Will uterine fibroids affect pregnancy? Under what circumstances should uterine fibroids be operated on?

Netizen asked: Recently, the unit found that it has a uterine fibroid, which is as big as a stone. There are rumors on the Internet that uterine fibroids will affect pregnancy. I would like to ask, if I have a pregnancy preparation plan, do I need to have surgery as soon as possible?

Answer: Uterine fibroids can affect pregnancy. For small uterine fibroids, the patient can be observed and treated after pregnancy. Large uterine fibroids can affect the implantation of the fertilized egg. It is recommended that women with large uterine fibroids be treated before pregnancy.

How many surgeries are needed for uterine fibroids?

1. The diameter of a single fibroid exceeds 5 cm; the uterus enlarges beyond 10 weeks of pregnancy.

2. Symptomatic uterine fibroids

Due to uterine fibroids, heavy menstrual flow, long menstrual cycles, and long-term excessive menstrual blood loss, patients may develop secondary anemia and even anemic heart disease. Symptoms include severe general fatigue, pale complexion, shortness of breath, palpitations, etc. This is common in submucosal uterine fibroids and intramural uterine fibroids.

Fibroids compress the bladder, causing urgency, frequency, or even difficulty urinating; compressing the rectum, causing rectal irritation or even difficulty defecating; low-lying fibroids or cervical fibroids or broad ligament fibroids compress the ureter, causing hydroureter and renal pelvis. Generally speaking, surgical treatment should be considered once these conditions are discovered.

3. Suspected malignant transformation of fibroids

Uterine fibroids are less likely to worsen. Generally, they are more common in people who are older, have larger fibroids, and grow faster. Especially after menopause, fibroids grow rapidly, or after menopause, fibroids should be more vigilant. Therefore, although most uterine fibroids shrink after menopause, they cannot be completely ignored, but they should still be checked regularly for a period of time.

4. Fibroids cause infertility

Uterine horn fibroids compress the entrance of the fallopian tubes and can hinder pregnancy. In addition, fibroid patients often have ovarian dysfunction, leading to infertility. Uterine fibroids deform the uterus, hinder the implantation of fertilized eggs, and affect endometrial hyperplasia. Even if the embryo is implanted, it is easy to cause miscarriage. If you suspect that fibroids cause infertility, you should undergo surgery in time.

5. When uterine fibroids are difficult to separate from ovarian tumors

Sometimes, prompt surgery is necessary, whether based on clinical symptoms, physical examination, or auxiliary examinations such as ultrasound.

You should know several causes of uterine fibroids

1.25 years old is the best childbearing age for women. If you are older and give birth later, the chance of women suffering from uterine fibroids will increase. In addition, the etiology and genetics of uterine fibroids have certain tendencies, which will also affect the surrounding environment. Long-term growth in a toxic or harmful environment, such as exposure to pesticides, has the chance of suffering from this disease.

2. Due to the development of modern society, many women have sex too early and take birth control pills. If you take birth control pills at an early age, the chance of developing uterine fibroids is relatively high.

3. An unreasonable diet is also a cause of uterine fibroids. Women who mainly eat meat can increase the chance of developing this disease, which is more than vegetarian women. Vitamins can reduce the sensitivity of the uterus to estrogen and regulate the neuroendocrine system, especially vitamin C.

4. Obesity can increase the chance of developing this disease. On the one hand, fat is converted into estrogen, but this disease depends on estrogen for growth; on the other hand, obesity in women increases the risk of developing this disease