I'm living in the Czech Republic and recently had a laparoscopic myomectomy. It was on February 23rd, and I just got home from the hospital after 5 days. The surgery was a bit tricky because the fibroid was quite large, about 7cm, and I ended up losing 1000ml of blood. The surgeon mentioned I should wait about a year before trying to conceive so that the scar has enough time to heal. I'm curious about what I should expect post-surgery, specifically concerning my menstrual cycle. Also, my belly seems a little swollen, almost like I've gained weight, and I'm puzzled about what's causing it. Is it okay for me to start doing yoga? And should I continue taking Folic acid tablets? Looking forward to hearing your thoughts.

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

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Pregnancy with Mitral Heart Disease _Safety of Continuing Pregnancy_ 1. _High-risk pregnancy_: Your pregnancy is considered high-risk due to your pre-existing mitral heart disease. 2. _Close monitoring_: Your cardiologist and obstetrician will closely monitor your condition throughout the pregnancy. 3. _Risk of complications_: There is a risk of complications, such as heart failure, arrhythmias, or stroke, during pregnancy and childbirth. _Surgery After Delivery_ 1. _Open-heart surgery_: Your cardiologist recommends open-heart surgery after delivery to address the severe mitral regurgitation. 2. _Valve repair or replacement_: The decision between valve repair and replacement will depend on the surgical evaluation of your valve condition. _Surgical Options_ 1. _Valve repair_: Repairing the mitral valve can preserve the natural valve and avoid long-term anticoagulation. 2. _Valve replacement_: Replacing the mitral valve with a mechanical or bioprosthetic valve may be necessary if the valve is severely damaged. _Precautions During Pregnancy_ 1. _Regular check-ups_: Attend regular check-ups with your cardiologist and obstetrician. 2. _Monitor for symptoms_: Watch for signs of heart failure, such as shortness of breath, fatigue, or swelling. 3. _Avoid strenuous activities_: Avoid strenuous activities and lift heavy objects.

Answered 20 days ago