How to treat uterine fibroids during 40 days of pregnancy?

If uterine fibroids are found after pregnancy, a vaginal four-dimensional color Doppler ultrasound examination should be performed to understand the location, nature, and blood supply of the uterine fibroids. So, how to treat uterine fibroids 40 days into pregnancy?

The incidence of uterine fibroids combined with pregnancy accounts for 0.5% to 1% of fibroid patients and 0.3% to 0.5% of pregnancies. The actual incidence of fibroids combined with pregnancy is much higher than the above figures, because fibroids are small and asymptomatic, and are easily overlooked during pregnancy and delivery. Pregnancy combined with uterine fibroids has an impact on both pregnancy and delivery.

Submucosal fibroids can hinder the implantation of fertilized eggs or cause early miscarriage. Large intramural fibroids are also prone to miscarriage due to mechanical obstruction or uterine cavity malformation during pregnancy. During pregnancy, the uterus is congested, tissue edema, and smooth muscle cells are hypertrophic. The fibroids are significantly enlarged and gradually shrink after delivery. Rapid enlargement of fibroids during pregnancy may cause redness, severe abdominal pain accompanied by nausea, vomiting, fever, and increased white blood cell count.

Regarding the question of how to treat uterine fibroids 40 days into pregnancy, the treatment methods vary according to the situation. Next, the author will explain in detail:

1. Diameter of fibroids

2. If the diameter of the fibroid is >6cm and there are no symptoms, the development of the fibroid should be closely observed during regular prenatal checkups. When the pregnancy is >37 weeks, the delivery method should be decided based on the location of the fibroid, the fetus and the pregnant woman. If the fibroid is located in the lower uterine segment, the birth canal is easily blocked, and the fetal head floats high and cannot enter the pelvis, a selective cesarean section should be performed. If the fibroid on the anterior wall of the lower uterine segment gradually rises to the abdominal cavity with the enlarged uterus in the late pregnancy, the fetal head can descend into the pelvis and the delivery is smooth.