Pregnancy Achieved One Month After Laparoscopic Myomectomy With a Favorable Delivery Outcome: A Case Report

The optimal interval between myomectomy and pregnancy is often considered to be 3-6 months after laparoscopic myomectomy, as it is necessary to wait for the uterine wall to heal. However, no guidelines from any country were found to support this specific timeframe explicitly. Given the current trend of older maternal age, the contraceptive period following myomectomy can lead to reduced pregnancy success rates. Further consideration of the permitted pregnancy period after myomectomy is warranted. Against this background, we present a case of pregnancy occurring one month after myomectomy in a 40-year-old woman. She underwent laparoscopic myomectomy for multiple uterine fibroids and achieved spontaneous pregnancy with a menstrual period of one month after surgery. She delivered a 2,692-gram infant by scheduled cesarean section at 37 weeks of gestation, with no notable postoperative complications. We reviewed the literature regarding the permitted pregnancy period following laparoscopic myomectomy.