Is it okay to get pregnant with uterine fibroids?

Generally speaking, uterine fibroids are medically confirmed to be a benign tumor. However, because of this, many patients neglect the treatment of uterine fibroids, which leads to the continuous growth and development of uterine fibroids and even affects the reproductive function to a certain extent, turning them into malignant tumors. So if uterine fibroids are really prone to developing into malignant tumors, will they affect women's pregnancy?

The incidence of uterine fibroids is approximately 20% to 25% among women of childbearing age, most of which occur between the ages of 30 and 50. It is a common disease among women. Whether fibroids affect conception depends on the location, size, and number of the fibroids.

For example, cervical fibroids can affect the entry of sperm into the uterine cavity, submucosal fibroids can easily cause endometrial infection and be detrimental to the implantation of fertilized eggs, and giant multiple uterine fibroids can easily squeeze the interstitial part of the fallopian tube and hinder the passage of sperm.

Some scholars believe that uterine fibroids can cause congestion and dilation of the muscle wall or endometrial veins, leading to changes in the intrauterine environment that are not conducive to implantation of the fertilized egg; or insufficient blood supply to embryonic development, leading to miscarriage. The incidence of miscarriage is 2 to 3 times that of pregnant women without fibroids, and is often incomplete.

Large intramyometrial or submucosal fibroids can hinder fetal movement in the uterus, causing malposition of the fetus, such as transverse presentation, breech presentation, etc., and increase the number of cesarean sections.

During the delivery process, fibroids may affect the normal contraction of the uterus and prolong the delivery process; fibroids embedded in the pelvic cavity may block the birth canal and cause dystocia. Fibroids can also affect postpartum uterine contraction, causing postpartum hemorrhage or poor uterine involution. If the uterine cavity drainage is affected or ulcers occur on the surface of the fibroids, infection is likely to occur.

Pregnancy also has a certain impact on fibroids. After pregnancy, uterine fibroid tissue becomes edematous and smooth muscle cells hypertrophy, so the fibroids often grow along with the uterus. Because the fibroids grow rapidly during pregnancy and lack blood supply, degenerative changes occur, among which red change is the most common. Patients may experience acute abdominal symptoms such as fever, headache, vomiting, local tenderness, and increased white blood cell count.

Therefore, the editor believes that if you are diagnosed with uterine fibroids, you should not ignore it just because it is benign. Be sure to go to a regular hospital for a systemic examination as soon as possible. On the one hand, it will affect future pregnancies and cause damage to the health of the mother and baby. Patients must remember not to delay treatment to avoid adverse effects in the future.