Uterine fibroids are one of the most common benign tumors in the female reproductive system, but pregnancy can cause some changes. If a woman of childbearing age "becomes pregnant with a tumor" or "has a long tumor during pregnancy", uterine fibroids are not only prone to become larger and degenerate due to pregnancy, but also may adversely affect pregnancy and childbirth. So what if you have uterine fibroids and want to get pregnant?
Guests of this issue
Luo Baohua
Concord East-West Lake Hospital
Chief Physician of gynecology
Engaged in obstetrics and gynecology clinical work for nearly 40 years, he is good at the diagnosis and treatment of common gynecological diseases, multiple diseases, intractable diseases and infertility, and has rich clinical experience in various traditional open surgery, negative surgery, gynecological malignant tumor radical resection, laparoscopic minimally invasive surgery.
Do fibroids during pregnancy miscarry?
Uterine fibroids can be divided into: subserous fibroids, intermural fibroids, submucosal fibroids, broad ligament fibroids and cervical fibroids according to the location. Uterine fibroids in different locations also have different effects on pregnancy.
In the first trimester, submucosal fibroids can affect the implantation of fertilized eggs and trigger miscarriage, while intermuscular fibroids form mechanical compression, resulting in deformation of the uterine cavity or inadequate blood supply to the uterus and miscarriage.
At the same time, uterine fibroids may also affect placental implantation and development, and placental hypoplasmation or previa occurs. In the third trimester, if the fibroids deform or grow too large or fast, the blood supply to the fibroids is affected, which can lead to fibroid degeneration, which can trigger contractions and lead to premature birth.
Uterine fibroids of different parts and sizes may have completely different clinical manifestations at various stages of pregnancy, and whether they will have an impact on pregnancy depends on the specific situation.
Do you have uterine fibroids to remove before pregnancy?
Since "pregnancy with tumors" has so many risks, is it necessary to remove uterine fibroids before pregnancy and then get pregnant? Not! If the fibroids are small and the location does not affect pregnancy, there is no need to be stabbed.
However, the following two types of uterine fibroids are best dealt with before pregnancy:
One is the uterine fibroids that have an effect on the uterine cavity, such as submucosal fibroids that obviously affect the morphology of the uterine cavity, and some intermucoidal fibroids that affect the uterine cavity, both of which will affect conception;
The other is uterine fibroids ≥5 cm in diameter, which accelerate growth during pregnancy, causing abdominal pain, fever, threatened miscarriage, or fetal growth restriction.
What conditions occur during pregnancy that require surgery
Asymptomatic uterine fibroids during pregnancy can be temporarily observed. Surgery may be considered to minimize fetal risk if:
Fibroids grow rapidly in the short term, with a high suspicion of malignancy;
Red degeneration of fibroids, ineffective with conservative drug treatment for 72 hours;
Subserosal fibroid pedicle torsion, secondary infection, acute pelvic pain, etc., conservative treatment is ineffective;
Fibroids compress neighboring organs and present severe symptoms.
How long it takes to prepare for pregnancy after uterine fibroid surgery
There is an increased risk of uterine rupture following uterine fibroid decorceration. This is mainly related to the nature, size, location, number, surgical method, postoperative incision healing, and postoperative contraceptive time.
Those with subserosal fibroids can be prepared for pregnancy three months after surgery; those with submucosal fibroids can only be prepared for pregnancy one year after surgery; and those with intermyoidal fibroids can be prepared for pregnancy two years after surgery.
If you don't want to get uterine fibroids, try to stay away from these 3 behaviors
1. Contraceptive drugs
Regular use of contraceptives is easy to increase estrogen levels in the body, which is likely to increase the risk of uterine fibroids.
Contraceptives have certain side effects, which will cause abnormal discomfort in the body, and will also cause endocrine disorders, gastrointestinal discomfort, nervous tension and other conditions.
The number of contraceptives should not be taken more than three times in a year, and the interval should be about three or four months.
2. Unhealthy diet
There are more and more varieties of food in life, no matter in which season you can eat the food you want to eat, such as anti-seasonal vegetables, these vegetables contain hormone formulas, the hormone components of lean meat animals in the feeding, and the abuse of hormone drugs and tonics such as breast enlargement, weight loss, and slow aging, etc., are easy to increase the risk of ovarian tumors, which is also a major inducement for uterine tumors.
3. Depressed mood
With the continuous acceleration of the pace of life, personal pressure is also increasing, to women also put forward a more advanced challenge, not only busy taking care of the family, but also carefully cultivate the career, but also can not forget the exquisite, a long time in the high-pressure mood, it is easy to make the mood become extremely depressed.
Long-term maintenance of bad mood is easy to affect the body's metabolic rate, but also easy to let garbage accumulate in the body for a long time, affecting the coordination of endocrine increased, the probability of developing uterine fibroids.
Image source: Photo.com
Edited by Ye Jing
Reviewed by Yang Kang and Liu Yating
Producer Hong Yan, Liang Yan, Zheng Hui, Qi Ming