Can I get pregnant after uterine fibroid surgery? Will uterine fibroids recur?

Uterine fibroids are a benign uterine tumor that is very common in women of childbearing age. The location of the growth of the fibroids, such as compression of the fallopian tubes, will affect the movement of sperm and eggs, leading to infertility. Once pregnant, the fibroids will grow rapidly with the growth of the uterus, especially after the second trimester of pregnancy, "degeneration", producing abdominal pain, fever and other symptoms. Uterine fibroids can sometimes easily lead to miscarriage and premature birth. Generally speaking, women with uterine fibroids can get pregnant with a diameter of less than 4 cm. However, before pregnancy, the uterine fibroids grow more than 4 cm in diameter, and the chances of pregnancy, degeneration, miscarriage, and premature birth increase; or the fibroids are less than 4 cm in diameter, but the growth location is not good, such as the uterine cavity, cervix or compression of the fallopian tubes affect infertility. It is best to perform surgery to remove the fibroids before pregnancy. All women of childbearing age with uterine fibroids must be examined by a gynecologist before deciding whether to get pregnant.

For women who already have uterine fibroids, it is not impossible for them to recur. The recurrence rate is relatively low for patients with a single or small number of fibroids; if the number of fibroids is large, the recurrence rate is relatively high. Therefore, when the recurrence rate of fibroids is low, women who want to get pregnant are better off planning their childbirth. Some experts point out that "as for the issue of whether patients with uterine fibroids can have children, many people are concerned about it. It is best for patients to seize the time to get pregnant within 3 years. The recurrence rate is low and the success rate is naturally high."

The special significance of the uterus to women determines that patients often have many concerns during surgery. But in fact, this is unnecessary. The current surgical plan can better consider the patient's feelings: remove the fibroids and retain the uterus, which is suitable for young, infertile patients; if the fibroids are too large and too many, the uterus has completed its "historical mission" of childbirth, and you can cut it off. In fact, hysterectomy will not affect the function of the female endocrine system and the harmony of sexual life. This is because even if the uterus is removed, the ovaries are still retained. The uterus is just an implanted reproductive organ, and the ovaries dominate the female endocrine.