Does intramural uterine fibroids affect pregnancy?

Uterine fibroids are a type of gynecological disease in women. The uterus is a woman's reproductive organ and an environmental factor for the growth and development of the fetus, so it is very important. The symptoms of uterine fibroids are irregular menstruation, lumps in the lower abdomen, excessive vaginal discharge, compression symptoms, back pain, etc. Suffering from intramural uterine fibroids in the uterine fundus still has a certain impact on physical and mental health. So, can intramural uterine fibroids still make you pregnant?

1. Does intramural uterine fibroids affect pregnancy?

Get treatment first and then get pregnant. Uterine fibroids will reduce women's pregnancy success rate, but patients with uterine fibroids can become pregnant. Uterine fibroids combined with pregnancy accounts for 0.5%-1% of patients with uterine fibroids. The impact of uterine fibroids on pregnancy and delivery is related to the type and size of the uterine fibroids.

1. Miscarriage. Submucosal uterine fibroids can affect embryo implantation and cause miscarriage in early pregnancy; if intramural fibroids are too large, they can cause deformation in the uterine cavity or insufficient blood supply to the endometrium, resulting in miscarriage.

2. Abnormal fetal position. Uterine fibroids that grow and develop in a lower part of the body can hinder the descent of the presenting part, resulting in abnormal fetal position, low-lying or external-lying placenta, and obstruction of the birth gate during the second and third trimesters of pregnancy and delivery.

3. Postpartum hemorrhage. After the baby is delivered, postpartum hemorrhage is likely to occur due to placental adhesion, large adhesion surface, difficulty in removal, and poor uterine contractions.

Most pregnancies with uterine fibroids can result in natural delivery, but postpartum hemorrhage should be prevented. If uterine fibroids prevent the fetus from being born and a cesarean section is required, whether the uterine fibroids should be removed during the operation depends on the size, location and condition of the patient.

2. Common problems after uterine fibroid surgery

1. After surgery for uterine fibroids, the patient should rest in bed for two to three days. When turning over, pay attention to the strength of the posture to prevent wound laceration. Those who suffer pain after surgery should be given painkillers.

2. Pay attention to the condition of the exhaust pipe to avoid intestinal adhesion. The patient can eat liquid food after the intestinal borborygmus is normal, and resume the diet after the stomach and intestines recover. The diet should be light, and fried, smoked, and spicy foods should be avoided as much as possible.

3. The patient should not ride a horse, bicycle, do intense folk dance, sit for a long time or drive within three months after the operation to prevent pelvic hematoma, which is not conducive to rehabilitation treatment.

4. The patient needs to keep the surgical wound clean and dry. If the wound is accidentally wet, wipe it dry with a clean cotton towel and replace the tape. Scar care after uterine fibroid surgery needs to continue for 3-6 months.