Does pregnancy with uterine fibroids require cesarean section? What should I do if pregnancy with uterine fibroids

Some pregnant women have uterine fibroids. In this case, do they need a cesarean section? This is a question many patients want to know. In fact, uterine fibroids can cause pregnancy complications. In this case, cesarean section and uterine fibroids are usually removed together. Let's introduce this aspect.

1. Most patients with uterine fibroids can give birth naturally

The blood volume of the uterus during full-term pregnancy is very rich. If it is not necessary, try not to perform uterine myomectomy at the same time (resection is only considered when the fibroids affect fetal delivery or the fibroids affect uterine contraction and cause heavy bleeding). It is generally not recommended to perform resection at the same time, otherwise it is easy to cause heavy bleeding. If the location of the fibroids does not affect natural delivery, try not to perform a cesarean section. The doctor should judge. If the doctor believes that the location of the fibroids does not affect natural delivery, then there is no need for a cesarean section. Most pregnant women do not need a cesarean section.

2. Should uterine fibroids be removed before pregnancy or should pregnancy come first?

Many women of childbearing age find out that they have uterine fibroids before getting pregnant. They often hesitate whether to treat or get pregnant first. If they do cut, they are afraid of affecting their fertility; if they do not, they are afraid of affecting the fetus and their own health after pregnancy. If the changes in estrogen and progesterone stimulate the rapid growth of fibroids, the situation is also very bad. What should I do?

Whether to remove the fibroids first or get pregnant first depends on the size and location of the fibroids. If the fibroids are large or located close to the mucosa, it may affect pregnancy, or during pregnancy, due to hormonal influences, the fibroids grow faster or degenerate, leading to miscarriage or premature birth. In this case, the fibroids should be removed before pregnancy. If the fibroids are small and the location does not affect pregnancy, you can get pregnant first, and closely monitor the size and growth rate of the fibroids during pregnancy. Only when the fibroids have more estrogen and progesterone receptors and the patient is sensitive to estrogen and progesterone, the growth rate of the fibroids may be faster than the growth rate of the fetus, and even the fibroids may be insufficiently supplied with blood, leading to red degeneration of the fibroids, abdominal pain and high fever, and even miscarriage and premature birth. In this case, the only option is to terminate the pregnancy.

The above content introduces: Cesarean section for pregnancy with uterine fibroids? Pregnant women with uterine fibroids are reminded to pay attention to the situation and listen to the doctor's advice before getting pregnant safely. Many patients are afraid of the impact of uterine fibroids on the fetus and pregnant women. It is recommended that pregnant women cooperate with doctors to closely monitor the disease and receive treatment when necessary.