Fibroids and pregnancy

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Can uterine fibroids(myomas) affect fertility?


Among 20% to 30% of the patients, uterine fibroids can affect fertility, particularly the submucosal fibroids. The influence on conception is closely related to the locations, sizes and numbers of uterine fibroids. If the entrance for sperms is blocked or the site for zygote embedding has been occupied by fibroids, the pregnancy rate will be affected. Women under these situations can get pregnant easily after ultrasound ablation.


What can be done when uterine fibroids(myomas) are found during pregnancy?


If patients with fibroids have no signs and symptoms, watchful waiting and prenatal diagnosis could be the best course for them, with no special treatment. If the uterine fibroids grow rapidly, with symptoms like fever, abdominal pain and vomiting, patients should visit their doctors in time and adopt conservative medication first, by which, most can be alleviated. If medication doesn’t work, surgery can be performed. If stalk twist of subserosal uterine fibroids is found or the enlarged uterine fibroids have affected the fetus, abdominal myomectomy is recommended. Most of the pregnant women with fibroids can carry out the pregnancy and deliver healthy babies. Remain peaceful mood and see obstetricians regularly if symptoms like abdominal pain, fever, nausea and vomiting happen during pregnancy.


Which delivery mode should be chosen for pregnant women with fibroids(myomas)?


Choosing spontaneous delivery or cesarean section is what most pregnant women with fibroids care about. Choosing a delivery mode depends on the very situation by production. In general, women can deliver the baby in a natural way. However, for women with uterine fibroids which have hindered the progress and labor, as well as for elderly primipara and difficultly-conceived women, cesarean section is recommended. Moreover, close observation and appropriate managements after delivery should be done to prevent the uterine bleeding.