Is it easy to get pregnant with uterine fibroids and ovarian cysts?

Uterine fibroids and ovarian cysts may affect pregnancy, but the specific impact depends on the size, location and development of the tumor or cyst. Treatment can take medication, surgery and other means to alleviate the disease, while adjusting lifestyle can help restore fertility and healthy pregnancy.

1). The impact of uterine fibroids on pregnancy and how to deal with it

Uterine fibroids are caused by abnormal proliferation of uterine smooth muscle cells and are common in women of childbearing age. The impact of fibroids on pregnancy mainly depends on their size and location. If the fibroids are located under the endometrium or compress the uterine cavity, it may cause deformation of the uterine cavity, difficulty in embryo implantation, or miscarriage. Larger fibroids (diameter greater than 5 cm) may also cause abnormal pelvic blood flow, further affecting pregnancy.

In terms of treatment, drug intervention such as the use of gonadotropin-releasing hormone agonists (GnRH agonists) can shrink fibroids; for large fibroids or those with obvious symptoms, myomectomy can be selected; if the number of fibroids is small and the location is suitable, hysteroscopic minimally invasive surgery can be used for treatment. It is recommended to wait at least 6 months after surgery before preparing for pregnancy. Pay attention to avoiding staying up late for a long time and reducing high-fat diets, which will help improve endocrine levels.

2). The impact of ovarian cysts on pregnancy and how to deal with them

Ovarian cysts are usually benign. Functional cysts (ovulation-related) generally do not affect fertility and can shrink and disappear on their own within a menstrual cycle. However, chocolate cysts (endometriosis cysts) or malignant cysts may cause ovulation dysfunction or ovarian tissue damage, thereby reducing the chance of pregnancy.

If the cyst is small (less than 3 cm in diameter) and has no obvious symptoms, only regular B-ultrasound monitoring is required; if the cyst is large (more than 5 cm) and prone to twisting or rupture, laparoscopic surgery can be considered for removal. For chocolate cysts associated with endometriosis, postoperative medication is recommended to control disease progression. Moderate to low-intensity exercise such as brisk walking or yoga every week can help improve ovarian blood supply and ovarian function.

3) How to improve the success rate of pregnancy preparation when you are ill

In the case of both uterine fibroids and ovarian cysts, it is recommended to seek medical advice for a clear diagnosis and consult a reproductive doctor for targeted treatment. To increase the success rate of pregnancy preparation, you can complete a comprehensive pre-pregnancy examination under the guidance of a doctor, including hormone level assessment, hysteroscopy, and fallopian tube patency test. A balanced diet, maintaining a good weight, and folic acid supplementation and other pre-pregnancy preparations also play a role in regulating reproductive endocrine and improving egg quality.

For women with uterine fibroids and ovarian cysts, different disease characteristics have different effects on pregnancy, and regular follow-up and reasonable treatment are key. If you want to prepare for pregnancy, it is recommended to consult a specialist as soon as possible to develop a targeted treatment and pregnancy plan to achieve a safer and smoother pregnancy goal.