How soon can I get pregnant after surgery for uterine fibroids?
Jul 10, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, it is usually recommended to wait 3 to 6 months after uterine fibroid surgery before attempting pregnancy. Prior to conception, a detailed medical examination at a hospital is advised to allow the physician to assess the recovery of the uterus and determine the appropriate time for pregnancy. After becoming pregnant, regular prenatal checkups are necessary to closely monitor the condition of the uterus and fetal development. Particularly in the late stages of pregnancy, there is a need to be vigilant for the possibility of uterine rupture. During the postoperative recovery period, adequate rest should be ensured.
Generally, after uterine fibroid surgery, it is usually recommended to wait 3–6 months before attempting pregnancy. Detailed analysis is as follows:
If the fibroids are small in size and superficially located, and minimally invasive procedures such as laparoscopic myomectomy are performed, the damage to the uterine muscle layer is relatively minor. The uterus typically recovers more quickly after surgery, and pregnancy can generally be considered around 3 months postoperatively. At this point, the uterine incision has largely healed, and the韧性和强度 (resilience and strength) of the uterine muscle layer are sufficient to meet the basic requirements of pregnancy, with a relatively low risk of complications such as uterine rupture.
If the fibroids are large in size, numerous, or deeply located, requiring open abdominal myomectomy, the trauma to the uterine muscle layer is greater, necessitating a longer recovery period. In such cases, it is generally recommended to wait 6 months after surgery before attempting pregnancy. A more extensive surgical injury prolongs the healing process of the uterine muscle layer, and becoming pregnant too soon may increase the risk of uterine rupture during pregnancy due to incomplete recovery of the uterine wall as the uterus enlarges.
Prior to conception, a comprehensive medical evaluation should be conducted at a hospital to assess uterine recovery and determine the appropriate time for pregnancy. During pregnancy, regular prenatal checkups are necessary to closely monitor uterine condition and fetal development. Particular attention should be paid to the possibility of uterine rupture in the late stages of pregnancy. During the postoperative recovery period, adequate rest should be ensured, excessive fatigue and strenuous activity avoided, and healthy lifestyle habits maintained to prepare for pregnancy.
