Women with uterine fibroids and ovarian cysts may still be able to get pregnant, but the chances of pregnancy and the safety of pregnancy depend on the size, location, nature of the fibroids and cysts and the physical condition of the woman. It is recommended to conduct a detailed examination and evaluation before pregnancy, and to receive treatment if necessary, to reduce the risk of complications during pregnancy. 1The impact and treatment of uterine fibroids Uterine fibroids are common benign tumors in women, but their size, location, and number can affect the possibility of pregnancy. Submucosal fibroids located in the endometrium may hinder embryo implantation or cause miscarriage, while subserosal or smaller intramural fibroids usually do not affect pregnancy. If the fibroids are large or cause symptoms such as menorrhagia and abdominal pain, the fibroids can be temporarily reduced by medication such as GnRH agonists, or surgical treatment such as hysteroscopy or laparoscopic myomectomy can be selected according to the doctor's advice to improve fertility conditions. 2 Impact and treatment of ovarian cysts Ovarian cysts are usually functional cysts such as corpus luteum cysts or follicular cysts. Most of these cysts will be absorbed by themselves and will not affect pregnancy. However, some pathological cysts such as chocolate cysts, teratomas or malignant tumors may interfere with ovulation or cause infertility. For larger cysts or suspected malignant cysts, it is recommended to perform imaging examinations and determine whether laparoscopic surgery is needed to protect ovarian function and fertility. 3 Comprehensive assessment and pregnancy preparation suggestions For women with uterine fibroids and ovarian cysts, a comprehensive gynecological examination should be performed before planning pregnancy, including ultrasound, blood hormone level measurement, and alpha-fetoprotein and CA125 index screening if necessary. If problems are found, treatment should be taken as soon as possible. During the period of preparing for pregnancy, it is also necessary to maintain a healthy lifestyle, eat a balanced diet, consume more foods rich in folic acid, vitamin E, iron and other nutrients, and avoid strenuous exercise during menstruation and staying up late. Women with uterine fibroids and ovarian cysts should communicate with their gynecologists in a timely manner according to their personal conditions and develop scientific treatment and pregnancy preparation plans. Adequate examination and intervention can significantly increase the success rate of pregnancy and reduce potential risks during pregnancy. |
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