What should I do if I find uterine fibroids before pregnancy? What are the common types of uterine fibroids?

I am planning to have a baby, but I found that I have uterine fibroids. What should I do? Will uterine fibroids affect pregnancy? Do you want to have a surgical removal first? Gynecologists say that different fibroids have different effects on pregnancy, so we should treat them differently. In the above situation, should I remove the fibroids first or get pregnant first?

Uterine fibroids are usually divided into three types: uterine fibroids that cause uterine deformation are called submucosal uterine fibroids; intramural fibroids refer to fibroids that do not distort the uterine morphology and protrude <50% of the uterine serosal surface; subserosal fibroids refer to fibroids that protrude ≥50% of the uterine serosal surface.

If your fibroids are submucosal, they will occupy the uterine cavity, affect the implantation of the fertilized egg, affect pregnancy, and require surgical removal; subserosal fibroids have little effect on reproduction. So, do intramural fibroids have an impact on reproduction? Studies have shown that most small uterine fibroids that do not affect the morphology of the uterus and are asymptomatic do not affect pregnancy, and regular prenatal examinations can be performed.

However, larger intramural fibroids can not only change the normal shape of the uterine cavity, but also compress the fallopian tubes, causing them to twist and deform, affecting the passage of sperm or fertilized eggs and reducing the chance of pregnancy. In addition, surgical treatment should be considered because uterine fibroids lead to recurrent miscarriage.

If you choose not to undergo surgery, what should you pay attention to? The author said that as the pregnant uterus increases, the location of the fibroids may also change accordingly. At the same time, due to the influence of high levels of pregnancy hormones and increased blood supply to the uterus, uterine fibroids may increase, and pregnant women will experience abdominal pain and fever. A small number of patients have serious conditions and improper treatment will lead to miscarriage. Treatment should first consider non-surgical treatment, prevention of infection, rehydration and fetal protection, and close observation. If conservative treatment is ineffective, surgical treatment should be performed.