Does laparoscopic removal of fibroids affect fertility?



Laparoscopic excision of uterine fibroids usually does not affect fertility, but it is recommended to consider pregnancy preparation 2 years after the operation.

Uterine fibroids are the most common benign tumors in the female reproductive organs, mainly formed by the proliferation of uterine smooth muscle cells. It is surrounded by a well-defined mass encased by connective tissue and can be single or multiple. Preparation for pregnancy is usually not possible until about two years after surgical removal.

After myomectomy, preparation for pregnancy must be done in the early stages of pregnancy to determine early intrauterine pregnancy and perform relevant tests to understand the development of the embryo.

If the embryo develops normally, regular labor and delivery checkups should be conducted. In the middle and late stages of pregnancy, attention must be paid to abdominal pain, and if irregular abdominal pain or unexplained abdominal pain occurs, it is necessary to consult a doctor in time to be alert to uterine rupture or premonitory rupture of the uterus.

In clinical practice, patients are advised to undergo regular obstetric examinations during pregnancy, and to seek prompt medical attention if lower abdominal pain occurs.