What are the common questions about uterine myomectomy? Will uterine myomectomy recur after surgery?

At present, the clinical treatment technology of uterine fibroids is relatively mature, and there are many treatment methods. For example, myomectomy has been well used. However, many patients have some questions about myomectomy. Let the experts answer our frequently asked questions.

Will uterine fibroids recur after removal?

Recurrence is a very normal phenomenon, that is, many patients relapse after myomectomy. Smaller uterine fibroids are difficult to completely remove during surgery, resulting in continued growth after surgery. In addition, since there is no fundamental change in personal physique, lifestyle, and genetic factors, the internal conditions for fibroid growth still exist, so fibroids still have the root cause of recurrence. According to statistics, the recurrence rate 2-5 years after myomectomy is 20~ one-third of recurrent patients need to be treated again.

2. When can I get pregnant with uterine fibroids?

If the myomectomy is relatively successful, the patient can get pregnant normally. But in pregnancy, the first thing is the time issue. The time of pregnancy after surgery is determined according to the type of uterine fibroids. For example, the time of subserosal uterine fibroids is shorter, and pregnancy can be achieved one year after resection; if it is intramural fibroids, it is safer to get pregnant two years after surgery; if it is submucosal uterine fibroids, it takes several months to half a year after hysteroscopy (if it is open, it takes more than 2 years after surgery). Because the surgical process of subserosal fibroids and intramural fibroids is to cut the uterine myometrium, the healing is a scar, if you get pregnant too early, the wound may rupture, and the risk is relatively high.

The above are answers to some common questions about uterine myomectomy. It can be seen that even if a uterine myomectomy is performed, uterine fibroids may recur. In addition, if the patient has a desire to become pregnant, it is best to become pregnant after one year, because if pregnancy is too early, it may be dangerous to the patient.