What should I do if I find uterine fibroids during pregnancy? How should I deal with uterine fibroids during pregnancy?

Uterine fibroids are a common gynecological disease that has long troubled the health of many female compatriots. Recently, many patients with uterine fibroids have asked, if they are preparing to get pregnant, will uterine fibroids have any impact on this? What should I do next? These are some more practical questions, because every female compatriot wants to be a happy mother, so the following methods hope to help you.

Generally speaking, surgery is only required for fibroids with special locations, heavy menstrual flow, bleeding, anemia, or a diameter greater than 5 cm. However, for submucosal fibroids in the uterine cavity, abortion may hinder future embryo implantation. Therefore, regardless of whether there are symptoms, treatment before pregnancy is recommended.

So, how much uterine fibroids must be removed before pregnancy? If it is an intramural fibroid or subserosal fibroid with a diameter of no more than 4 cm, the patient can consider pregnancy. However, the patient needs to be informed that fibroids may grow rapidly during pregnancy, causing red degeneration due to ischemia or changes in uterine position, leading to miscarriage or premature birth.

If the fibroids are located at the lower end of the uterus, that is, the diameter of the uterine fibroids in the cervix or other parts is less than 4cm, but the patient has infertility or multiple miscarriages and no other clear reasons can be found, the uterine fibroids can be removed first and then pregnancy can be achieved.

Assuming that myomectomy is performed before pregnancy, how long does postoperative contraception need to be continued before pregnancy? This is a question that cannot be answered before surgery and needs to be judged based on the intraoperative situation. Generally speaking, if the fibroids are located between the muscle wall or serosa, the number is small, the integrity of the uterine wall is not significantly damaged during the removal process, and the uterine cavity is not entered, contraception should be continued for 6 months after surgery; if the number of fibroids is large, the uterine incision is multiple, the removal process is particularly difficult, or the uterine cavity is entered, it is recommended to use contraception for at least 1 year or even 2 years. Of course, for slender subpedicular fibroids connected to the uterus, if the operation goes smoothly and hardly damages the integrity of the uterine wall, contraception should be continued for 3 months after surgery.

In principle, uterine fibroids are not usually removed during pregnancy unless there are some necessary circumstances. The main concerns are treatment during or after delivery: 1. Myomectomy during pregnancy may cause excessive blood loss; 2. Surgery may cause miscarriage and premature birth; 3. The wound in the uterine muscle wall may rupture in late pregnancy or during delivery.