Gynecology

Uterine fibroids and pregnancy

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The fibroids (fibroids, fibroids, leiomyomas) of the uterus are a real scourge affecting the beautiful half of humanity. This pathology is most common in women over 40 years old, but often young girls also have this diagnosis. Many of them have not yet given birth or dream of another child. Fibroma of the uterus during pregnancy can deliver a lot of complications and even provoke a miscarriage.

General characteristics of fibroids

Uterine fibroids are a benign nature. Depending on the structure of the site, which may consist of muscle and connective tissue, there are: fibroma, fibromyoma, leiomyoma. Her appearance in the body of a woman is mainly associated with heredity or hormonal imbalance. And overweight, dissatisfaction with sex life, abortion, inflammation of the genital organs and stress can give impetus to the development of the node.

Depending on the location, fibroids can be: subserous - under the peritoneum, intramural - in the muscle layer, submucous - under the mucous layer. There are also nodes located on a thin leg. On the body of the reproductive organ may appear as one tumor, or several. With small size fibroids are asymptomatic. But when the node reaches a large size, it begins to affect the functioning of the uterus and nearby organs, causing pain, heavy bleeding, cycle disturbances, problems with the intestines and bladder, and often infertility.

Difficulty conceiving

Young girls, eager to have a child, having learned about the tumor, are wondering: is it possible to get pregnant with uterine fibroids? Indeed, the disease causes difficulty in conception. If the tumor squeezes the fallopian tube and cervical canal, the movement of sperm and fertilization of the egg becomes impossible.

In addition, a violation of the cycle affects ovulation. Therefore, before planning conception, it is desirable to cure the tumor. Small nodes are removed using minimally invasive surgeries, or are reduced after conservative treatment with hormonal drugs.

Having overcome an illness, the chances of conceiving and giving birth to a healthy child increase significantly.

Some doctors are inclined to believe that with small formations, you can safely plan your baby. If conception did not happen after a year of attempts, and in women after 36, after six months, then the doctor prescribes treatment for the tumor. If the patient had a bad experience that ended in miscarriage, it is also recommended to undergo treatment before a new conception.

Many women get pregnant even with fibroids, if the small nodes do not interfere with the patency of the fallopian tubes. Moreover, during childbearing, due to changes in hormonal levels, the tumor can completely dissolve. And abortion, due to a strong hormonal shock, leads to an intensive growth of the node.

Contraindications to pregnancy

There are several reasons why pregnancy is strictly contraindicated in uterine fibroids:

  • Education has a size greater than 12 weeks and continues to grow rapidly
  • The patient has uterine bleeding,
  • The tumor strongly protrudes into the cavity of the genital organ, deforming it,
  • There is a knot on the leg.

Minimally invasive interventions are recommended for women who are about to give birth. After laparoscopy, for example, the doctor allows you to get pregnant after 7-10 months.

Course of pregnancy

The onset of pregnancy, unfortunately, does not guarantee successful delivery of the fetus. More than half of cases are accompanied by complications and risks of losing a baby. Therefore, it is recommended to visit the doctor as often as possible and do an ultrasound scan, which will help to prevent possible complications.

You need to be ready for a painful pregnancy. Since a huge number of nerve endings are located on the uterus, when they are stimulated, the muscle cells begin to contract. Even small structures can squeeze nerves, which leads to hypertonicity of the uterus. In these moments, a pregnant woman feels cramping abdominal pain. To avoid this, the patient is recommended bed rest, ascribed to special drugs.

Uterine fibroids are the most insidious in the first trimester of pregnancy. In particular, the danger is caused by a large formation and node located near the placenta. Possible detachment of the child's seat, which leads to an abortion. This is due to the hormones contained in the tumor. They provoke a contraction of the muscles, including the reproductive organ. The risk of miscarriage increases with multiple nodes.

Matters and location of myomas. A tumor in the lower part of the uterus is not as dangerous as a miscarriage, as is the node under the mucosa. Education takes food, which should come to the fetus. Even if the baby seat is fixed well, the child does not gain weight, it can be born with a deformed head and torticollis.

Late term conceals its dangers. A large fibroid can stretch the uterus, which is fraught with premature birth. Moreover, the tumor is able to break the body. It is also possible necrosis of education, which happens due to the compression of the vessels that feed the node. This process is sharply reflected in the well-being of women. She feels a strong pulling pain in her stomach, and the temperature can rise.

With small uterine fibroids, conservative treatment promotes node resorption in 2 weeks. But a large node should be removed immediately, as it provokes severe bleeding and can also lead to rupture of the uterus. The most dangerous in this case, the tumor on the leg.

How are birth

In most cases, cesarean section is recommended for women with a tumor. The contractions may be too intense or, on the contrary, lethargic. In some cases, the muscles are not able to open the cervix. Then the organ can rupture and the baby die. If labor does not occur, an immediate cesarean section is performed. Also, the operation is indicated if the tumor overlaps the birth canal or the fetus is located incorrectly. It happens that at the same time doctors remove and the cause of all complications - the myoma itself.

The postpartum period: consequences and complications

After giving birth, a woman may have uterine bleeding. This is due to the lowering of the tone of the body and the strong attachment of the child seat. Later effects - the occurrence of infectious diseases. In addition, the uterus may not return to its former shape.

The tumor itself after childbirth behaves in completely different ways:

  • Decreases in size due to the normalization of hormonal levels.
  • It continues to develop slowly, without affecting the functioning of various organs.
  • Strongly increased, new myomas appear. Often, such an intensive development of education can turn into cancer.
  • Necrosis may occur.

Errors doctor: Fibromyoma or pregnancy

As evidenced by the comments of women in the forums, doctors can confuse fibromyoma with pregnancy. Such cases occur in the early stages, when the fruit egg is easily confused with a tumor due to its small size.

The error is possible due to outdated ultrasound equipment, poor-quality images and the incompetence of the doctor. An experienced gynecologist distinguishes pregnancy from fibroids using a routine examination, blood and urine tests, the presence of menstruation.

Conception for fibromyoma

Let's start from the beginning - from the moment of conception. If you have uterine fibroids, then it will be more difficult for you to conceive a child than a healthy woman. Fibromyoma can reduce the lumen of the fallopian tubes and impair the progress of sperm. The presence of fibromyoma can disrupt ovulation. However, do not despair, thousands of women become pregnant with the same as your diagnosis.

Complications of fibroids during pregnancy

The presence of uterine fibroids can provoke a spontaneous abortion. This is due to the fact that in the tumor tissues there are hormones that contribute to the reduction of muscles, including the uterus. In patients with uterine fibroids, placental abruption is more common.

According to many doctors, the presence of uterine fibroids often provokes premature birth. This is explained by the fact that there is less and less space in the uterus and depends on exactly where the fibroids of the uterus are located, as well as how big it is.

If you are in doubt about giving birth or not, check with your doctor. Pregnancy after the age of thirty is a kind of indicator of a woman’s health. If you had hidden diseases that you didn’t anticipate, they will definitely manifest themselves during pregnancy. This is especially true of pregnancy against the background of uterine fibroids. You will be constantly under the scrutiny of doctors. Maybe even have to lie in the hospital to save.

Tumors can interfere with the full development of the baby. It is noticed that mothers with large fibroids of the uterus often have babies with deformed heads or congenital torticollis. In addition, if fibromyoma is great, then the baby is likely to be born with low weight. All this is revealed only with constant monitoring by specialists.

Childbirth with fibromyoma

If you become pregnant, then for the normal development of the fetus and the preservation of your beauty and health you need a large amount of calcium. A unique product designed specifically for pregnant and lactating women is presented by Tiens corporation. Dietary supplement called calcium Gai-Bao. Gai-Bao contains not only calcium, made from natural raw materials, but also components that provide better absorption of calcium in the body.

Negative consequences of the development of fibroma in pregnant women

Although fibroma does not affect conception and childbearing, it can cause infertility, late miscarriages and premature labor. In the case when the nodes of the tumor block the passage of sperm, blocking the fallopian tubes, pregnancy does not occur. Such a violation is easily detected on radiography of the uterus or during ultrasound.

If the size of the fibroma is large enough or it continues to increase rapidly, there is too little space left for the development of the fetus in the uterus, which can cause a miscarriage after 11 weeks of pregnancy.

A large tumor can also cause premature birth and the shorter the gestation period, the less likely it is to save the baby. This is due to the fact that many vital organs he has not yet fully formed. There is a greater likelihood that the baby will remain alive in the seventh month of pregnancy, but even in this case, doctors will have to apply all their knowledge and use special equipment.

Large-sized fibroma can affect the position of the fetus in the uterus, making it more difficult for the baby to pass through the birth canal. In this regard, a woman may need a cesarean section. In addition, the mother's body is weakened during prolonged labor. The most unfavorable location of fibroma is considered to be its development in the area of ​​the cervix, since the tumor impedes the free passage of the head of the child.

During pregnancy, a woman also changes the level of hormones in the blood, estrogen levels increase, which in turn can trigger the growth of fibroids. However, continuous monitoring and medical monitoring reduces the risk of tumor growth. Even if the fibroma grows, they will try not to touch her before giving birth so as not to risk the health of the developing child. It happens that after birth, the neoplasm itself resolves.

Sometimes a woman may have bloody discharge and pain. When prescribing painkillers, these symptoms disappear after a few days. Pregnant women with fibroma are recommended for prolonged sleep, absence of stress, reduction of physical exertion, constant ultrasound monitoring of the development of fibrous nodes.

Modern methods of treatment of uterine fibroma

Of course, in cases of a threat to the life of a child or mother, doctors prescribe drugs and even conduct operations to remove fibromas during pregnancy. However, to avoid such problems before conceiving a woman is best to pass a full examination.

Surgery can be carried out in cases where:

severe bleeding can cause anemia in a woman,

there is a risk of twisting the fibroma nodes,

the tumor provokes the development of infertility,

the growth grows faster than 5 weeks in a year

Fibroma growth continues after menopause,

uterine fibroma adversely affects the work of nearby organs.

Currently, for women planning further pregnancy, minimally invasive treatment and conservative myomectomy (removal of only fibromatous nodes) is offered. It includes laparoscopy, laparatomy and hysteroscopy.

Laparoscopy is performed using endoscopic equipment. Four punctures are made on the abdominal wall, and the surgeon can work with the internal organs thanks to the endovideo chamber. The procedure is relatively safe, blood loss is minimal, rehabilitation is much faster. Hysteroscopy allows you to fully preserve the uterus for subsequent pregnancy of the woman. Fibroma is excised with a laser in one session at the visual inspection of a physician.

Applied also embolization - an operation to block the vessels, due to which the tumor feeds. This allows you to stop the growth of fibroma without surgery.

Do not self-medicate fibroma, especially if you are pregnant, so as not to harm your baby, be sure to consult a doctor. And the sooner you become registered in the antenatal clinic, the more chances you have for a favorable outcome of pregnancy.

Expert Editor: Pavel Alexandrovich Mochalov | D.M.N. general practitioner

Education: Moscow Medical Institute. I. M. Sechenov, specialty - “Medicine” in 1991, in 1993 “Occupational diseases”, in 1996 “Therapy”.

Kostyuzhev Artyom Sergeevich

Psychotherapist, sexologist. Specialist from the website b17.ru

And ask the doctor a little?

A guest. and that you can not ask advice. or have you forgotten to ask what to do?

No, of course I asked the doctor, but he does not answer directly, but he says that you cannot get pregnant. 6 months minimum, and after that shakes shoulders. Just do not say that a bad doctor is a brilliant surgeon, he operated on me, but in terms of consultations and answers to my questions, he answers fluently briefly and incompletely. So I ask people here - suddenly a similar experience.

Hello. I am 36 years old, 2 months ago I was removed by cesarean fibroids 10 cm by the method of caesarean, I understand that I could not get pregnant before the operation because of fibroids, now I don’t know if I can get pregnant and what happens inside the uterus after removing fibroids. Will I get pregnant in a few months? Now I accept contraceptives. pills because pregnancy is contraindicated for several months. Has anyone given birth after the removal of fibroids of this size? share your experiences. Thank.

nency
Hello. I am 36 years old, 2 months ago I was removed by cesarean fibroids 10 cm by the method of caesarean, I understand that I could not get pregnant before the operation because of fibroids, now I don’t know if I can get pregnant and what happens inside the uterus after removing fibroids. Will I get pregnant in a few months? Now I accept contraceptives. pills because pregnancy is contraindicated for several months. Has anyone given birth after the removal of fibroids of this size? share your experiences. Thank.
Your text Your questions can be answered only by the doctor who performed the operation. I had the same operation at the age of 27 and the doctor said they would protect themselves for half a year, then try to get pregnant and not postpone pregnancy, because with each month the chances decrease, I got pregnant after 1 year and 4 months, the pregnancy went well, it was a caesarean section.

I understand that age is already pressing out and we must act first, go through the ultrasound for the sake of calmness, check your ovaries, the flow of pipes, the presence of infections. And yet, in your place I would consult with the doctor who operated on you, because I also went to the doctors after the operation and I didn’t hear anything good from them, the doctors said that after such operations the children do not bear, getting pregnant is one problem, but blame the child - this is different. And still my doctor (only he) set me up positively, said if you become pregnant, you will need to keep the whole pregnancy in the hospital for maintenance. I got pregnant when I lived in Europe, and I wasn’t at a safekeeping, the doctors here said that you can’t work and do nothing. I got pregnant quickly in one month (the doctor advised the pose).

Related topics

I understand that age is already pressing out and we must act first, go through the ultrasound for the sake of calmness, check your ovaries, the flow of pipes, the presence of infections. And yet, in your place I would consult with the doctor who operated on you, because I also went to the doctors after the operation and I didn’t hear anything good from them, the doctors said that after such operations the children do not bear, getting pregnant is one problem, but виносить ребенка - это другая.И еще мой врач(только он) позитивно меня настроил, сказал если забеременеешь, нужно будет всю беременность находиться в больнице на сохранении. Забеременела когда жила в европе, и на сохренении я не была, тут врачи сказали, что нельзя работать и ничего не делать. Забеременела я быстро за один месяц ( врач посоветовал позу).

Так хочется Вас поддержать. It may be that the doctor in his practice did not meet women that gave birth after such operations. When I was a year ago at the ultrasound doctor uzist said, I now have 2 small fibromyomas and my question is whether to plan the next pregnancy? She was surprised that I gave birth to the child after the operation and said if you need to, then plan that there may be bleeding at birth and you will have to remove the uterus, and maybe everything will go well - so she “pleased” me. Look for a doctor so that not only you can be treated but and even prepared for pregnancy with advice - this is also important, can put the doctor more specifically questions. I had a “bunch” of diseases - before the operation I treated the inflammation of the ovary and when I did the operation the doctor checked the patency of the tubes, after the operation I treated thrush for another year,

So I want to support you. It may be that the doctor in his practice did not meet women that gave birth after such operations. When I was a year ago at the ultrasound doctor uzist said, I now have 2 small fibromyomas and my question is whether to plan the next pregnancy? She was surprised that I gave birth to the child after the operation and said if you need to, then plan that there may be bleeding at birth and you will have to remove the uterus, and maybe everything will go well - so she “pleased” me. Look for a doctor so that not only you can be treated but and even prepared for pregnancy with advice - this is also important, can put the doctor more specifically questions. I had a “bunch” of diseases - before the operation I treated the inflammation of the ovary and when I did the operation the doctor checked the patency of the tubes, after the operation I treated thrush for another year,

This month's monthly very scanty. I read on the Internet, write about the disease hypomenorrhea and that it is not good. I am 36 and I want to get pregnant in the future. What does hypomenorrhea mean, for example, in my case, that is, after surgery? Does this mean that the ovaries work poorly or even worse - infertility? Who knows ?

This month's monthly very scanty. I read on the Internet, write about the disease hypomenorrhea and that it is not good. I am 36 and I want to get pregnant in the future. What does hypomenorrhea mean, for example, in my case, that is, after surgery? Does this mean that the ovaries work poorly or even worse - infertility? Who knows ?

nency
This month's monthly very scanty. I read on the Internet, write about the disease hypomenorrhea and that it is not good. I am 36 and I want to get pregnant in the future. What does hypomenorrhea mean, for example, in my case, that is, after surgery? Does this mean that the ovaries work poorly or even worse - infertility? Who knows ?
Your text If you take birth control pills, this is a normal reaction of the body, it may be abundant with fibromoma, and now you think it is scarce.

Hey. My Mirena was 6 years old. put on a doctor saves. I have fibroma. shot 6 months ago. It is very beginning to pull the fiber. how to numb tell me!

I was 32g during 2 months of pregnancy, I found fibroid 5cm and she grew up over 9m and became 13cm, gave birth to the boy herself, everything is fine, small 1g-4m, now she has a benign tumor, she needs an operation, I’m very afraid who did such an operation

I was 32g during 2 months of pregnancy, I found fibroid 5cm and she grew up over 9m and became 13cm, gave birth to the boy herself, everything is fine, small 1g-4m, now she has a benign tumor, she needs an operation, I’m very afraid who did such an operation

Hello. Tell me please. I have fibroma, I am preparing for an operation. I am thinking of only deleting the fibroid or the entire organ. I'm 37, I have a daughter from my first marriage. My second husband has no children, wants a child. It is embarrassing that mom died of ovarian cancer. I want to remove everything, so God forbid, nothing more serious would have happened. I love my husband, but fear prevents me from making a decision.

hi I am 26 years old I had fibroma during pregnancy the tumor became even more in 7 months there was bleeding had an operation removed the fibroma by a keser child was born but after 2 days the weight died the little one was so hard for me

I was 32g during 2 months of pregnancy, I found fibroid 5cm and she grew up over 9m and became 13cm, gave birth to the boy herself, everything is fine, small 1g-4m, now she has a benign tumor, she needs an operation, I’m very afraid who did such an operation

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What is fibromyoma

The walls of the uterus consist of a thick layer of muscles covered with thin shells: outside - the peritoneum, inside - the endometrium. In turn, the muscular layer is the accumulation of a huge number of contractile cells with layers of connective tissue. Anyone, even a tiny, inflammatory process, trauma, blockage of a small blood vessel, an imbalance of sex hormones can give rise to excessive division and growth of several muscle or epithelial cells. A foci gradually develops, which slowly grows in size, squeezing the surrounding tissues, often turning into a dense capsule. These rapidly dividing cells, which are separated from the healthy muscles by the formed membrane, are fibromyoma.. That is, in fact, it is a benign tumor, in some cases capable of malignancy.

Often the doctor identifies several myoma nodes in different parts of the body, the cervix, and its tubes. They can be located in any layer of the muscular wall: immediately under the peritoneum (subserous), in the thickness of the muscles (intramural), under the mucous layer (submucous). Often they differ in time of occurrence and size. There are also the so-called nodes on the leg, that is, having a thin base and hanging down into the uterine cavity throughout its entire thickness.

A tumor can cause infertility:

  1. If it becomes an obstacle in the path of the sperm, and fertilization does not occur. This is what happens when large nodes squeeze the cervical canal or fallopian tube.
  2. If large intramural or multiple submucous foci are located in the area where the placentation of the fertilized egg must occur. Due to a violation of the blood supply in this area a miscarriage of an early term develops.

It is also important to remember that fibroids can be a symptom of a pronounced hormonal imbalance existing in a woman’s body, in which either conception, preservation or normal development of pregnancy is impossible.

How does pregnancy proceed with fibroids?

The body and cervix are penetrated by a dense network of nerve fibers, during stimulation of which the muscle cells contract, and the woman feels pain in the lower abdomen. Myomatous nodes, even the smallest, can squeeze the nerve endings, provoking local or general hypertonus of the uterus, and during pregnancy - contractions. therefore The most frequent complication in any period of gestation is cramping pain and the threat of miscarriage. Often, in order to remove the pathological excitability of the uterus, the expectant mother has to adhere to strict bed rest for a long time and take special drugs that stop the contractions.

If a large node is located in the area of ​​attachment of the placenta, it can cause its partial detachment in any period of pregnancy. This is followed by bleeding and the occurrence of fetoplacental insufficiency. Even if the “baby seat” is firmly attached, the tumor takes away some of the nutrients that come to the fetus. therefore Often children are born low in weight or with other consequences of chronic intrauterine hypoxia..

Very large fibroids in the long term of pregnancy overreact the uterus, causing premature birth or even the threat of its rupture.

Another possible complication is tumor necrosis due to compression of the blood vessel that feeds it. A woman suddenly begins to feel a strong pulling pain, her body temperature may rise. Small nodules within about 2 weeks dissolve against the background of conservative treatment, and large ones can cause severe bleeding and the threat of uterine rupture. Then urgent laparoscopic removal of nodes or cesarean section will be required. Especially dangerous in terms of the development of necrosis of fibroids "on the leg."

Fortunately, all the listed complications during pregnancy are not more frequent than in ¼ cases. Much more often, fibroids in the thickness of the uterus behave "calmly", without showing anything. Perhaps even the reverse development of the tumor until its complete disappearance, if during pregnancy in the body of the expectant mother there will be a restoration of the normal level of sex hormones.

Complications of childbirth with fibroids

Again, due to a violation of the innervation of the muscle layer, contractions may be weak or too active. Discoordination of labor is dangerous, in which indiscriminate contraction of muscle fibers is not able to open the cervix and push the fetus. Childbirth zatyagivayaya or flow too rapidly. There is a risk of rupture of the uterus and the death of an unborn child. In such cases, the woman is doing an emergency caesarean section.

A large knot can prevent the birth of a baby by blocking the birth canal. Then operative delivery cannot be avoided.

There may be several options:

  1. It continues to grow slowly, without causing great inconvenience and without interfering with conceiving and carrying out more children.
  2. It begins to increase rapidly, forming multiple new foci, causing dysfunctional uterine bleeding, pain syndrome and infertility. Such a tumor may be threatened by malignancy (malignancy).
  3. Decreases in size if pregnancy and childbirth normalize hormones in the mother's body.
  4. It can nekrotizirovatsya immediately after birth, causing severe pain, fever and inflammatory changes in the blood. Rest and conservative therapy usually lead to recovery, but in some cases urgent surgery may be required.

Is it necessary to remove fibromyoma when planning pregnancy?

For small intramural or subserous nodes, the woman may become pregnant, but must be more closely controlled by obstetricians. But there are situations in which it is impossible to conceive and / or bear a child without removing the fibroids. Here they are:

  • if you already had uterine bleeding,
  • tumor size over 12 weeks or its rapid growth,
  • there is at least one knot in the uterus,
  • fibroids protrudes into the uterine cavity, greatly reducing and deforming it,
  • necrosis or large calcinate at the site of myoma node collapse,
  • infertility.

If laparoscopic removal is performed, then you can become pregnant after 7-10 months. During operations with normal access (laparotomy), it is better to wait a year to complete the scar formation.

Causes of fibromyoma

Scientists could not figure out the exact reasons. According to statistics, women at the age of 25–50 years turn for treatment of fibroids when hormonal disturbances begin. There is an assumption that the occurrence of a tumor is a systematic dissatisfaction with female sexuality. It is based on the absence of orgasm and irregular sex, which causes stagnation of blood in the small pelvis. But still, this is not enough for the tumor to begin to develop. This pathology is accompanied by a decrease in the level of antioxidants and hormonal disorders.

The disease can also occur due to hormonal treatment, if estrogen-containing drugs were used. Increase the manifestations of fibroma can pregnancy, which changes hormones, increases the concentration of progesterone and estrogen in the blood.

Modern scientists call one of the causes of fibroids, chronic infectious diseases that occur slowly and without symptoms.

Symptoms of uterine fibroids

Symptoms depend on the location of myoma node. The node located in the abdominal area will be very sore with increasing pain when pressing on it, on the intestinal loops and organs of the small pelvis. Increased pain symptoms may indicate the onset of peritonitis. The uterus fibromyoma site, localized in the muscles or submucosal layer, is characterized by frequent bleeding, which leads to anemia, general malaise, dizziness, headache and weakness.

During pregnancy, the symptoms can appear either more pronounced or almost disappear, it depends on the location of the node.

Does fibromyoma cause infertility?

Usually, this pathology does not prevent pregnancy, many women have a beautiful birth with this disease. However, against the background of uterine fibroids, there is still a slight risk of infertility. Difficulties with conception can be the following: squeezing and obstruction of the fallopian tubes, which complicates the movement of sperm and the violation of systematic normal ovulation.

Although the causes of infertility in fibroids are not well understood, treatment and removal of even small nodes significantly increases the chance of becoming pregnant. If the fibroid is large and deforms the uterine cavity, then even after the tumor is removed, it will be rather difficult to maintain the ability to bear children.

Treat and get pregnant or vice versa?

Most often, conception problems with myoma does not arise. You can get pregnant yourself and without treatment. This is 1 year; women over 35 are 6 months old. If during this period the pregnancy does not come, then the fibroid requires treatment.

Large-sized fibroids that prevent sperm from entering the uterus and fallopian tubes require treatment, as there may be no pregnancy. Treatment before pregnancy is needed if previously there were 2 or more miscarriages.

Pregnancy with fibroids

Fibrome pregnancy makes it possible for a woman to take out and give birth to a healthy baby normally, while the tumor size can significantly decrease after giving birth and in some cases disappear altogether. It depends on the hormonal background, which changes during pregnancy, and has a beneficial effect on the health of the woman. In the case of an abortion, hormonal changes occur in a woman's body, which can cause the growth of fibroids.

Fears of pregnancy on the background of fibroids cause doctors fear in the first 3 months that the node is not located in the area of ​​the placenta. Also, in case of fibromyoma, there can be premature labor, as the knot in the uterus reduces the free space. A frequently occurring consequence of pregnancy with fibroids is congenital torticollis and deformity of the baby’s head. Large fibroids increase the likelihood of having a baby with a small weight.

A node can give a complication to the generic activity, increasing its time. The fetus may assume an incorrect position, from which a cesarean section will be recommended to the woman, at which she can simultaneously remove nodes.

Postpartum period

With the presence of fibroids, there may be early and late postpartum complications.

    Early - is postpartum bleeding, which is associated with low uterine tone, increment and tight attachment of the placenta.

  • Late - infectious diseases and incomplete involution of the uterus, i.e. the uterus does not return to its original size.

  • Increases fibroid risk of miscarriage?

    Miscarriages and missed abortion in the presence of uterine fibroids in the first trimeter of pregnancy increases by 2 times. It is not the size of the nodes that is important, but their number. With one node, the risk of miscarriage is significantly lower than with multiple ones. The location of fibroids also matters. Fibroids, located in the uterine thickness under the mucous membrane, increase the risk of miscarriages, in the lower part of the uterus - reduces.

    Watch a video on whether uterine fibroids are dangerous:

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