Pregnancy Achieved One Month After Laparoscopic Myomectomy With a Favorable Delivery Outcome: A Case Report

TL;DR

A 40-year-old woman became pregnant just one month after a laparoscopic myomectomy and had a successful delivery, challenging the typical 3-6 month waiting period.

Contribution

This case report challenges the conventional 3-6 month waiting period for pregnancy after myomectomy and highlights a successful outcome with a shorter interval.

Findings

A woman became pregnant one month after myomectomy and delivered a healthy baby.

The case suggests that pregnancy may be possible sooner than traditionally advised without complications.

Literature review indicates a need for updated guidelines on post-myomectomy pregnancy timing.

Abstract

The optimal interval between myomectomy and pregnancy is often considered to be 3-6 months after laparoscopic myomectomy, as it is necessary to wait for the uterine wall to heal. However, no guidelines from any country were found to support this specific timeframe explicitly. Given the current trend of older maternal age, the contraceptive period following myomectomy can lead to reduced pregnancy success rates. Further consideration of the permitted pregnancy period after myomectomy is warranted. Against this background, we present a case of pregnancy occurring one month after myomectomy in a 40-year-old woman. She underwent laparoscopic myomectomy for multiple uterine fibroids and achieved spontaneous pregnancy with a menstrual period of one month after surgery. She delivered a 2,692-gram infant by scheduled cesarean section at 37 weeks of gestation, with no notable postoperative complications. We reviewed the literature regarding the permitted pregnancy period following laparoscopic myomectomy.

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