Myoma Surgery Before Pregnancy

Myoma Surgery Before Pregnancy

Fibroid surgery before pregnancy is a very important decision. A small part of fibroids negatively affect fertility, while the majority of patients can get pregnant on their own. For this reason, there is no scientific basis for telling a woman who is thinking about pregnancy, “if you don't mind this fibroid, you can't get pregnant”. But the presence of fibroids brings with it some risks during the entire pregnancy process, during childbirth and after. Some undesirable conditions, such as the risk of miscarriage, premature birth, postpartum bleeding, are more common in pregnant women with fibroids. But it is necessary to interpret this ”information" well.

Let me explain as follows; roughly 10% of pregnant women have fibroids, and a very large part of pregnant women with these fibroids complete the delivery process without problems. But this 10% group encounters the undesirable situations I mentioned above more often than the other 90% fibroid-free group. So does removing the fibroid eliminate this "increase in risk"? That's the real question!

In a study conducted in 2020, they compared pregnant women with fibroids and pregnant women whose fibroids were surgically removed. 37.let's take the fact that I gave birth before the week, that is, premature birth. While this rate was 11.3% in pregnant women with fibroids, this rate was 9.1% in pregnant women who had fibroids removed. There is a difference of 2.2% between them Dec. In total, 68.6% of pregnant women with fibroids and 76.2% of pregnant women who had fibroids removed gave birth on time, that is, at the time they should have. The difference is 7.4%. Postpartum bleeding; 5.7% in pregnant women with fibroids, and 4.7% in pregnant women who had fibroids removed. The difference is 1%. I am sharing the table, those who want can also examine it in more detail. So removing the fibroid does not completely “reset” the risks. It even increases some risks (such as cesarean delivery). In both cases, there is a “RISK” in the middle.

The era of paternal medicine is now over. In other words, there is no such thing as ”whatever the doctor says happens, he knows best" anymore. The doctor shows the patient the options, tells the pros and cons of each path. The patient decides on the path he wants to go on his own. Because he will experience the risks of the way he is going. The doctor also stands next to the patient on this path and shows him the way. This is the summary of modern medicine. “Should fibroids be removed before pregnancy?” the question is also an issue that modern medicine and modern physicians can solve.

Assoc. Dr. Doğukan YILDIRIM

Dr. Who serves as a Gynecological Oncology specialist at Istanbul Alle Health Center. YILDIRIM is known for his successful surgeries and continues his outpatient clinic services continuously.