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 04/07/2025