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Answer to your Health Question

Question:

Can I still conceive after removing fibroid, if I continue to harbor a painful fibroid what is the implication?

Answer:

If you do need fibroid surgery, typically you should wait six to 12 months afterward before attempting to conceive.

This gives the uterus time to heal to the fullest extent possible.

That timeframe is based on studies related to uterine healing after Caesarian section and discussions with infertility experts.

Few studies have looked at fibroid surgeries and subsequent pregnancy.

Besides that, it's hard to pool the data because women's cases vary so much.

Uterine fibroids can grow singly or in clusters.

They can range from as small as an orange seed to bigger than a grapefruit.

They are nearly always non-cancerous.

And they appear in three basic areas: the outer surface of the uterus; the inner surface of the uterus; within the uterine muscle - or any combination.

Fibroids that penetrate the layers of uterine muscle pose the greatest concern in terms of a future pregnancy, because removing them involves the biggest impact on the uterus.

"Pedunculated" fibroids - tumors that hang loose on a stalk, either on the inner or outer surface of the uterus - may not disturb your plans for motherhood one bit.

If your surgeon just needs to shave off a couple of these fibroids, you are at no increased risk for a complicated pregnancy or delivery.

The most important question to ask is do the fibroids need to be treated at all?

The vast majorities of fibroids, grow as a woman gets older, and tend to shrink after menopause.

Obviously fibroids that are causing significant symptoms need treatment.

While it is often easier to treat smaller fibroids than larger ones, most of the small ones never will need to be treated.

So just because we can treat fibroids while they are small, it doesn't follow that we should treat them. And many women have successful pregnancies without removing the fibroids as long as they are not inside the uterine cavity.

The location of the fibroids plays a strong influence on how to approach them.



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