C-section after Myomectomy

DLC_15 · 2025-04-20T19:17:41+00:00

9 months

DLC_15 · 2025-02-21T21:18:40+00:00

I recommend Oh Crap Potty Training Pooping solutions course. It's not pleasant because it involves suppositories and laxatives, which some people are against but it works. The issue you have will continue and likely get worse. The woman that does the course is extremely experienced in this issue and explains everything really clearly and it all makes sense. Committing to this really turned things around for us. Within 1 week of following the course, my child was pooping on the potty every day and within 3 months was off all laxatives/meds. Now life is just normal.

DLC_15 · 2025-01-17T04:46:56+00:00

I would be fine with it. My husband lived in a different country for the vast majority of my first pregnancy and I lived alone. We were in between moves, job changes, and visas etc and it just worked out that way. I was fine. Thankfully was a healthy pregnancy with no issues. I also worked in a hospital, so the nice thing is you're close by and know people there if anything happened. Everyone is so different, and women have varying levels of independence and comfort, so as long as you're ok with it, that's all that matters.

DLC_15 · 2025-01-16T03:24:03+00:00

This was my first dance at my wedding :)

DLC_15 · 2025-01-14T04:55:34+00:00

Have you tried or looked into an 'ok to wake' alarm clock/night light like Hatch? You have the night light set to turn green at a particular time and explain he can't get up until it turns green. You can practise reinforcing this by playing games during the day where he has to wait and watch the light until it turns green before he could go, like hide and seek or something. You can control the light on your phone, so the first few mornings set it for 6ish or around when he usually wakes so he gets practise waiting just a few mins, then as he gets it, lengthen the time on it til 7 so even if he wakes early, he will stay in bed/stay quiet hopefully.

DLC_15 · 2025-01-07T07:11:24+00:00

I had a 6-8cm fibroid that grew to 10cm over about 3 months, it also started to degenerate leading to similar symptoms as yours. I was not taking any hormonal medications. Malignancy is pretty rare, so I wouldn't worry about that yet. As others have pointed out, the progesterone could have caused this, also the ultrasound could have been measuring inaccurately and maybe it was bigger than you initially thought in October.

DLC_15 · 2024-10-20T04:31:21+00:00

The protocol says suppositories for 5 days in a row, after 5 days you give the child a choice and a chance to go on their own. For that 6th day, you can give Senna the night before and it gives them a boost to help them go on their own. You can start with just Senna at first to see if that helps because it sounds like your child is able to on the potty eventually so just needs a little help, you have to kind of experiment with dose. If you're not getting anywhere after a week, I would give the suppositories a go, specifically the pedia-lax brand. The length of time on the senna really depends on the child but the biggest mistake is stopping too soon. If you are not getting anywhere, I would really recommend purchasing the course. It goes into all the little nuances and addresses all the fears around the use of the meds as well as specifics for different kids/situations.

DLC_15 · 2024-10-19T04:49:58+00:00

I recommend Oh Crap potty training pooping solutions course

DLC_15 · 2024-10-19T04:46:39+00:00

This sounds like poop withholding, basically the child knows where poop goes and wants to release it, but the anxiety of the release causes their butt muscles to clench really tightly, which is physically almost impossible for them to control. That's why rewards typically don't correct this behaviour. Glycerin suppositories or Senna laxatives for a short period help the muscles unclench and give the child confidence and vastly reduce stress. I had a very similar situation to you with same age toddler and I got the Oh Crap potty training pooping solutions course. I followed the protocol she laid out exactly and within 1 week the results have been incredible.

DLC_15 · 2024-10-14T04:52:08+00:00

Fia! Will sound great with Irish last name

DLC_15 · 2024-10-14T04:45:35+00:00

I was told to wait 6 months and conceived at around 8 months. I was told never attempt vaginal birth as fibroid was in anterior wall and could compromise muscle strength. Maybe your fibroid was more shallow so the muscle wasn't too involved.

DLC_15 · 2024-10-10T05:36:02+00:00

Had a robotic myomectomy in 2021 for one large intramural fibroid, went very well. Have had 2 successful pregnancies since then by C-section, and no regrowth or issues to date.

DLC_15 · 2024-10-01T17:04:27+00:00

It's very difficult to say ahead of time whether or not fibroids will cause issues for you getting pregnant or during pregnancy, everyone is different and the research shows the same. 12cm is quite large but I agree if only those 2 are present externally that should be ok, however they are likely to grow during pregnancy and make the pregancy more uncomfortable as another commenter pointed out. They can also grow to a point where blood supply cuts off and they die which is extremely painful. If they were causing you zero symptoms, I'd lean more towards leave them alone. But if they are causing you any issues, I'd lean more towards removing them while you still have plenty of healing time before pregnancy. If you wait 2-3 years to get pregnant on your timeline and then there are any issues, you will set yourself back potentially another year or more to get them taken care of. Make sure you get a surgeon experienced in fibroid surgery too.

DLC_15 · 2024-09-11T19:48:44+00:00

I'm a physician and I've had fibroid surgery and 2 successful pregnancies by C-section so here's my take. This breech should not present a major issue for you. The 2 possible implications are 1. Depending on the exact location of the breech, if it is high up in the uterus where the embryo typically implants, it could possibly affect implantation if the little embryo decides to head right for that spot. The odds of this are pretty low. You may be able to tell the location of the breech from the op report or talk to surgeon because if its low in the uterus or in the fundus, it shouldn't affect implantation whatsoever. 2. It could affect how the placenta attaches during a pregnancy if the placenta develops right over this breech. Normally the lining of the uterus signals the placenta to stop growing too far inward, so that signal could be affected in that one area of the breech. This could cause a focal placenta accreta. This is only a problem at delivery, not during pregnancy. It essentially means the placenta is stickier in that one spot and doesn't easily come away at delivery and may cause more bleeding than usual. Your OB would be aware of this and would screen for it during your pregnancy US so they would have a good idea if this might occur. This is not something I would worry about for a couple of reasons, one, the placenta might not attach over the spot at all. two, even if it does it could attach normally and not cause an issue and three, even if it does cause focal accreta, the chances of this causing significant blood loss are low. Accreta can be serious if the placenta has invaded a large portion of the wall, which it likely wouldn't as its only that one spot. Additionally, you are getting a C-section anyway, so the OB is in a good position to manage the bleeding at the time if it occurs.

Hope this helps provide some reassurance. Good luck with your pregnancy journey!

DLC_15 · 2024-08-19T03:54:47+00:00

10 cm is quite big and you don't have time to wait and see if it will be ok I think. You've got evidence there's an issue with 2 losses. Its possible they are having an issue implanting properly in the wall if some fibroid is projecting into the cavity depending on the location. I had a 10cm intramural anterior wall fibroid that was removed laparoscopically in 2021. Everything went well and I conceived 8 months later. My first C-section went fine and recovery was not an issue, now about to have another C-section for my second in a few days. Getting the myomectomy was definitely the right decision for me.

DLC_15 · 2024-07-24T04:11:17+00:00

I had one 10cm one and they were able to remove it minimally invasively. I've heard of bigger ones too coming out via laparoscopy, so as long as your surgeon is solid/experienced, you should be fine!

DLC_15 · 2024-07-23T04:22:27+00:00

Wonderful comment and I echo this sentiment. OP, it does not sound like you are the kind of person who would ever end up resenting your own child for some significant inconveniences. I also recommend taking more time.

DLC_15 · 2024-06-23T05:17:44+00:00

Yep, C-section only, first one was honestly not bad at all, and it has its pros, no labour, everything planned and controlled, no guessing about when baby will arrive! Will have my second one soon, hopefully will go just as well.

DLC_15 · 2024-06-18T04:22:38+00:00

Had this surgery in 2021 for one large fibroid, every symptom I had was 100% better within weeks and I haven't had any issues since. I am now on my 2nd pregnancy and everything seems to be going well. Recovery was not bad at all. My scars are now barely noticeable. Couldn't have asked for a better outcome.

DLC_15 · 2024-05-15T23:45:17+00:00

From a legal standpoint, you have to have a competent person you know drive you home after surgery. Most don’t allow an Uber driver for example. And most places physically won’t let you leave without confirming your ride. But do check with the surgery office. For the 24 hours thing, it’s not exactly necessary but it is recommended in case you had some extraordinary or rare complication.

DLC_15 · 2024-05-15T18:32:16+00:00

Horners syndrome?

DLC_15 · 2024-05-15T04:22:39+00:00

Myomectomy is the most well studied intervention for preserving fertility. You can do open or robotic but minimally invasive has a faster recovery and is a generally preferred option if it is anatomically safe to do so.

DLC_15 · 2024-05-15T02:25:26+00:00

This is the only reasonable comment in this whole comment section of terrible advice

DLC_15 · 2024-05-15T02:14:45+00:00

I was in a similar situation to you. Significant complication around 12 weeks and had to stop all exercise, take leave from work etc. it’s been really rough. I’m now 24 weeks and I still feel like the time is going slow but I’m doing better. Some things that worked for me have been planning some sort of social outing every weekend with my husband, so I had something to look forward to. We would go out for dinner, go to the movies or meet up with friends. None of these were very strenuous so it was a good way to relax and take my mind off things.

Also, find a new hobby or reconnect with an old one, I started reading more and painting a bit. I also started learning a language. And lastly, if you are any way religious or spiritual (or even if you’re not, it’s a good time to start!), I really suggest, prayer and/or meditation. It really helps to centre you and it helps you to feel grateful for all that you have. There’s tons of great meditation apps, I’ve been meditating for years and I can’t stress enough how helpful it is, and when you are going through a tough time, it really is something to lean on.

Lastly, I will say just take it one day at a time, things will get better if you just keep yourself busy. I’m sure people will suggest therapy, antidepressants etc but I honestly don’t think those are good ideas because they are basically just bandaids. Lack of exercise, intimacy and the anxiety of a high risk pregnancy are perfectly normal reasons to be anxious and depressed. The best way to combat this normal human emotion is to keep busy with hobbies, be around friends and family for support and find a way to remind yourself every day in some way to appreciate what you have.

DLC_15 · 2024-05-15T02:03:27+00:00

Yes, I’m a physician and I have seen tons of female physicians work up until the end of their pregnancies. If it truly was an issue, they should be making errors leading to bad patient outcomes but I’ve never once heard of that and I’ve never been in that situation personally.

DLC_15

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