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.

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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Pregnancy with Mitral Heart Disease

Safety of Continuing Pregnancy

High-risk pregnancy: Your pregnancy is considered high-risk due to your pre-existing mitral heart disease.

Close monitoring: Your cardiologist and obstetrician will closely monitor your condition throughout the pregnancy.

Risk of complications: There is a risk of complications, such as heart failure, arrhythmias, or stroke, during pregnancy and childbirth.

Surgery After Delivery

Open-heart surgery: Your cardiologist recommends open-heart surgery after delivery to address the severe mitral regurgitation.

Valve repair or replacement: The decision between valve repair and replacement will depend on the surgical evaluation of your valve condition.

Surgical Options

Valve repair: Repairing the mitral valve can preserve the natural valve and avoid long-term anticoagulation.

Valve replacement: Replacing the mitral valve with a mechanical or bioprosthetic valve may be necessary if the valve is severely damaged.

Precautions During Pregnancy

Regular check-ups: Attend regular check-ups with your cardiologist and obstetrician.

Monitor for symptoms: Watch for signs of heart failure, such as shortness of breath, fatigue, or swelling.

Avoid strenuous activities: Avoid strenuous activities and lift heavy objects.

Dr. Mubarak Suggests...

Consult a Obstetrician and Gynaecologist

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Answered 04/07/2025

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Hey, I've been diagnosed with PCOS and my ob-gyn recommended I take Althea pills. I'm a bit worried thoughwhat happens if I get my period before finishing the 21 days of pills? Should I stop for 7 days and then continue with the remaining pills? I'm just a little confused about how to handle this.

If you get your period before completing the 21 days of Althea pills, continue taking the pills as prescribed until you finish the full 21 days. There's no need to stop the pills for 7 days; just complete the pack and start the next one on time. Always check with your doctor for personalized advice.

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