Pregnancy After Fibroid Surgery

Uterine fibroids are a very common condition that affects up to 80% of women of childbearing age. Many of them choose surgery for treatment, not knowing that there are other options.

Many of these women are wondering if pregnancy after fibroid surgery is possible. Although women can get pregnant with fibroids present, many women have experienced fibroids preventing pregnancy or causing complications. Given the prevalence of this condition, fibroid removal surgery is often suggested to a patient by an OB/GYN, and it’s important for them to carefully consider all the pros and cons of surgery.

Although fibroids sometimes have no symptoms (asymptomatic fibroids require no treatment), women who have symptoms and plan to have children in the future need to choose the best solution for their individual circumstances and life plans. This means they need to understand the options that are available to them and the risks that are involved with each.

When asking “How to get pregnant fast after myomectomy?”, you should understand that in some rare cases, myomectomy can lead to an unscheduled hysterectomy due to possible complications during surgery. A woman can agree to have a myomectomy and wake up without her uterus after myomectomy surgery. Patients are typically required to sign a consent form attesting to their knowledge of this risk before their surgery, but they may not realize what they are signing or even be aware they have an alternate option to surgery.

Uterine Fibroid Embolization in Atlanta, GA

Pregnancy After Fibroid Surgery: Things to Consider

The Atlanta Fibroid Center has seen many women become pregnant after fibroid elimination with uterine fibroid embolization. The probability of a woman becoming pregnant after fibroid surgery can range anywhere from 39 to 56% based on their individual circumstances. No OB/GYN can guarantee that a woman will be able to become pregnant after myomectomy surgery. Statistics show that at least half of the women who try to get pregnant after having this surgery are unsuccessful.

If you have uterine fibroids and undergo fibroid removal surgery such as a myomectomy, it’s recommended that you wait at least six months before you start trying to conceive. If you become pregnant soon after a myomectomy during the recovery period, there is a high probability of a miscarriage. If a pregnancy occurs after a myomectomy, the delivery will most likely require a C-section.

Scarring After Fibroid Surgery

Surgery is a stressful event for your uterus and the entire body. It takes about 90 days for the incisions to heal completely. A scar in itself can represent an issue that needs to be carefully considered. Scar tissue in the uterus can decrease your chances of pregnancy. Adhesions can lead to obstructions of the fallopian tubes, which can cause infertility. When considering a myomectomy or pregnancy in the future, it is important to understand the risks involved. While a successful myomectomy can improve fertility outcomes for some individuals, factors like the number and location of fibroids removed can influence their ability to conceive.

Uterine Fibroid Embolization Vs Fibroid Surgery
Incisions after UFE vs. fibroid surgery
Uterine Fibroid Embolization Vs Fibroid Surgery

Unplanned Hysterectomy and Other Consequences

The worst possible outcome of a myomectomy for a woman who wants to have children is waking up after the procedure without a uterus. Every woman contemplating myomectomy has to understand three very important facts:

  1. Some women who undergo myomectomy will end up with a hysterectomy due to excessive bleeding or the inability to repair the uterus during myomectomy surgery.
  2. The scarring caused by her myomectomy may significantly diminish her chances of having a child.
  3. The majority of women with symptomatic fibroids have many uterine tumors, typically far more than can be safely removed with surgery.

This obviously sets the patient up for another procedure, often within 3-5 years of the original myomectomy surgery. Thus, it can be concluded that pregnancy after fibroid surgery is possible. However, there are many risks and all kinds of complications. Is it worth it if there are other options?

Myomectomy Vs. UFE: When the Risk Is Not Worth It

Uterine fibroid embolization is a safer and less invasive option than myomectomy surgery to treat symptomatic fibroids. Unlike the typical myomectomy, UFE also treats every fibroid in the uterus and does not necessitate repeat procedures. Patients who undergo UFE may start trying to conceive after the 3-month follow-up. The majority of patients will not be allowed to have a vaginal birth after a myomectomy because of the concern that their uterus was compromised during the fibroid removal process, but pregnancy after UFE is typically full-term and delivered vaginally.

Can I Get Pregnant and Have a Child After UFE?

There are a number of factors involved with pregnancy for women who have fibroids, whether they choose UFE or myomectomy. Having a healthy pregnancy and vaginal delivery are both possible after UFE, and many women find that they are able to become pregnant naturally after Uterine Fibroid Embolization.

At Atlanta Fibroid Center, we have an entire wall of letters and baby pictures from happy moms who had UFE, and we even witnessed several sets of twins born after the UFE procedure! Read some of our patients’ stories.

letters and baby pictures from happy moms who had UFE
Letters and baby pictures from happy moms who had UFE

The best way to assess the probability of becoming pregnant after the uterine fibroid embolization procedure is to make an appointment with Dr. John Lipman to evaluate your unique personal health situation. Dr. Lipman can provide you with an appraisal of your chances of becoming pregnant after UFE and help you compare the various options for treating uterine fibroids.

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