While it is true that fertility tends to decline with age, and pregnancy after 40 does carry an increased risk of complications, it is still possible to have a successful pregnancy.
“If you are a 40-year-old woman who has had a myomectomy and is considering trying to conceive, you are not alone”, says Dr. Hrishikesh Pai, an accomplished gynecologist doctor in Mumbai.
Many women in their 40s are interested in having children. With advances in fertility treatments and reproductive technologies, it is often possible for women in this age group to become pregnant successfully. While pregnancy after a myomectomy may carry a slightly higher risk of complications, it is still possible to have a healthy pregnancy and deliver a healthy baby.
Whether you are just starting to think about having a family or are actively trying to conceive, educating yourself and making informed decisions about your reproductive health is essential.
In this blog, we will discuss the factors to consider if you are a 40-year-old woman wanting to conceive after a myomectomy, including your fertility, the potential risks and benefits of pregnancy at this age, and the resources and support available.
A myomectomy is a surgical procedure that removes fibroids, also known as uterine leiomyomas, from the uterus. Fibroids are benign (non-cancerous) tumors that can grow in the uterus and are common among women of reproductive age.
Myomectomies can be performed through various approaches, including laparoscopic surgery, abdominal surgery, and hysteroscopy surgery. The type of surgery chosen will depend on the size, location, number of fibroids, and the patient’s overall health and fertility goals.
“The goal of a myomectomy is to remove the fibroids while preserving the uterus so that the patient can potentially become pregnant in the future,” says Dr. Hrishikesh Pai,who is often called the best gynecologist in Mumbai.
“However, myomectomies carry some risks, including bleeding, infection, and the possibility of regrowing fibroids.”
It is generally safe for women to become pregnant after a myomectomy, and many women can successfully carry a pregnancy to term.
Eminent fertility specialist Dr. Hrishikesh Pai believes that women wanting to have a child must go for pre-pregnancy counseling to raise their chances of a healthy pregnancy.
“It is important for women to discuss their fertility goals and any potential risks with their healthcare provider before attempting pregnancy,” says Dr. Pai.
“It may also be helpful for women to receive preconception care, which involves medical care and making lifestyle changes before becoming pregnant to increase the chances of a healthy pregnancy.”
Several factors can affect the success of pregnancy after a myomectomy. These factors include:
Type of myomectomy: The type of myomectomy performed can affect pregnancy outcomes. For example, women who have had a laparoscopic myomectomy may have a lower risk of complications than those who have had an abdominal myomectomy.
Number and size of fibroids: Women who have had a more significant number or larger size of fibroids removed may be at a higher risk of complications.
Location of fibroids: Fibroids that are located within the uterine cavity (submucous fibroids) may be more likely to cause problems during pregnancy compared to fibroids that are located outside of the uterine cavity (subserosal fibroids).
Age: As mentioned earlier, fertility tends to decline with age, and pregnancy after 40 does carry an increased risk of complications.
Overall health: Women with other medical conditions, such as diabetes or hypertension, may be at a higher risk of complications during pregnancy.
Fertility goals:If a woman decides to become pregnant after a myomectomy, she may need to undergo additional treatment or procedures to increase her chances of a successful pregnancy.
Mumbai’s eminent gynecologist Dr. Hrishikesh Pai says, “It is important for women to discuss their concerns about pregnancy with their doctor.”
Pregnancy after a myomectomy may carry a slightly higher risk of complications, such as preterm labor, cesarean delivery, and low birth weight, compared to pregnancy without a prior myomectomy.
This risk may be higher for women who are 40 and above, as fertility tends to decline with age and older women are more likely to have other medical conditions that could complicate pregnancy.
That being said, it is still possible for women over 40 to have a successful pregnancy after a myomectomy.
Dr. Hrishikesh Pai states, “Women of any age considering pregnancy after fibroids treatment should be prepared to receive additional medical care and monitoring during pregnancy.”
With over 35 years of expertise, Dr. Pai is among the preferred gynecologists for women seeking fibroids treatment in Mumbai.
If you are planning on getting pregnant after fibroid removal, you must speak with your obstetrician or gynecologist to determine the best course of action.
Here are a few things you can do to prepare for pregnancy after a myomectomy:
Follow your doctor’s instructions: It is essential to follow your doctor’s instructions for post-surgery care, including any medication and activity restrictions.
Get your body ready: Eat a healthy diet and get regular exercise to help prepare your body for pregnancy.
Discuss your concerns: If you have any concerns about your ability to get pregnant or the health of your pregnancy, be sure to discuss them with your doctor.
Consider fertility treatment: If you have difficulty getting pregnant after a myomectomy, your doctor may recommend fertility treatments, such as in vitro fertilization (IVF).
Lifestyle changes: Making healthy lifestyle changes, such as eating a balanced diet, getting regular exercise, and reducing stress, can improve your overall fertility and increase the chances of a successful pregnancy.
Medications: Your doctor may prescribe prenatal vitamins to strengthen your body and other medications to help regulate your menstrual cycle and improve your chances of getting pregnant.
Fertility specialist Dr. Hrishikesh Pai adds, “Please remember that every woman is different, and the best course of action will depend on your specific circumstances.”
It is difficult to give a general success rate for pregnancy after a myomectomy in women aged 40. Some of these factors include the woman’s overall health, the presence of any underlying medical conditions, the number and size of the fibroids, the specific surgical technique used, and the woman’s individual fertility.
In general, fertility tends to decline with age, and the chances of getting pregnant naturally decrease as a woman gets older. However, this decline is not a linear process, and many women in their 40s are still able to get pregnant naturally or with the help of assisted reproductive technologies.
It is important to discuss your specific situation with your doctor to understand your individual chances of getting pregnant after a myomectomy.
There are several risks associated with advanced maternal age, defined as being over 35. These include an increased risk of:
Miscarriage: The risk of miscarriage increases with age, especially after age 40.
Chromosomal abnormalities: The risk of chromosomal abnormalities, such as Down syndrome, increases with maternal age.
Preterm birth: Women over 35 are more likely to have a preterm birth (before 37 weeks of pregnancy).
Complications during pregnancy: Older mothers are more likely to have complications, such as gestational diabetes and high blood pressure.
C-section: Women over 35 are more likely to have a c-section delivery.
Fertility specialist Dr. Hrishikesh Pai says, “It is important to note that these risks can be mitigated with proper prenatal care, and many women over 35 have successful pregnancies and healthy babies”.
“However,” he adds, “it is important for women in this age group to be aware of the potential risks and to discuss any concerns with their healthcare provider.”
Fibroids are non-cancerous growths that can occur in the uterus. They can affect fertility by blocking the fallopian tubes or preventing a fertilized egg from implanting in the uterus.
It is possible to get pregnant at age 40 with fibroids, but it may be more challenging.
If you are over 40 and have fibroids, discussing your options with your doctor is important. This may include recommending surgery to remove the fibroids or fertility treatments to help you get pregnant.
Your doctor can help you understand the potential risks and benefits of pregnancy at your age and your chances of getting pregnant after fibroid removal.
The specific effect on fertility will depend on the location and size of the fibroids, as well as the individual woman’s fertility and the specific surgical technique used.
If the fibroids are large or located in certain areas of the uterus, they may interfere with the implantation of a fertilized egg or the growth of a pregnancy. In such cases, removing the fibroids through a myomectomy may improve the chances of pregnancy.
It is essential to discuss your specific situation with your doctor to understand how a myomectomy may impact your fertility.
It is generally recommended to wait at least 3-6 months after a myomectomy before trying to get pregnant. The time-lapse allows your uterus to heal and recover from the surgery. However, the appropriate amount of appropriate time will depend on the individual woman’s situation and the specifics of the surgery.
Your doctor will be able to give you guidance on when it is safe for you to try to conceive after your myomectomy.