Can I get pregnant with uterine fibroids?

Patients with uterine fibroids can get pregnant, but the risk depends on the size, location and number of the fibroids. Some patients may not be affected by normal pregnancy, but if the fibroids are large, in a special location or accompanied by other uterine problems, the risk of infertility, miscarriage and pregnancy complications may increase. Therefore, if you plan to get pregnant, you should consult a doctor in time and undergo relevant examinations.

1) Impact of uterine fibroids

Uterine fibroids are common benign tumors of the female reproductive system, usually distributed in the uterine wall, mucosal surface or serosa. Cases that do not affect pregnancy often occur when the fibroids are small and do not affect the uterine cavity environment; but if the fibroids are located under the uterine mucosa or cervix, they may hinder embryo implantation or cause deformation of the uterine cavity, affecting pregnancy and the process of pregnancy. Larger subserosal fibroids can interfere with the normal anatomical structure of the pelvic cavity, and sometimes even compress the fallopian tubes, hindering the combination of sperm and egg.

Recommendation: If you are of childbearing age and planning to get pregnant, you should undergo regular gynecological examinations and, if necessary, use ultrasound, magnetic resonance imaging, etc. to determine the size and location of the fibroids.

2) Potential risks during pregnancy

For women who still have uterine fibroids after pregnancy, they should pay attention to several risks: first, abnormal placental attachment, which increases the probability of miscarriage and premature birth; second, rapidly growing fibroids during pregnancy may cause pain, infection or miscarriage; third, if the fibroids are close to the birth canal, it may affect the delivery of the fetus.

Recommendation: Pay special attention to fetal development and changes in fibroids in early pregnancy, and monitor them regularly with ultrasound. The doctor may recommend conservative treatment, and if necessary, consider cesarean section to avoid the impact of fibroids on delivery.

3) Pregnancy preparation and treatment advice

Before trying to get pregnant, larger or specially located uterine fibroids may need to be treated before trying to get pregnant. This includes:

-Drug treatment: Gonadotropin-releasing hormone agonist (GnRH-a) can reduce the size of fibroids, but fertility usually needs to be restored after stopping the drug.

-Minimally invasive surgical treatment: such as hysteroscopy or laparoscopy is suitable for submucosal or small myomas.

-Uterine artery embolization: This can be used for patients with large fibroids or severe symptoms who are not suitable for other treatments, but this method may affect fertility.

Recommendation: The treatment method should be selected after comprehensive assessment of personal health status and fertility needs. Do not blindly try methods that have not been medically confirmed.

If you have uterine fibroids, be sure to evaluate your specific condition before pregnancy, develop a plan under the guidance of a doctor, and closely monitor the fibroids and fetus during pregnancy. Planning scientific treatment can effectively reduce risks and achieve the goal of eugenics.