After hysterectomy, when should I get pregnant?

This is an automatically translated article.

The article is expertly consulted by Master, Doctor Le Nhat Nguyen - Obstetrician-Gynecology Specialist - Vinmec Danang International General Hospital.
Fibroids are benign tumors that develop in or on the uterus. The disease can affect fertility and your chances of getting pregnant. Fibroids are so common that 20 to 80% of women will develop noncancerous fibroids by age 50, and 30% of women 25 to 44 have symptoms of fibroids. That means fibroids are common in women of reproductive age.

1. How do uterine fibroids affect pregnant women?

Most women will not experience the effects of fibroids during pregnancy. However, a 2010 review found that 10 to 30 percent of women with fibroids will develop complications during pregnancy. The most common complication of fibroids during pregnancy is pain, the researchers note. It is often seen in women with fibroids larger than 5 cm during the last two trimesters of pregnancy.
Fibroids can increase the risk of other complications during pregnancy and delivery, including:
Fetal growth restriction. Large fibroids can prevent the fetus from fully developing due to the reduction in the size of the womb. Baby placenta. This happens when the placenta separates from the uterine wall because it is blocked by a fibroid. This reduces the oxygen and nutrients that are important for feeding the baby. Premature birth. Pain from fibroids can lead to uterine contractions, which can lead to early delivery. Caesarean. Some studies have estimated that women with fibroids are six times more likely to have a caesarean section than women without fibroids. The reverse birth. Due to the irregular shape of the uterus and the cramped uterus due to the addition of fibroids, the baby may not be able to adjust to the position for an easy birth. Miscarriage. Mothers are six times more likely to have a miscarriage than mothers without fibroids.

2. What are the effects of pregnancy on uterine fibroids?

Most fibroids don't change size during pregnancy, but some do. In fact, one in three pregnancies can develop uterine fibroids in the first trimester, and fibroid growth can be influenced by estrogen and increased estrogen levels during pregnancy leading to fibroids. faster growth. However, for other women, fibroids can shrink during pregnancy.

3. Methods of treating uterine fibroids

Doctors need time to monitor the growth and symptoms of the tumor before giving treatment. If the tumor does not grow quickly, the patient does not have symptoms such as vaginal or pelvic bleeding, then treatment is not necessary. However, in cases where the tumor grows rapidly and causes many other symptoms, the patient may be prescribed medication or surgery.

4. After hysterectomy, when should I get pregnant?

Studies have shown that a woman's chance of getting pregnant after fibroid surgery is 39-56% and surgeons can't say for sure if a woman can get pregnant after the procedure.
If you have fibroids and are considering surgical removal of the fibroids, you should wait at least six months after surgery before trying to conceive. If the patient becomes pregnant soon after surgery, there is a high chance of miscarriage. The surgery is a traumatic procedure for the uterus and the whole body so it takes about 90 days for the incision to heal completely.
In addition, after surgery can leave scars in the uterus, which can also reduce the patient's chances of getting pregnant. Sticky scarring can lead to blockage of the fallopian tubes and cause infertility.

5. Why should you choose surgery for uterine fibroids at Vinmec hospital?

Uterine fibroid dissection is a technique performed by obstetricians and gynecologists applied in treatment at Vinmec Danang International General Hospital. With modern equipment, FullHD Gynecological Endoscopy System, Tumor Grinder (removal of tumors through laparoscopic, no need to make incision along with tumor removal) support during surgery. When having the symptoms mentioned above, women often contact Vinmec immediately to be consulted by a team of experienced specialists and choose the appropriate treatment method, to avoid serious illness affecting their reproductive health. produce.
Doctor Le Nhat Nguyen has more than 20 years of experience in the field of Obstetrics and Gynecology. Formerly a doctor of obstetrics and gynecology at Gia Dinh People's Hospital in Ho Chi Minh City. BS has high expertise and strength in the diagnosis and treatment of Obstetrics and Gynecology diseases. Currently a Doctor of Obstetrics and Gynecology - Vinmec International Hospital Da Nang.
Customers can go directly to Vinmec Da Nang to visit or contact hotline 0236 3711 111 for support