General Gynecology and Pelvic Floor
Elham Akbari; Fereshteh Sarbazi; Behnaz Nouri; Anita Karimi; Sahar Khoshravesh
Articles in Press, Accepted Manuscript, Available Online from 26 April 2024
Abstract
Background: Nowadays, the prevalence of uterine myoma in pregnant women has increased due to the increasing age of pregnancy in women. Due to the possibility of bleeding andmiscarriage, the surgical management of uterine myoma with myomectomy is limited, andmany obstetricians and gynaecologists recommend ...
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Background: Nowadays, the prevalence of uterine myoma in pregnant women has increased due to the increasing age of pregnancy in women. Due to the possibility of bleeding andmiscarriage, the surgical management of uterine myoma with myomectomy is limited, andmany obstetricians and gynaecologists recommend that myomectomy be performed afterdelivery. In this case report, a pregnant woman (window period) with a negative result of ßhCG test and ultrasound in terms of pregnancy undergoes myomectomy surgery to remove a large uterine myoma.Case presentation: A 40-year-old patient referred to the physician because of vaginalbleeding caused by a large uterine myoma and primary infertility for 10 years. ßhCG test andultrasound of the patient was negative in terms of pregnancy and she underwentmyomectomy surgery while the patient is in the early stages of pregnancy (window period).Therefore, the patient was under the supervision of a gynecologist and was visited everyweek. With continuous follow-up, the newborn was born without any problems at 37 weeks. Conclusion: Although in this study with proper management during surgery, progesteronetherapy and continuous and regular follow-ups, the newborn was born healthy, butconfirmation of myomectomy during pregnancy requires the implementation of more studies.
