the review results.

5. Preparation before pregnancy: Before planning a pregnancy, a comprehensive pre-pregnancy examination is required, including uterine ultrasound, hormone levels and fallopian tube patency examination. If the postoperative recovery is good and the uterus is completely healed, you can consider starting to prepare for pregnancy. During the period of preparing for pregnancy, you need to pay attention to balanced nutrition, supplement folic acid, and avoid contact with harmful substances.

The timing of pregnancy after hysteromy resection needs to be comprehensively evaluated based on the surgical method, the size and location of the fibroids, and the postoperative recovery. It is recommended to undergo pre-pregnancy examinations and pregnancy preparations under the guidance of a doctor to ensure the safety of mother and baby.