What to do if you are pregnant with uterine fibroids

The incidence of uterine fibroids is relatively high, and the main reason is related to the hormone levels in women's bodies. Women of childbearing age are particularly prone to uterine fibroids. Many people find out they have uterine fibroids when they go for prenatal check-ups after becoming pregnant. At this time, pregnant women must do regular check-ups to observe the growth rate and location of the fibroids. If uterine fibroids affect fetal growth, they must be removed in time.

Uterine fibroids are hormone-dependent tumors, and their production and growth rate are closely related to estrogen and progesterone. During pregnancy, estrogen and progesterone levels fluctuate greatly. If you develop uterine fibroids at this time, the growth rate of the fibroids may accelerate. As the fibroids grow, pregnant women and fetuses may be affected by the following:

1. Affect the growth and development of the fetus, leading to miscarriage and premature birth.

2. Fibroids block the birth canal, causing the fetus to be in an abnormal position and affecting delivery.

3. After delivery, it causes poor uterine contraction and increases the risk of postpartum hemorrhage in pregnant women.

4. During pregnancy or postpartum period, fibroids are prone to red changes, causing pregnant women to experience severe abdominal pain, fever and other symptoms.

Patients should pay attention to uterine fibroids found during pregnancy

1. Closely observe the growth rate of fibroids

2. Seek medical attention promptly if you feel unwell

Treatment for uterine fibroids

1. Watch and wait

Applicable to : patients with very small fibroids, no obvious symptoms, or those who are near menopause. These people can be observed without taking medication or undergoing surgery, but they need regular checkups every 3-6 months.

2. Drug treatment

Applicable to : patients with mild symptoms, near menopause or whose general condition is not suitable for surgery. The medicine needs to be taken under the guidance of a doctor.

3. Surgical treatment

Applicable :

1. Patients with secondary anemia caused by menorrhagia and ineffective drug treatment.

2. Patients with severe abdominal pain, dyspareunia or chronic abdominal pain, or acute abdominal pain caused by torsion of pedunculated myoma.

3. Patients whose fibroids are large or whose fibroids cause compression symptoms on the bladder, rectum, etc.

4. Patients in whom it can be determined that fibroids are the only cause of infertility or recurrent miscarriage.

5. Patients suspected of sarcoma.