Can I still have a baby after uterine fibroid surgery? Is there a big risk of having a baby after uterine fibroid surgery?

Generally speaking, women with uterine fibroids can get pregnant if the diameter of the fibroids is less than 4 cm. However, if the diameter of the uterine fibroids grows to more than 4 cm before pregnancy, the chances of pregnancy, miscarriage, and premature birth increase; or if the diameter of the fibroids is less than 4 cm but the growth location is not good, such as the uterine cavity, cervix, or compression of the fallopian tubes, affecting infertility, it is best to have the fibroids removed surgically before pregnancy.

People who have undergone traumatic surgery such as myomectomy or cesarean section may have scars in the uterus, which is medically known as scarred uterus. For scarred uterus, pregnancy and delivery must be done with caution.

As we all know, after a woman becomes pregnant, her uterus gradually increases in size. By the time the fetus is full-term, it can even increase to 700 times. The uterine muscle fibers will also be stretched to hundreds of times until delivery, and the fetus will be delivered by the strong contraction of the uterus. These heavy tasks can be performed by a normal uterus, but for a scarred uterus, due to the reduced elasticity and toughness of local tissues and increased fragility, a relatively weak area of ​​the uterus is formed. If the uterine wound does not grow completely, pregnancy will begin. As the fetus grows and develops in the uterus, the uterine scar may rupture due to excessive tension on the uterine wall, which will seriously endanger the safety of the mother and fetus.

Therefore, it is recommended that patients with scarred uterus adhere to contraception and consider pregnancy 2 to 3 years after surgery. It is best to go to the hospital for a careful examination to ensure that the body is in good condition and the scar has healed well. Regular prenatal examinations should be performed during pregnancy. Those who have the conditions can be hospitalized for delivery two weeks before the expected date of delivery.

The delivery method for patients with scarred uterus depends on the specific situation. If the pregnant woman is in good physical condition, the scar heals well, the thickness is within the normal range, and the fetal position and birth canal are normal, natural delivery can be attempted, otherwise a cesarean section should be performed.

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