Can I get pregnant with small uterine fibroids?

Uterine fibroids are also a common gynecological disease. When such symptoms appear, women can generally become pregnant. Of course, if the symptoms are more serious, miscarriage may occur after pregnancy, or even infertility may occur. Treatment can be carried out under the guidance of a doctor. For example, one situation is to try to get pregnant and then receive treatment during the pregnancy.

1. You can try to get pregnant first. Although large uterine fibroids are prone to miscarriage and premature birth when combined with pregnancy, many pregnancies combined with uterine fibroids can be successfully carried out in obstetrics. Some fibroids can even reach 12-13cm and still be carried to full term by cesarean section and uterine fibroid nucleus removal at the same time, killing two birds with one stone. The family members are happy and the doctor feels a sense of accomplishment.

2. If pregnancy is complicated by uterine fibroids, red degeneration is likely to occur around 5 months of pregnancy, manifested by fever, abdominal pain, nausea, vomiting, etc. Examination reveals that the fibroids are rapidly enlarged, tender, and the white blood cell count is increased. It is mainly caused by the degeneration of small blood vessels in the myoma, which leads to thrombosis and hemolysis, and hemoglobin infiltration into the myoma. But don't be too nervous, the treatment is very simple. Generally, you will get better after being given antibiotics or Subilin in about a week.

3. If a pregnant woman with uterine fibroids has a miscarriage or has difficulty conceiving, she may consider removing the uterine fibroid core before trying to get pregnant. I have met many such patients. Maybe it was really the influence of the fibroids, or maybe it was a psychological effect. In short, they successfully became pregnant soon after the fibroid core was removed. However, after the myoma core is removed, it is best to wait about 2 years before getting pregnant. If you are pregnant after about 1 year and are determined to keep the fetus, then just go ahead and monitor it. There are many successful pregnancies, but there have also been patients with uterine rupture. We can only wait and see what the specific outcome will be, but you must listen to your doctor, monitor closely, and plan the size of the fetus well.

4. Choice of delivery method: Small uterine fibroids of 2-3 cm can be ignored. Do not be concerned about having a cesarean section because of these small tumors. If the uterine fibroids are large or multiple, you can consider a cesarean section and uterine fibroid removal surgery at the same time. However, if the fibroids are very close to the fallopian tubes in the uterine cornu, there will be a lot of bleeding during the fibroid removal surgery, which can easily damage the fallopian tubes and increase the chance of ectopic pregnancy. Sometimes the damaged fallopian tubes have to be tied, which will reduce the chance of conception in the future, and future pregnancy can only rely on the other fallopian tube.