Q. What are the complications of laparoscopic myomectomy, and how long to wait before conceiving again?
Hello doctor,
I had a laparoscopic myomectomy this month to remove a one-centimeter submucosal myoma. The other two myomas are intramural. I did not face any complications three days after the procedure. Can I face complications later? Also, since my cavity was opened, how long do I need to wait before conceiving?
Hello,
Welcome to icliniq.com.
I read your query and can understand your concern.
After the uterine cavity is opened during a myomectomy, the chances of a uterine rupture occurring during a subsequent pregnancy are very high. This can be decreased by ensuring that the subsequent pregnancy is delayed at least 6 to 12 months after the surgery. It would be best if you also had a follow-up ultrasound before trying for pregnancy.
Hope this helps.
Thank you and take care.
Hello doctor,
Thank you for your reply.
Can new fibroids return if I wait for 6 to 12 months? I am already 38 years old and wish to start a donor cycle as soon as possible. Also, the chance of uterine cavity rupture is high during which month of pregnancy?
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
Six months would be the minimum waiting time to carry a pregnancy successfully. The uterus needs to heal completely else it could rupture any time during the pregnancy, the highest risk being during the third trimester.
Hope this helps.
Thank you and take care.
Hello doctor,
Thank you for your reply.
Is the first period after myomectomy very heavy and painful? Three fibroids of 1 to 2 cm were removed in my laparoscopic myomectomy. Also, is it normal that I still experience mild spotting and sometimes cramps too? Can I get my period early?
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
The first period after a myomectomy can be heavy and painful but what you are experiencing now is not the period. It is bleeding following the surgery as the cavity was opened. I suggest you can start a tablet Pause-MF (Tranexamic acid and Mefenamic acid). However, please consult a physician, discuss with them and start taking the medications with their consent. You might also need a physical check-up.
Hope this helps.
Thank you and take care.
Was this answer helpful?
|Same symptoms doesn’t mean you have the same problem. Consult a doctor now!
Related Questions:
Uterine fibroid is pushing the endometrial cavity. Can I conceive?
Hi doctor, Recently, I have been diagnosed with uterine fibroid with submucosal extension ... An intramural fibroid of 68 x 56 x 60 cm is also seen in the posterior wall ... Following are the r... Read full
What treatment would you recommend for endometrial hyperplasia?Considering the fact that the submucosal fibroid is quiet small in size and the histopathology is suggestive of proliferative endometrium, it is advisable that the patient goes for hormones ... Read full
Scan shows endometrial polyp and post wall intramural fibroid. Please advice.Recently, a scan found an endometrial polyp and post-wall intramural fibroid (49 cm) pushing the endometrium anteriorly ... In the case of endometrium pushing fibroid and polyps better to remove ... Read full
Also Read Answers From:
Comprehensive Medical Second Opinion.Submit your Case
Also Read
H3N2v Influenza - Treatment and Prevention
Management and prevention of an Influenza A virus variant include various treatment options and measures. The below arti... Read more»
Flu A - Symptoms, Causes, Diagnosis, Treatment and Prevention
The flu, or influenza, is a contagious viral infection that attacks the respiratory system. Flu A and B viruses are resp... Read more»
H3N2v Influenza: Symptoms, Diagnosis, and Treatment
The H3N2v is a non-human influenza virus seen in pigs and can cause human infection. To know more, read the article belo... Read more»
Ask your health query to a doctor online?
Ask an Obstetrician & Gynaecologist Now* guaranteed answer within 4 hours.
