Does uterine fibroid surgery affect pregnancy? What should I pay attention to after uterine fibroid surgery?

Uterine fibroids are a common gynecological disease. According to statistics, 60% to 70% of uterine specimens are removed. Because most people have no symptoms, many women do not know that they have uterine fibroids.

Some women go to the hospital because of menstrual abnormalities, such as excessive menstruation or prolonged menstruation, and find that they have uterine fibroids. There are also some pelvic pain and even urinary system symptoms, such as frequent urination, urgency, enuresis, and increased frequency of nocturia.

In addition, some women's fibroids compress the rectum behind the uterus, which may cause changes in bowel movements, such as difficulty defecating and thinner stools. If there are fibroids on both sides of the uterus, the patient may feel back pain. Women who have not given birth may be affected by uterine fibroids and have difficulty giving birth, leading to habitual miscarriage or embryo arrest.

Do uterine fibroids affect pregnancy?

This depends on where the fibroids grow. Fibroids are generally divided into submucosal, intramural and subserosal types, of which submucosal uterine fibroids do have an impact on pregnancy. As long as other types of fibroids do not cause changes in the morphology of the uterine cavity, it is currently believed that they have little effect on pregnancy. From the perspective of infertility, the probability of infertility due to uterine fibroids is less than 3%.

Tumor pregnancy has little effect on the child itself. Generally speaking, women with uterine fibroids are most worried about abortion when they are pregnant. During pregnancy, as estrogen and progesterone levels increase, fibroids grow rapidly, causing abdominal pain in pregnant women. Once the uterus has abdominal pain, it may contract, leading to miscarriage or premature birth. This is often called "red degeneration" of fibroids.

Once red degeneration occurs, it can be treated conservatively and is usually controlled by rest and fluids. Rarely, patients have to undergo surgery to remove the tumor because of persistent pain, but this carries a considerable risk of miscarriage.

Surgical infertility is just an isolated case

A question that many patients with uterine fibroids often ask is, I am fertile. Which treatment method should I choose? As long as you do not remove the uterus, you can maintain your fertility. Only patients who have had their uterus removed are infertile. The most commonly used method is to surgically remove the fibroids and retain the intact uterus. This not only allows pathological examination to determine whether the fibroids are benign or malignant, but also maintains fertility.

There are several non-surgical methods to preserve fertility. One is drug therapy, but the biggest disadvantage of drug therapy is that it will relapse after stopping the drug. There is also uterine artery embolization, which is an interventional treatment. Now some people think that uterine artery embolization may affect pregnancy, so it is not recommended for women who want to have children.

In addition, high-energy focused ultrasound can remove tumors and preserve the uterus. If you have heavy menstrual periods due to uterine fibroids and are unwilling or unsuitable for surgery, you can use GnRHa drugs or use a contraceptive ring to reduce menstrual flow and then remove the ring to try to get pregnant. These methods can maintain fertility.

Precautions after uterine fibroid surgery

1. Vaginal bleeding: If there is a wound on the uterine wall after intramural myoma or submucosal myoma resection, a small amount of vaginal bleeding will occur after the operation. It usually does not last more than 10 days. It is normal. If it lasts for more than half a month, you should go to the hospital for examination.

2. There is generally no bleeding after total resection, but if the cervical margin is high, a small amount of vaginal bleeding may occur during menstruation. The amount depends on the level of the cervical margin. If the margin is high, there is more endometrium remaining, and the vaginal bleeding is relatively more. On the contrary, vaginal bleeding is less;

Pay attention to nutritional balance in diet after surgery

After uterine fibroid surgery, you should avoid recurrence due to insufficient intake and use disorders of trace elements. Avoid long-term and excessive stimulation of estrogen, use hormone drugs rationally, and eat less nutritional supplements. Eat more foods containing protein, vitamins and iron, such as fish soup, grapes, cherries, vegetables, etc.

Uterine fibroids who have been prohibited from having sexual intercourse for one month.

After subtotal hysterectomy and total hysterectomy, sexual life can be resumed after a three-month hospital check-up, which is also one of the precautions after uterine fibroid surgery.