Can I get pregnant if I have uterine fibroids?

The uterus is a very important part for women. Normal pregnancy in women is achieved through the uterus. Women's uterus often has some problems. Uterine fibroids are a relatively common disease that is extremely harmful to the uterus. So for people with uterine fibroids, is there still a possibility of pregnancy? What impact does it have on women's pregnancy?

1. Can I get pregnant if I have 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.

2. Harm of uterine fibroids to fertility

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.

3. Symptoms of uterine fibroids

1. Irregular menstruation

Irregular menstruation with increased menstrual flow and prolonged menstrual period is the most common symptom of uterine fibroids. The area of ​​the endometrium increases and affects 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.

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.

5. Other symptoms

Including lower abdominal distension, back pain, and aggravated menstrual symptoms. When the tumor turns red, there will be acute lower abdominal pain, accompanied by vomiting, fever and local tenderness of the tumor; torsion of the pedicle of the subserosal tumor may cause acute abdominal pain.