Document Type : Case Report Article
Authors
1 Department of Obstetrics and Gynecology, Farmanieh Hospital, Tehran, Iran
2 Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Shohadaye Tajrish Hospital, Tehran, Iran
3 Shahid Beheshti University of Medical Sciences, Tehran, Iran
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 and
miscarriage, the surgical management of uterine myoma with myomectomy is limited, and
many obstetricians and gynaecologists recommend that myomectomy be performed after
delivery. 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 vaginal
bleeding caused by a large uterine myoma and primary infertility for 10 years. ßhCG test and
ultrasound of the patient was negative in terms of pregnancy and she underwent
myomectomy 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 every
week. With continuous follow-up, the newborn was born without any problems at 37 weeks.
Conclusion: Although in this study with proper management during surgery, progesterone
therapy and continuous and regular follow-ups, the newborn was born healthy, but
confirmation of myomectomy during pregnancy requires the implementation of more studies.
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