Uterine fibroids are not a serious disease, but sometimes they occur in some special periods of women, causing a lot of trouble and entanglement for women. In particular, pregnant women are found to have uterine fibroids, and they are very entangled in how to deal with them best. Let us introduce what to do if pregnant women have uterine fibroids? It is necessary to make a comprehensive consideration based on the patient's age, fertility, location, size and number of fibroids. The presence of fibroids may lead to infertility, early miscarriage, postpartum hemorrhage, and rapid growth and degeneration of fibroids during pregnancy. If it is submucosal, the fibroids must undoubtedly be treated before pregnancy - hysteroscopic myomectomy; If you are young and the diameter of the uterine fibroid is larger than 4cm, it is generally recommended that the patient undergo surgery as soon as possible and become pregnant 2 years after surgery; If the diameter of the uterine fibroid is less than 4cm, the fibroid is located at the bottom of the uterus, is located under the serosa or myometrium, does not compress the fallopian tube, is not under the mucosa, is not close to the cervix, and age factors lead to a desire to have children, etc., you can try to get pregnant, but you must know that there are many risks associated with pregnancy with uterine fibroids, which must be faced; Fibroids may undergo red degeneration after pregnancy, but the probability is not high. If degeneration occurs, conservative treatment is also possible. Postpartum fibroid treatment. Whether patients with uterine fibroids can become pregnant depends mainly on their location and size. If the fibroids are located in the submucosal part, that is, submucosal fibroids, it will cause menorrhagia, seriously affect the endometrium, hinder the implantation of the fertilized egg, and lead to infertility. The fibroids are huge, regardless of their location, and will cause compressive changes, hindering the sperm from passing through the uterus, deforming the fallopian tube entrance, and implanting the fertilized egg. Even if the fertilized egg implants, it will hinder the delivery of the baby or premature birth. Of course, people with small fibroids whose clinical symptoms are not obvious may still be pregnant. If the fibroids are close to the serosal layer, it will have little effect on pregnancy. In addition, sometimes uterine fibroids are accompanied by ovarian dysfunction, which may also be one of the causes of infertility. Treatment: All infertile patients should undergo routine B-ultrasound examination to find out whether there are uterine fibroids and the location of uterine fibroids. Then, the fibroids are removed in different ways according to the type, size and number of fibroids. Laparoscopic surgery can complete subserosal and most intramural fibroids, and hysteroscopic electrosurgical resection can remove submucosal fibroids. Regardless of the type of surgery, the pregnancy rate after surgery will increase. In short, uterine myomectomy has the advantages of less trauma, faster recovery, shorter hospital stay, fewer postoperative complications, etc. It can preserve the uterus and maintain normal menstruation and fertility. After the above pregnant women have uterine fibroids, I hope that women with this situation should treat it rationally. First of all, they should go to a regular hospital to seek professional doctor's advice or timely treatment or regular observation, so that the problem can be well solved. |
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