What are the sequelae after uterine myoma removal?

After uterine myoma removal, sequelae such as menstrual disorders, pelvic adhesions, and endocrine disorders may occur, but most patients can recover smoothly. Specific problems can be treated or managed by taking corresponding measures based on individual circumstances.

1. Menstrual disorders

After myomectomy, some patients may experience changes in their menstrual cycle, increased or decreased menstrual flow, or even amenorrhea due to the destruction of the endometrium or uterine tissue by surgery. If menstrual abnormalities are found, they can be restored by regulating the endocrine system, such as using estrogen and progesterone drugs under the guidance of a doctor to stabilize the menstrual cycle. For long-term amenorrhea or unrecoverable conditions, further examination is required to determine whether there are other complications.

2Pelvic Adhesions

Operations on the uterus and surrounding tissues during surgery may cause adhesions during tissue repair. Pelvic adhesions have no obvious symptoms in mild cases, but in severe cases they may cause chronic pain and even affect fertility. To prevent adhesions, appropriate early postoperative activities can promote blood circulation, and if necessary, medication intervention can be taken, such as the use of anti-inflammatory drugs or analgesics to prevent inflammation. If adhesions have already formed, laparoscopic minimally invasive surgery can be considered for dissolution.

3. Endocrine disorders

After surgery, hormone levels in women may change, causing mood swings, insomnia, fatigue and other endocrine disorders. To improve symptoms, patients are advised to strengthen their diet and consume more foods containing soy isoflavones such as soy milk and tofu, as well as foods rich in vitamin E such as nuts and vegetable oils. At the same time, they should maintain a regular schedule, exercise moderately and avoid excessive mood swings. In case of severe disorders, hormone replacement therapy can be consulted.

4. Impact on fertility

If the patient undergoes complete myometrial resection during surgery, it may cause thinning of the uterine wall, increase the risk of uterine rupture during pregnancy, and thus affect fertility. After surgery, the recovery of the uterus should be checked regularly. If pregnancy is planned, the safety of pregnancy should be assessed under the guidance of a doctor and necessary pregnancy support measures should be taken, such as cesarean section.

Most patients can recover smoothly after uterine myoma removal. If irregular menstruation, adhesions or other discomforts occur, it is particularly important to seek medical treatment in time. After surgery, patients should strictly follow the doctor's instructions, pay attention to physical changes and make adjustments, and maintain a healthy lifestyle to create a good internal and external environment for physical recovery.