Can I get pregnant with multiple uterine fibroids?

Uterine fibroids are the most common urinary system disease in gynecology, and are more common in women of childbearing age. Uterine fibroids are mostly benign tumors, with a good probability of around 98%. Among uterine fibroids, it is relatively rare to have only one uterine fibroid, while multiple uterine fibroids account for 60%-70% of uterine fibroids. So, is it possible to get pregnant with multiple uterine fibroids?

Can I get pregnant with multiple uterine fibroids?

The impact of uterine fibroids on fertility is determined by the type and occurrence of uterine fibroids. The medical community believes that small intramural uterine fibroids and subserosal fibroids generally do not affect pregnancy and will not increase the incidence of miscarriage. However, uterine fibroids can cause retroflexion and incarceration of the pregnant uterus, leading to urinary retention and miscarriage. Subserous uterine fibroids can hinder the implantation of the embryo formed by the combination of sperm and egg, increase the risk of miscarriage or infertility after pregnancy.

Although the number of uterine fibroids in multiple uterine fibroids is large, there may be no clinical symptoms at all, but they may also manifest as increased menstrual volume, prolonged menstruation, and even cause severe anemia in patients. In addition, if the enlarged tumor compresses the bladder forward, it will cause urinary urgency and frequent urination, and if it compresses the duodenum backward, it will cause constipation and difficulty in defecation.

If uterine fibroids grow in the uterus and are quite large, with a diameter of 3 cm, they can prevent sperm and egg from combining and affecting pregnancy. If uterine fibroids grow outside the uterus, it is not easy to cause difficulty in pregnancy. If uterine fibroids do not affect pregnancy, there is no need for special treatment.

However, pregnant women with uterine fibroids should be checked more frequently during pregnancy, with an ultrasound every one to two months to see if the uterine fibroids have metastasized or expanded. When a pregnant woman is giving birth, the doctor will decide the mode of delivery based on the location of the uterine fibroids, the fetus, and the condition of the pregnant woman. For example, if the uterine fibroids block the birth canal, a cesarean section should be chosen.

Treatment of uterine fibroids

Uterine fibroids require different treatment options depending on the situation. The treatment of uterine fibroids should be based on the size, location, presence or absence of symptoms, age of the patient, requirements for pregnancy, recent development and complications, and whether the diagnosis is confirmed.

1. Treatment with traditional Chinese medicine: Traditional Chinese medicine has a stronger holistic view and will consider the patient's overall characteristics rather than just focusing on uterine fibroids themselves. Through the treatment of traditional Chinese medicine, some imbalances in the body can be corrected, the factors that cause tumors can be eliminated, and the chance of metastasis can be reduced. In addition, Chinese herbal medicine is very good for healthy cells, and it is not easy to cause damage to the body due to treatment. Traditional Chinese medicine improves the patient's endocrine system through comprehensive conditioning, improves the patient's physical fitness, and prevents the onset or migration of uterine fibroids.

2. Western medicine treatment methods: Generally, hormone treatment is chosen, and common male hormones such as methyltestosterone and testosterone propionate are selected. However, this type of treatment has relatively large side effects, often leading to increased androgen levels and male characteristics.

3. Surgical treatment: Hypertensive uterine myoma removal: suitable for patients who hope to preserve their fertility. Submucosal uterine fibroids or most intramural fibroids that protrude into the uterine cavity can be removed under hysteroscopy. Submucosal uterine fibroids that have invaded the vagina are removed intravaginally. There is a 50% chance of recurrence after surgery, and about 1/3 of patients require additional surgery. Hysterectomy: Hysterectomy is appropriate for patients who do not require fertility preservation or who are suspected of having a worsening pregnancy.