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Pregnancy Achieved One Month After Laparoscopic Myomectomy With a Favorable Delivery Outcome: A Case Report
Munetoshi Akazawa1, Kazunori Hashimoto2
1Obstetrics and Gynecology, Tokyo Women's Medical University Medical Center East, Tokyo, JPN.
Cureus
|October 29, 2025
Summary
Pregnancy one month after laparoscopic myomectomy is possible, even in older women. This case study suggests current guidelines on waiting periods may need re-evaluation to optimize fertility outcomes after uterine fibroid surgery.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Surgery
Background:
- The recommended interval between myomectomy and subsequent pregnancy is often cited as 3-6 months post-laparoscopic myomectomy to allow uterine wall healing.
- However, explicit international guidelines supporting this specific timeframe are lacking.
- Increasing maternal age trends necessitate a re-evaluation of post-myomectomy contraceptive periods, which may impact fertility success rates.
