Can I have a second child if I have uterine fibroids?

Many women suffer from uterine fibroids at a young age, which is something many people do not want to face. However, some people still hope to have their own children after suffering from uterine fibroids. We all know that girls should rest quietly during this period and should not blindly have children. However, if uterine fibroids have been treated and there are no other risks, you can still have children. So, can patients with uterine fibroids have a second child?

1. Can I get pregnant if I have uterine fibroids?

Uterine fibroids are very harmful to fertility. When the fibroids grow to a certain size, they will compress the fallopian tubes, affect the movement of sperm and eggs, and cause infertility. If the location of the growth of the fibroids is such that pregnancy is possible, the fibroids will grow along with the growth of the uterus during pregnancy, especially after the second trimester, when they will grow rapidly and "degenerate", causing symptoms such as abdominal pain and fever. Uterine fibroids can also easily cause miscarriage and premature birth. So, is it possible to get pregnant with uterine fibroids?

Women with uterine fibroids can get pregnant, but it will reduce the success rate of pregnancy. However, patients with uterine fibroids can get pregnant. Uterine fibroids complicated by pregnancy account for 0.5%-1% of fibroid patients. The impact of uterine fibroids on pregnancy and delivery is related to the type and size of the fibroids.

1. Miscarriage. Submucosal fibroids can affect the implantation of the fertilized egg and lead to early miscarriage; excessively large intramural fibroids can cause deformation of the uterine cavity or insufficient blood supply to the endometrium, leading to miscarriage.

2. Abnormal fetal position. Fibroids that grow in a lower position can hinder the descent of the fetal presenting part, resulting in abnormal fetal position, low-lying or previa placenta, birth canal obstruction, etc. in late pregnancy and during delivery.

3. Postpartum hemorrhage. After the fetus is delivered, postpartum hemorrhage is likely to occur due to placental adhesion, large attachment surface or difficulty in expulsion, and poor uterine contraction.

Pregnancy complicated by uterine fibroids can usually result in natural delivery, but postpartum hemorrhage should be prevented. If the fibroids hinder the descent of the fetus and a hard cesarean section is required, whether the fibroids should be removed during the operation depends on the size and location of the fibroids and the patient's condition.

2. Symptoms of uterine fibroids

The symptoms of uterine fibroids mainly include irregular menstruation, lumps in the lower abdomen, increased vaginal discharge, compression symptoms, back pain, etc. If you find these symptoms, you should take them seriously to avoid worsening of the condition and affecting the treatment effect. Symptoms of uterine fibroids include the following:

1. Irregular menstruation

Irregular menstruation with increased menstrual flow and prolonged menstrual period is the most common symptom of uterine fibroids. It is more common in large intramural fibroids and submucosal fibroids. Fibroids enlarge the uterine cavity, increase the area of ​​the endometrium and affect uterine contraction. In addition, fibroids may compress the veins near the tumor, causing congestion and dilation of the endometrial venous plexus, thereby causing increased menstrual flow and prolonged menstruation. When submucosal fibroids are accompanied by necrosis and infection, there may be irregular vaginal bleeding or bloody purulent discharge. Long-term excessive menstrual flow may lead to anemia, fatigue, palpitations and other symptoms.

2. Lower abdominal mass

When the fibroids are small, no lump can be felt in the abdomen. However, when the fibroids gradually increase in size and the uterus exceeds the size of a 3-month pregnancy, they can be felt from the abdomen. Giant submucosal fibroids can prolapse outside the vagina, and patients may seek medical attention due to prolapse of the vulva.

3. Increased leucorrhea

Intramural fibroids increase the area of ​​the uterine cavity, increase the secretion of endometrial glands, and are accompanied by pelvic congestion, which leads to increased leucorrhea. Once submucosal uterine fibroids are infected, there may be a large amount of pus-like leucorrhea. If there is ulceration, necrosis, or bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

4. Compression symptoms

Fibroids in the lower segment of the anterior wall of the uterus can compress the bladder and cause frequent and urgent urination; cervical fibroids can cause difficulty urinating and urinary retention; fibroids on the posterior wall of the uterus (isthmus or posterior wall) can cause symptoms such as lower abdominal distension and discomfort and constipation. Broad ligament myomas or giant cervical myomas develop laterally, embed into the pelvic cavity, compress the ureter, and cause obstruction of the upper urinary tract, resulting in ureteral dilatation and even hydronephrosis.

5. Other symptoms

Including lower abdominal distension, back pain, and aggravated menstrual symptoms. When the fibroids turn red, there will be acute lower abdominal pain, accompanied by vomiting, fever and local tenderness of the tumor; torsion of the pedicle of subserosal fibroids may cause acute abdominal pain; and abdominal pain may also be caused when submucosal fibroids are discharged from the uterine cavity. Submucosal and intramural fibroids that cause deformation of the uterine cavity can cause infertility or miscarriage.