What should I do if I have low progesterone after uterine fibroid surgery and become pregnant?

Patient's question:

I had an abdominal myomectomy for uterine fibroids in June 2017. After the surgery, the fibroids grew back, and now I am pregnant. I have been bleeding a little. The doctor said my progesterone level is low and the fibroids are a bit large, which might mean I could lose the pregnancy. They prescribed me medication and told me to rest in bed to protect the pregnancy. The doctor wasn't very clear, and I'm really worried—could it really be that I might lose it?

Doctor's answer:

Regarding the issue you mentioned, uterine fibroids generally interfere with fetal growth and development. Now that there's a skin breakdown, it's best to focus on preserving the pregnancy and wait to see how things develop. Currently, it cannot be guaranteed that the pregnancy will be preserved successfully. It is recommended that you pay close attention to rest and avoid overworking. Follow your doctor's advice on medication and carefully monitor the effects. As long as the skin breakdown stops and there are no other abnormalities, there is still a possibility of preserving the pregnancy. Good luck!
For the patient, if the condition of uterine fibroids is severe, timely and symptomatic treatment should be administered, along with appropriate medication. Otherwise, it may lead to a recurrence of uterine fibroids. Additionally, patients should maintain a proper diet and keep a positive mood.

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