Is it possible to get pregnant with myoma? Endometriosis and uterine fibroids - treatment with alternative and alternative methods

Date of: 13.04.2019

Infertility is one of the urgent gynecological problems. This term refers to the inability of a married couple to conceive a child within one year of regular sexual activity (sex at least 2 times a week) without the use of contraception. According to WHO statistics, infertility occurs in 8% of women, and various gynecological pathologies play a significant role in the development of this problem.

Is it possible to get pregnant with uterine myoma - a benign tumor growing from the myometrium? Yes, but only if certain conditions are met and the doctor's recommendations are followed. In certain situations, fibromyoma can cause infertility or lead to frequent miscarriages after successful conception of the baby - miscarriage.

Infertility: General Information

The inability to conceive a child is absolute and relative. In the first case, a woman under no circumstances can conceive a child. This is possible with some malformations, but does not occur with myoma. Absolute infertility with this pathology occurs only after - the immediate receptacle of the fetus. Today, gynecologists are trying their best to avoid this crippling operation in women of reproductive age and are looking for other ways to solve the problem.

Only removal of the uterus (hysterectomy) is the cause of absolute infertility.

They say about relative infertility if, after a certain treatment, a woman can become a mother. Myoma is just the cause of relative infertility, and after adequate therapy or surgery, you can successfully conceive, endure and give birth to a healthy child. About that, we wrote in one of our articles.

At the time of occurrence, infertility is divided into two categories:

Primary - is set if a woman with uterine fibroids has never been pregnant;
Secondary - they talk about him when the patient was at least once pregnant, but now for one reason or another can not conceive a child. Not only successful births, but also abortions, as well as miscarriages, are taken into account.

With more common secondary infertility. This is explained by the fact that the disease is often detected after 35 years, and up to this point, many women manage to give birth to a child. Primary infertility in case of myoma is more often the lot of those women who did not decide on motherhood before the age of 30 and for various reasons deliberately put off this moment for many years. Frequent ovulation, hyperestrogenism, and other factors that can lead to the appearance of a benign tumor in the muscle layer of the uterus are important here. You can read about these in one of our articles.

On a note

Not all women suffer from infertility in case of myoma. The cause of this problem can also be male diseases, leading to a violation of spermatogenesis. That is why, when examining a married couple, the first thing it is recommended for a man to pass a spermogram, and only after receiving the results, determine further tactics for solving the problem.

The reason for non-pregnancy can be a violation of spermatogenesis in a man, so he should be examined by specialists.

Factors affecting the conception of a child with uterine fibroids

Reviews of doctors in this situation are more concise. Gynecologists say: it all depends on the specific clinical picture. The possibility of pregnancy with fibromyoma determines the presence of a concomitant pathology, the age of the patient, and other factors. Together, all these points allow a woman to conceive a child or interfere with long-awaited motherhood.

There are several key factors that determine the possibility of pregnancy with uterine fibroids:

Myomatous node localization

Crucial in this situation is the location of the tumor in the tissues of the uterus. According to statistics, subserous nodes do not interfere with the conception of a child and practically do not affect the bearing of the fetus. Such a fibroid is located closer to the outer layer of the uterus, can exit into the pelvic cavity, connecting with tissues only with a thin leg. According to reviews, most women who manage to undergo pregnancy without significant complications.

With subserous myoma, it is quite possible to conceive and bear a child, because tumors of this type are on the outer shell of the uterus and they grow in the direction of the pelvic cavity.

On a note

The exception is a subserous tumor, which presses on adjacent organs: the bladder and rectum. This formation interferes with the normal functioning of the pelvic organs and leads to the development of complications, including during pregnancy. At the stage of conception of a child, myoma, squeezing the fallopian tubes, can create problems. In this case, there is a mechanical obstacle to the promotion of sperm and meeting with the egg, which becomes the leading cause of infertility.

Submucous nodes located under the uterine mucosa are unlikely to interfere with the conception of a child. The only exceptions are tumors located at the mouth of the fallopian tubes. As in the previous situation, such nodes interfere with the meeting of the sperm with the egg and fertilization. , deforming the uterine cavity, often leads to problems after conception:

Implantation failure and spontaneous miscarriage in the early stages;
Inadequate supply of oxygen and nutrients to the baby (when the placenta is located on the node), which also leads to miscarriage, premature birth or causes hypoxia and delayed fetal development;
Congenital malformations of the fetus with compression by a large tumor;
Incorrect position of the child in the womb (oblique or transverse), pelvic presentation.

Submucous nodes, as a rule, do not interfere with conception, but it is not always possible to endure a child safely, because the myomatous node grows in the direction of the uterine cavity, affecting the formation and development of the fetus.

Located in the muscle layer of the uterus, they behave differently. Such tumors usually do not interfere with the conception of a child, however, they can contribute to miscarriage in the early stages. It is believed that fibroids can lead to regressive pregnancy, when the embryo dies, but the uterus does not contract and does not get rid of it. The mechanisms of this phenomenon have not yet been studied, so it’s rather difficult to talk seriously about their influence.

The number of myomatous nodes

And this creates serious problems for women. The chances of getting pregnant decrease with an increase in the number of formations, but the exact reasons for this mechanism are not known. It is possible that the tumor itself provokes a change in the hormonal background, which disrupts ovulation, changes the menstrual cycle and ultimately leads to infertility.

Fibromyoma Size

The diameter of the tumor is of great importance already at the stage of gestation, however, it can also affect the possibility of conception. The larger the size of the node, the higher the likelihood of compression of neighboring organs (including the fallopian tubes), the development of complications and infertility. Useful information can be found in one of our articles.

Concomitant pathology

The foci located in the ovaries disrupt their function, prevent ovulation and become the cause of infertility. Sick at the same time and that, and another disease, it is quite difficult to spontaneously conceive a child. Cysts and ovarian tumors also do not add a chance of a favorable outcome.

Endometriosis, as a concomitant disease, reduces a woman's chances of becoming pregnant.

Fibromyoma can occur against the background of another pathology:

Polyp;
Endometrial hyperplasia;
Endometritis - inflammation of the uterus;
Salpingoophoritis - inflammatory changes in the ovaries and fallopian tubes.

In the latter case, adhesions occur in the pipes, which leads to their obstruction and infertility.

Woman age

Fibromyoma is usually detected after 30-35 years, which worsens the prognosis of the disease. With age, the likelihood of developing other health problems increases. First of all, these are gynecological diseases and extragenital pathology - disorders in the work of the heart, kidneys, endocrine system. After 30 years, the frequency of ovulatory cycles also decreases, which reduces the chances of spontaneous pregnancy. After 40 years, the probability of success is minimal.

Reproductive history

The prognosis for fibroids largely depends on what background pathology is identified. If a woman has a history of more than one miscarriage, she should be especially careful about the problem and undergo a complete diagnosis. Often during the examination, a concomitant pathology is revealed, hormonal disorders are found, which, in combination with myoma, lead to infertility.

It's important to know

Fibromyoma is rarely the only and immediate cause of infertility. This pathology often gives problems already during pregnancy, leading to its termination. But even in this situation, a woman can have children. It is only important to undergo an examination and the necessary treatment in time to be sure of the success of the event.

In order for the prognosis for pregnancy to be favorable, a woman needs to undergo a full diagnosis and an appropriate course of treatment.

Pregnancy planning: what you need to know in advance

Many women are wondering: how to get pregnant quickly with myoma? Doctors do not advise rushing, because sometimes only competent preparation allows you to endure and give birth to a healthy baby. Wanting to feel the joy of motherhood, a woman must follow a certain algorithm:

Visit a gynecologist and find out all the details regarding your basic diagnosis;
Take the examination prescribed by your doctor;
If necessary, undergo treatment - course hormones or surgery;
After completing therapy, plan a pregnancy soon.

Covered in one of the articles in more detail.

The examination scheme for myoma includes:

Gynecological examination;
Ultrasound of the pelvic organs with dopplerometry (assessment of blood flow in the tumor);
Hysteroscopy (with submucous nodes and concomitant adenomyosis, endometrial hyperplasia);
Laparoscopy (according to indications);
MRI (if you need to clarify the localization of the node);
(if there is a suspicion of concomitant pathology).

A key method for diagnosing fibroids is ultrasound. The study allows you to identify fibroids and evaluate its size, localization, number of nodes. According to the results of ultrasound, further tactics of the patient's management are determined.

Ultrasound examination allows you to determine even a small deviation from the norm or pathology in the uterus.

After the diagnosis, a woman usually has many questions:

Is it possible to confuse fibromyoma with pregnancy on ultrasound?

In the very early stages, when the fetal egg is visible in the form of a rounded formation, the doctor may take pregnancy for a uterine tumor. In this case, you need:

Donate blood for hCG (pharmacy tests do not always show a positive result for 2-3 weeks, while a blood test is a more sensitive method);
Repeat the ultrasound in 1-2 weeks. At a period of 6-7 weeks, the heartbeat of the embryo is determined, and the diagnosis becomes obvious. After 8 weeks, it is quite difficult to confuse the tumor and pregnancy.

Is it possible to take pregnancy for myoma with a gynecological examination?

Yes, this happens, because in both situations, the uterus increases. It is not by chance that gynecologists estimate the size of fibroids in weeks of pregnancy. Ultrasound will help to make a final diagnosis. In the later stages, when large parts of the fetus are determined through the abdominal wall, it is impossible to confuse these conditions.

Is therapy needed before conception?

Further tactics will depend on the diagnosis. The following options are possible:

Spontaneous conception of a child against the background of existing fibroids. Observation during pregnancy, treatment after childbirth;
Treatment of uterine fibroids and planning pregnancy after a course of therapy.

If conception occurred during uterine myoma, then the woman will have to treat the tumor after the birth. But the whole pregnancy must be regularly observed by a doctor to monitor the course of pregnancy.

Do I need to treat myoma first, and then think about the conception of a child, or should I do the opposite? There is no single answer to this question. It all depends on the specific clinical situation. Do not rely on the advice of friends, the opinions of other women on the forums, reviews on the Internet. What is suitable for one woman with myoma will negatively affect the condition of another. It is recommended to be examined by a gynecologist and find out your diagnosis exactly before planning a pregnancy.

In order for the conception of the child to go smoothly, it is necessary to observe several conditions:

The sizes of the myomatous node up to 2 cm;
Subserous tumor localization or other successful location, in which the lumen of the fallopian tubes does not overlap;
Minimum clinical symptoms or asymptomatic course of the disease;
The absence of another pathology that can prevent the onset of pregnancy.

But even in this situation, the conception of a child may not occur, and then the doctor will recommend first treating fibroids. To get rid of the problem, various medical and surgical techniques are used. within 3-6 months. According to reviews, this scheme has proven itself well, and many women manage to conceive a child after drug withdrawal.

Treatment with hormonal preparations of a small tumor for several months, as a rule, gives positive results. After drug treatment, a woman has the opportunity to become pregnant.

Myomas are shown with a node diameter of more than 3 cm, as well as with severe symptoms (uterine bleeding, etc.). Surgery cannot be dispensed with if the tumor deforms the uterine cavity. It is likely that the conception of a child will succeed, but in the future a miscarriage is possible. To prevent this from happening, doctors recommend first getting rid of the interfering fibroids and only then planning a pregnancy.

Refusal of therapy: possible risks and complications

If a woman refuses treatment if there is direct evidence, she should weigh all the risks and soberly assess her chances of a favorable outcome. Uterine fibroids are not so much about infertility as they are about pregnancy complications. When bearing a fetus, such unpleasant situations may arise:

Spontaneous miscarriage against the background of deformation of the uterine cavity or isthmic-cervical insufficiency;
Preterm birth (for a period of 22-36 weeks);
Placental insufficiency, which inevitably accompanies fetal hypoxia with a possible delay in its development (the risk is especially high when the placenta is located on the node);
Bleeding during pregnancy and childbirth due to placental abruption.

Pregnancy with fibroids threatens with uterine bleeding.

Uterine fibroids of medium and large sizes can be an indication for cesarean section. If a woman is allowed into natural birth, the likelihood of developing complications is high, which will also lead to surgery. Is it worth the risk if you can get rid of fibroids before pregnancy and then calmly plan the conception of the baby?

It's important to know

Treatment of fibroids during gestation is not carried out. Hormonal drugs to reduce the size of the node are not prescribed. In emergency situations that threaten the life of the woman and the fetus, a myomectomy can be performed. Such an operation in itself is very traumatic for a pregnant woman and can provoke a miscarriage.

Facts, studies, statistics

Women who dream of motherhood need to know: pregnancy with myoma is possible. It is quite possible to conceive and give birth to a child with this disease, just do not refuse medical help. In some cases, it is proper pregnancy management and careful preparation for it that helps a woman become a mother.

If a woman is correctly treated, then delivery, as a rule, will be successful.

A few words about how pregnancy affects the development of fibroids:

Up to 4% of all women have a baby on the background of fibroids, and for many, pregnancy ends in childbirth on time. 40% of expectant mothers have complications during pregnancy;
In half of women, the tumor does not change in size during gestation;
In 8-27% of expectant mothers, there is a decrease in fibroids in size;
Only 25% of women have fibroids;
The maximum growth of the node is noted in the second trimester, the minimum - in the third;
After birth, small formations stabilize or regress.

The secret to a successful conception of a child with myoma is this: to undergo an examination and, having complete information about your health condition, plan a pregnancy. It is recommended that the gynecologist observe from an early date until the birth, timely passage of all screenings, monitoring the condition of the fetus. Under these conditions, the chances of having a healthy baby are very high.

Can I get pregnant after surgical treatment of uterine fibroids?

Useful video on how myoma affects pregnancy

The detection of myomatous nodes leads the woman to speculate whether it is possible to become pregnant with uterine fibroids. We will understand when conception is quite real, and under what circumstances it is difficult.

Is it possible to conceive with myoma?

Myoma is a benign neoplasm that does not entail severe pathological processes in the female body and leads to infertility in rare cases. However, in practice, one has to deal with a tumor, often of a large size, which greatly complicates the process. To get pregnant and successfully bear a baby, a woman will have to try. In any case, the efforts are worth it, because the long-awaited child and happy motherhood are at stake.

The best option when planning replenishment is a preliminary treatment of the disease.

The possibility of conception and the risks associated with bearing with uterine fibroids depend on the location, size and nature of the neoplasm.

How to conceive

To conceive with myoma is possible in two ways: by natural or by in vitro fertilization (outside the body). Small neoplasms outside the genital organ, as a rule, do not interfere with pregnancy in the traditional way.

In case of detection of concomitant diseases, the help of a specialized reproductive center where artificial insemination is performed may be required. In this case, a thorough examination is carried out, tests, according to the results of which a course of treatment is prescribed. After the tumor nodes are reduced, they are sent for IVF.

Studies have shown that in women, under 35 years of age, a positive outcome of artificial insemination after prior therapy occurs in 32% of cases. However, recently women have been prone to childbirth at a later age, so the question naturally arises: is it possible to get pregnant with uterine myoma at the age of 40 and later? Under the condition of regular ovulation, the absence of interference from the fibroids for attachment and further growth of the fetal egg, this option is quite possible.

When the chances are high

There are good chances of conception and the normal course of pregnancy in women with subserous myoma. Its nodes develop on the outer wall of the organ. The disease is mainly asymptomatic and is detected during gestation, for example, on a planned ultrasound.

Intramural myoma (intramuscular) does not create any special obstacles to pregnancy. Problems arise when the myomatous node grows close to the place of attachment of the fertilized egg. Then the probability of detachment of the placenta, the death of the embryo in the early stages of development is high.

If the tumor was found at the initial stage, and its size is too small, the woman doubts whether the fibroid will affect conception. Small tumors, as a rule, do not create obstacles to the passage of spermatozoa and the further development of the embryo, therefore, the answer to the question is whether it is possible to get pregnant with small fibroids. Only now fluctuations in the hormonal background can provoke a sharp growth of the neoplasm, which will make the process of bearing difficult.

Another determining factor is the multiplicity of nodes. The fewer they are, the greater the chance that the baby will be born.

When the probability is very low

The greatest difficulties await women with submucous myoma. It occurs in the submucosal layer of the myometrium of the organ and grows in the cavity, works on the principle of an intrauterine device. The tumor becomes a cause of ovulation disturbance, compression of the fallopian tubes, which complicates the progress of sperm.

Another type of fibroids in which it is problematic to become pregnant is cervical or those that grow near the entrance to the fallopian tubes. Such localization becomes a mechanical obstacle in the way of a seed to an egg or a fertilized egg in an organ cavity.

A small percentage of conceptions with large nodes when the tumor compresses the organ. Further formation of the baby will be difficult: deformation of the head, skeleton, developmental abnormalities. The presence of endometriosis, cysts and other pathologies complicates the process.

The impact of localization and species on pregnancy

Successful conception and childbirth depends on the type of fibroids, its size, location and degree of neglect. Let's consider how various neoplasms affect pregnancy:

Submucous - develops in the body of the uterus, takes up space for embryo growth.
Subserous - causes fetal hypoxia and placental insufficiency.
Interstitial - causes pain, uterine deformity, impaired fetal development.
Intraligamental - damages neighboring organs, squeezes the uterus, causes placental abruption and underweight baby.
Cervical - is localized in the cervix, prevents fertilization and development of the child, provokes premature contractions, miscarriage, and disrupts natural childbirth.

Myoma itself is not considered a cause of infertility. If other pathologies of the genital organs are absent, and conception does not occur, it is necessary to eliminate the neoplasm in order to increase the chances. Moreover, its size should not exceed 8.5 centimeters, otherwise there is a risk of impaired reproductive function. Too large a tumor provokes severe bleeding during operations, which will lead to the removal of the uterus. In addition, after organ deformation, the ability to bear children may not be restored.

Existing risks

Pregnancy with uterine fibroids is associated with such risks:

bleeding
anemia;
violation of the formation of a child's place;
deviations in the development of the fetus;

Quite often, a tumor developing along the surface of the posterior wall of the uterus leads to the bending of the organ. Myomatous nodes can grow on a thin or wide stalk. The development of the fetus will lead to the twisting of the legs, which will disrupt the blood flow in the tumor and cause tissue necrosis. This is accompanied by pain, fever, general weakness. The death of cells threatens the appearance of infectious and inflammatory processes in the pelvic organs, which poses a threat to the life of the baby and mother.

It is impossible to predict how the future mom’s myoma will behave. In medical practice, cases have been recorded when myomatous nodes spontaneously disappeared (absorbed) during pregnancy. Doctors find it difficult to say exactly why this phenomenon occurs. Of the probable causes, a hormonal surge is noted that affects the development of the tumor. Another factor is a violation of blood circulation and, as a result, malnutrition, the gradual death of pathogenic tissues. Neoplasms can disappear after childbirth and cessation of lactation.

What treatment to choose when planning a pregnancy

Women with uterine fibroids are shown two types of treatment: conservative and surgical. It is preferable to choose the first method, which includes taking medications.

Attention! During pregnancy, increased caution should be exercised when prescribing hormonal drugs, weighing the risks and expected utility.

If the tumor does not respond to drug therapy, actively progresses, interferes with the work of internal organs, causes severe pain, then it is necessary to operate. The following surgical methods for removing fibroids are used: hysteroscopy, laparoscopy, EMA, FUS-ablation, exposure to a laser beam, hysterectomy.

After a course of treatment, you must wait at least 6 months (sometimes a year) before planning a pregnancy.

In recent years, women of reproductive age, suffering from uterine myoma and planning to conceive a child, are increasingly found in obstetric practice. The doctor observing such a patient has to solve a difficult question: is pregnancy acceptable for this pathology and is it not an impossible task to bear a baby? In order to unequivocally answer this question, it is necessary to assess the state of health of a woman, determine the severity of the course of the disease, and find out other factors that can interfere with the reproductive function.

We hasten to clarify: uterine fibroids and pregnancy are completely compatible, but only if certain conditions are met and all the doctor's recommendations are followed. Indeed, if some women manage to endure and give birth to a healthy child without medical intervention, then others cannot be avoided. How does myoma affect pregnancy, and what should every woman know about this problem?

General information about the disease

Before talking about the possible risks for a woman and her baby, you should understand. This diagnosis is made when a benign tumor is detected in the muscle layer of the uterus. Pathology is detected during a gynecological examination or ultrasound, the diagnosis is confirmed by hysteroscopy or laparoscopy. Other names for the disease are leiomyoma, fibromyoma (fibroma).

This is how uterine fibroids on a stalk measuring 6.8 x 5.3 cm in ultrasound.

On a note

Uterine fibroids are more common at the age of 35-45 years. In young patients, in menopause - with endometrial hyperplasia.

According to localization, there are three options for nodes:

Subserous - grow towards the outer shell of the uterus;
Submucous - deform the uterine cavity;
Interstitial - do not go beyond the muscle layer.

Menstrual irregularities;
Acyclic uterine bleeding;
Chronic pelvic pain.

A gynecologist is engaged in the treatment of neoplasm. When the first symptoms appear, you should make an appointment and get a detailed consultation. The sooner a diagnosis is made and treatment is started, the more chances a woman has for a favorable pregnancy outcome.

Under the influence of hormonal changes, the myomatous nodes can increase in size, so the earlier the fibroid is detected and the smaller its size, the more likely it is to cure the tumor conservatively.

Pregnancy with myoma: what you need to know

Some statistics designed to shed light on some aspects of pathology:

Uterine fibroids sooner or later occur in almost all women (up to 85%);
Clinical manifestations of the disease are found in only 30% of patients;
During pregnancy, the tumor is observed in 0.5-4% of cases;
In 60% of patients, there is a slight change in the tumor in size (in either direction), in 40% of the diameter of the node does not change;
In 20-25% of cases, there is an increase in education (typical for - from 5 cm);
The maximum growth of fibroids is in the II trimester, the minimum - after 24 weeks;
The total diameter of the tumor increases by no more than 25% (an average of 10-12% compared with the original size);
In 8-27% of cases, regression or decrease is noted;
In 60% of expectant mothers, medium-sized nodes (2.5-5 cm) are not detected by ultrasound at the end of pregnancy;
Tumors of small sizes (up to 2.5 cm) are more often stabilized (do not grow and do not decrease);
Complications during pregnancy with fibroids occur in 15-40% of cases.

So, you can bear and give birth to a child with uterine fibroids, only this period will not be the easiest in a woman’s life. Of course, against the background of complete health, pregnancy is much easier, but this does not mean that in the presence of a tumor, you need to put an end to yourself and refuse the opportunity to become a mother. Modern medicine allows patients with rather difficult diagnoses to give birth, and uterine fibroids are not the most difficult case in obstetric practice. Subject to the recommendations of the doctor, a woman has every chance to go through this difficult stage without significant problems and complications.

Uterine fibroids are not a contraindication to pregnancy, but its presence can complicate the bearing of the fetus.

How does the neoplasm behave when bearing a child

The condition of the tumor directly depends on the gestational age and the level of hormones in this period.

In the early stages of pregnancy, a gradual increase in myomatous nodes in size is noted. This phenomenon is associated with the rapid growth of progesterone - the main hormone responsible for the possibility of bearing the fetus. The maximum growth is up to 8 weeks due to proliferation and tissue hypertrophy. It was at this time that spontaneous miscarriage most often occurred as a result of growing fibroids.

After 8 weeks of pregnancy, cell hyperplasia is blocked, and a further increase in fibroids is explained by tissue edema and hemodynamic disturbances. The next jump in node growth is observed in the II trimester (12-24 weeks), when the placenta is formed and the blood supply to the tumor changes. At the same time, it is possible with the appearance of the corresponding symptoms of an acute abdomen.

In the III trimester of pregnancy, the myomatous nodes stabilize in size. This is due to a decrease in progesterone levels and its stabilization until the end of the gestational period. In some women, for a period of 36-38 weeks, the tumor is not determined by ultrasound. This does not mean that the node is completely gone - it only decreased to sizes that were invisible during ultrasound examination.

After the birth of a child, the fibroids for some time remain in the same state, then again begin to grow and within 1-2 years they return to their previous sizes. It has been observed that prolonged breastfeeding and lactational amenorrhea slow down tissue proliferation and tumor activity. In some women, nodes are not determined even several years after the birth of the child. It is almost impossible to predict in advance how a tumor will behave in a particular patient. The question of what we examined in another article.

Each pregnancy with myoma is individual and requires a special approach and control the growth of myomatous nodes.

On a note

Uterine fibroids can hardly completely resolve during pregnancy, but can decrease to clinically insignificant sizes.

An interesting video on this problem will help to understand what complications of pregnancy can create a myoma in the uterus:

Conception in pathology: are there any chances?

Fibromyoma as the only pathology quite rarely gives such a complication as infertility. The tumor does not affect the hormonal background and usually does not interfere with conception. Problems arise later: at the stage of implantation of the ovum, when bearing from an early date. Many women manage to repeatedly, only to bring such a pregnancy to the due date is far from always obtained.

In what situations does infertility occur against the background of fibroids?

A benign tumor is located at the mouth of the fallopian tubes. Myoma closes the lumen and mechanically prevents the sperm from meeting the egg. Naturally, conception is impossible, IVF is indicated. In the article "" we examined the main aspects of this procedure in pathology;
The tumor is combined with other diseases of the female reproductive sphere: endometriosis, ovarian cyst. In this case, the tumor goes as a concomitant pathology. It affects the possibility of conceiving a child, but does not act as a key factor;
Myoma occurs against the background of significant hormonal disorders. We are talking about endocrine infertility, while the tumor itself is only one of the factors preventing pregnancy.

The myomatous node can block the lumen of the fallopian tube, which causes infertility.

It also happens that when examining for infertility, nothing but fibroids is detected. In this situation, the doctor, of course, will offer to get rid of the tumor, because he does not see other obvious causes of the problem. After taking hormones or surgery, many women manage to conceive and bear a child. If even after removal of the fibroids, the issue remains unresolved, another reason for infertility should be sought.

Diagnosis of a tumor during pregnancy

Ultrasound helps to detect fibroids in a pregnant woman. This is the simplest, safest and most affordable method used to identify a tumor and its complications. Ultrasound can be performed at any stage of pregnancy without harm to the baby. Quite often, a neoplasm is first detected precisely during gestation.

Echoes of the disease do not differ from those outside pregnancy. located in the bottom or body of the uterus. Particularly noteworthy are such options for the localization of fibroids:

Submucous node - is able to deform the uterine cavity and lead to spontaneous miscarriage;
A tumor located near the site of attachment of the ovum can also cause an abortion. After 16 weeks, fibromyoma, which is localized near the placenta, interferes with the flow of nutrients to the fetus, can cause a delay in its development and hypoxia;
or close to the external pharynx - an occasion for a planned caesarean section.

Uterine fibroids during ultrasound during pregnancy

Important aspects that concern many women:

Is it possible to confuse myoma and developing fetus?

Yes, during a gynecological examination. An increase in the uterus occurs during pregnancy, and with the growth of the myomatous node. If the tumor does not grow to the serous membrane, the surface of the uterus remains smooth, and in this case one condition can be confused with another.

On a note

During pregnancy, certain changes in the cervix and vaginal mucosa are noted, which does not occur with the formation of a tumor. An attentive doctor is likely to notice the difference and suspect a fibroid.

When conducting an ultrasound, distinguishing fibroids and pregnancy will not be difficult. The fetal egg has distinctive echoes, and already at 6 weeks the embryo's heartbeat is detected. These conditions can be confused only at a very early stage, when both the tumor and pregnancy are visible as some formations in the uterine cavity (as well as with poor resolution of ultrasound equipment).

So on an ultrasound looks like a fibroid (25 x 13 mm) and a pregnancy of 6 weeks.

What to do if a neoplasm was first detected during pregnancy?

It happens that the diagnosis is made only during the first ultrasound screening for a period of 12-14 weeks or even later. After the examination, the doctor will give his recommendations on further tactics.

When detecting fibroids in a pregnant woman, attention is paid to such moments:

The number of nodes and their localization. It is very important to find out where the fibromyoma grows: in the uterine cavity or outward to the pelvic organs. This is a key aspect that determines the further course of pregnancy and childbirth;
The location of the neoplasm relative to the ovum (placenta);
Blood flow around the node;
Fetal condition: compliance with gestational age, palpitations, the presence of defects.

If the fibroids appeared already during pregnancy, this is also not a reason for panic. In this case, the node is still too small to seriously harm the fetus. According to gynecologists, a small tumor usually does not interfere with the safe bearing of the fetus and does not interfere with independent birth.

Can my pregnancy not be seen due to myoma?

Yes, if the tumor is large enough and the embryo is still too small. In this case, it is recommended to repeat the ultrasound in 1-2 weeks.

Can a pregnancy test show a tumor?

Pharmacy test strips react to the content in the urine of hCG - a hormone released after the conception of a child. It is noted that in rare cases, chorionic gonadotropin is also detected with myoma, but more often with malignant tumors of the uterus. If the test showed a positive result, you need to donate blood for the determination of hCG, do an ultrasound scan and get an appointment with a gynecologist.

Symptoms of fibroids in pregnant women: how the disease manifests itself

If a woman found a fibroid during gestation, she needs to know how this pathology proceeds and pay attention to the following symptoms:

Lower abdominal pain. A tumor in the muscle layer can give an unpleasant pulling sensation over the womb, giving in the back, crotch, on the thigh. Such pain is often mistaken for signs of a threatening miscarriage, which leads to unjustified hospitalization in a hospital;
. Scarlet or brown discharge can be both a manifestation of fibroids and a sign of a miscarriage that has begun. Gynecologist consultation is required. It is worth noting that the tumor is extremely rarely manifested by bleeding during pregnancy;
Signs of compression of the pelvic organs: rapid and difficult urination, constipation. Such symptoms are found in almost all pregnant women and without fibroids, so it is quite difficult to differentiate these signs.

On a note

In 50% of all expectant mothers, the pathology is asymptomatic.

In the presence of fibroids during pregnancy, you need to be wary of some symptoms (pain in the lower abdomen, bleeding), as they can indicate not only the manifestation of the tumor and its possible growth, but also the threat of termination of pregnancy.

Alarming symptoms during pregnancy:

Cramping severe pain in the lower abdomen;
Spotting of any intensity;
Acute urinary retention
Amniotic fluid leakage;

The appearance of such symptoms indicates the development of complications and requires urgent medical attention.

Is it worth planning a pregnancy with fibroids?

Is it worth giving birth with a myoma or are the risks too high? Before answering this question, all available factors should be evaluated:

Localization of nodes (in the bottom, body or neck, along the front or back wall). Centrifugal interstitial tumors and subserous fibroids usually do not interfere with the conception and bearing of a child. Problems arise mainly with uterine cavity deformities and interstitial fibroids with centripetal growth;
Sizes of nodes. The larger the tumor, the higher the likelihood of complications;
The number of formations in the uterus. With multiple nodes, the prognosis is worse;
Blood flow in the uterus. If there are signs of fibroid necrosis, the tumor must be disposed of before pregnancy;
The presence of concomitant pathology. The simultaneous development of endometriosis or endometrial hyperplasia complicates the course of pregnancy;
Age: the older the woman, the higher the likelihood of complications. After 35 years (when fibroids are usually detected), the number of other gynecological pathologies grows, somatic diseases are superimposed, which increases the risk of complications. It is important to understand that the reproductive period of a woman is limited. It also happens that after prolonged treatment the patient can no longer have children due to the onset of menopause;
Reproductive history. A history of miscarriages is another reason for the preliminary treatment of fibroids.

Planning for pregnancy with fibroids should begin with a comprehensive examination to identify risk factors for miscarriage and the development of complications

How to be First treat the tumor, and then become pregnant, or is it the other way around? It is impossible to give a definite answer to this question, and tactics are determined individually for each woman after a full examination. Of great importance are the reproductive plans of the patient. If a woman does not want to become a mother in the coming years, there is no point in prescribing hormones or performing an operation to stabilize the nodes. After 3-5 years, when the patient decides to conceive a child, the nodes can grow again, and the next course of therapy will be required.

It's important to know

It is exclusively about a stable and asymptomatic myoma. If the tumor grows or disturbs the woman, treatment is carried out soon.

In the treatment of uterine fibroids before pregnancy, the following methods are practiced:

before conceiving a child. COCs and gonadotropin-releasing hormone agonists help stabilize the nodes;
Uterine artery embolization is the method of choice for women planning a pregnancy with myoma;
Conservative myomectomy. After surgery, a scar remains on the uterus, which will be an indication for cesarean section.

On a note

According to reviews by women and gynecologists, EMA is the best option for treating fibroids. If there is such a technical possibility, doctors direct their patients to embolization. The procedure is well tolerated, does not violate fertility, and pregnancy occurs within the next few months. After EMA, the tumor does not grow, bearing a child passes without complications. Most importantly, there is no scar on the uterus, and a woman who has had an EMA can give birth to a child through the natural birth canal.

The EMA procedure does not require incisions and is a minimally invasive operation.

You can plan a pregnancy immediately after the hormones are canceled and the menstrual cycle is restored. After the operation, it is recommended to wait at least 3 months.

Complications: what threatens the pathology of the future mother and baby

Uterine fibromyoma leads to the development of such undesirable consequences:

The threat of abortion, which can lead to miscarriage in the early stages or premature birth (after 22 weeks);
Cervical insufficiency. Occurs with tumor pressure on the cervix. The uterine throat does not cope with the load, opens early, and a miscarriage occurs;
Placental insufficiency with the location of fibroids near the fetal site or with multiple nodes. It threatens chronic hypoxia of the fetus and a delay in its physical development;
Premature detachment of the placenta with massive bleeding. A condition that threatens the life of a woman and a child;
Low attachment of the placenta. During implantation due to a tumor, the embryo cannot find a convenient place for itself and is attached too close to the internal pharynx. It threatens bleeding and miscarriage;
Placenta previa - a condition in which the fetal place blocks the exit from the uterus. The causes and consequences are similar to the previous paragraph. It is an indication for cesarean section;
Compression of the child by the tumor and the development of deformities (with large submucous nodes);
Incorrect position of the fetus (oblique or transverse), pelvic presentation as a result of deformation of the uterine cavity by the myomatous node;
Pelvic vein compression and thrombosis (relevant for large subserous nodes).

On a note

Fibromyoma is not the cause of an undeveloped (regressing) pregnancy, although it can increase the risk of its occurrence (in case of malnutrition of the uterine tissue).

This is how pregnancy looks in the presence of a large fibromatous node.

Not only fibroids have a bad effect on pregnancy, feedback is also noted. The period of gestation negatively affects the state of the tumor, which threatens the development of complications of the disease:

Necrosis of the node. It is more often noted and occurs as a result of a violation of blood flow in the myometrium;
Torsion of the legs of the tumor with a subserous location of the node;
The rapid growth of fibroids under the influence of progesterone.

First birth after 35 years;
The duration of the disease is more than 5 years;
Submucous nodes that deform the uterine cavity;
Large interstitial tumors (initial size of the uterus - from 10 weeks);
Location of fibroids in the cervix;
The development of secondary changes, signs of necrosis;
The location of the placenta on the myomatous node;
Concomitant pathology (gynecological and extragenital);
Induced pregnancy.

Note

The chances of a favorable pregnancy outcome in women under the age of 35 years without severe chronic diseases, with subserous myoma and node sizes up to 5 cm are very high.

Pregnancy management tactics for uterine fibroids

Pregnancy against the background of fibroids proceeds with complications, but this does not mean that all women with this pathology are sent for abortion. You can take out the child (if there are no obvious contraindications), but for this you need to follow all the doctor's recommendations:

Register for pregnancy as early as possible (it is better immediately after the test shows two strips);
Timely undergo all screening ultrasound and other examinations;
Monitor your condition and consult a doctor if you have any complaints.

Pregnancy is contraindicated in such situations:

Suspicion of a malignant tumor;
Rapid growth of fibroids;
The development of complications (necrosis, torsion of the legs);
Thrombophlebitis of the pelvic veins.

After the age of 40 years and in the presence of fibroids, pregnancy is also not recommended to be maintained.

During gestation, particular attention is paid to the size of the nodes and their possible growth. Monitoring of the neoplasm is carried out with the help of ultrasound in the prescribed time:

6-10 weeks;
12-14 weeks;
18-24 weeks;
32-34 weeks;
38-40 weeks.

From the 32nd week, weekly CTG (cardiotocography) is indicated to assess fetal heart rate and timely detection of hypoxia.

With myoma, a weekly cardiotocography procedure is required starting from 32 weeks of pregnancy.

With the development of complications, a woman is hospitalized in a hospital, where she is provided with all the necessary assistance, taking into account the gestational age.

On a note

For the prevention of placental insufficiency and fetal hypoxia, agents that improve uterine blood flow can be prescribed. According to indications, tocolytics and antispasmodics are used. Hormonal drugs in the early stages (Duphaston, Utrozhestan) are prescribed with caution, since there is a risk of rapid node growth.

Conservative treatment of uterine fibroids during pregnancy is not carried out. A woman is observed, but no hormones are prescribed. Surgical intervention (myomectomy) is possible according to strict indications:

Necrosis of the node and the appearance of appropriate symptoms;
Compression of the pelvic organs and severe pain;
A threatening or started miscarriage if it is impossible to curettage the uterine cavity (with a cervical arrangement of the node);
Giant fibroids and the lack of prospects for bearing the fetus.

Scheduledly held in 16-19 weeks. With the development of acute conditions, surgery is possible at any time.

What is the best way to give birth?

Delivery through the natural birth canal is possible subject to the following conditions:

Full-term pregnancy (from 37 weeks);
The normal dimensions of the pelvis;
The sizes of the myomatous node up to 5 cm;
Successful location of the tumor (does not block the exit from the uterus).

On a note

According to reviews of women who underwent pregnancy with myoma, we can say: small nodes usually do not interfere with the bearing of the fetus and do not interfere with natural childbirth. The easiest pregnancy is with a subserous tumor: childbirth occurs on time without complications, the postpartum period - without features.

Childbirth in women with uterine myoma is complicated by premature outflow of water, placental abruption and bleeding. Quite often, there is a weakness in labor due to a change in the structure of the myometrium. With the development of complications, an emergency cesarean section is indicated. During the operation, after extraction of the fetus, myomectomy is often performed. In special cases, hysterectomy is indicated.

Indications for planned caesarean section:

Fibromyoma more than 5 cm in diameter;
A large number of interstitial nodes;
Uterus scar after conservative myomectomy;
Localization of the node, preventing the normal movement of the fetus along the birth canal (in the cervix, with deformation of the cavity);
Suspicion of malignancy;
Complications of the fetus and conditions that threaten his life.

The final choice of the method of delivery is carried out after a complete examination of the woman and assessment of the condition of the fetus.

Many women in the presence of fibroids try to choose a competent doctor who will help to endure and give birth to a healthy child. Increasingly, patients turn to private clinics. It is worth noting that the cost of conducting pregnancy with myoma will be increased due to additional examinations. The average cost of observing a gynecologist with a myoma from registration to childbirth is from 80 thousand rubles in Moscow and from 60 thousand rubles in the regions.

Uterine fibroids and infertility

Uterine fibroids are a benign tumor growing from the muscle (middle) layer of this organ. There are a lot of causes of the disease, often fibroids arise due to menstrual irregularities, metabolism, burdened heredity. Women after 30 years without children are at risk for this disease.

Before planning a pregnancy, it is worthwhile to undergo an examination with a gynecologist. After all, sometimes a woman may not suspect that she has fibroids. For example, if the myomatous node is small, there may not be any symptoms. In this case, fibroids are detected only by ultrasound. The larger the fibroid, the more pronounced its manifestations.

Symptoms of fibroids

The most typical manifestations of uterine fibroids include: pulling pains in the lower abdomen, a feeling of discomfort in the abdomen and heavy menstrual bleeding. Menstruation lengthens, there is a loss of more blood, and this leads to anemia. Sometimes the bleeding is so strong and prolonged that a woman is forced to go to the hospital for help.

Uterine fibroids and pregnancy

In most cases, uterine fibroids alone do not affect the ability to conceive. A woman can become pregnant in a natural way, if she has a normal menstrual cycle. Some pregnant women first learn about the presence of a node in the uterus at the first examination in a antenatal clinic. In this case, the doctor must decide on the possibility of bearing a child.

Small fibroids (not more than 4 cm according to ultrasound);

The number of nodes is not more than four;

If the myoma grows slowly, that is, it increases less than one and a half times in six months;

Myoma has no signs of malignancy, that is, if it does not degenerate into cancer.

Sometimes women turn to the gynecologist with a complaint about the impossibility of conception. Indeed, uterine fibroids may be the cause. This situation occurs when the myomatous node is very large and deforms the uterus, preventing the fertilized egg from attaching to its wall. In addition, the myoma can be located in the cervical part of the uterus, and act as a spiral, which will also lead to infertility. Such a woman is shown surgical removal of the node, after which she will be able to bear and give birth to a child

Often, factors that indirectly led to the appearance and growth of fibroids, such as hormonal disorders, menstrual irregularities, can interfere with conception. In this case, a comprehensive treatment is necessary, including the use of drugs aimed at normalizing the menstrual cycle. In parallel, the issue of the need to remove the node should be resolved.

Tip 2: Uterine fibroids: complications during pregnancy and childbirth

Uterine fibroids are a common pathology that women face mainly after 30-35 years. As a rule, fibroids do not interfere with pregnancy, but during the period of bearing the baby or during childbirth themselves it can cause a lot of trouble to the expectant mother and the attending physician.

Pregnancy Complications

Myoma can lead to a variety of complications during pregnancy. One of the most formidable complications is malnutrition of the myoma node. Myoma during pregnancy often tends to grow, and the larger the node, the more tumor tissue needs good blood supply. Along with this, increased uterine tone, increased blood pressure and others can lead to insufficient blood flow to the myoma node. The necrosis or necrosis of the tumor tissue begins. This situation is extremely dangerous for the fetus and the expectant mother, and often leads to termination of pregnancy or to premature birth.

The second complication is fetal robbery syndrome. The situation is exactly the opposite of the first complication. In this case, the tumor blood supply is much better than the child, as a result, the fetus risks dying from a lack of oxygen and nutrients.

If the placenta is attached to the projection of the fibroid site, it is often underdeveloped. This is another complication. Underdevelopment of the placenta leads to underdevelopment of the fetus and its death.

Premature detachment of the placenta is another situation that a future mother may face. In this case, the child runs the risk of dying very quickly.

Complications during childbirth

Childbirth is often complicated by postpartum hemorrhage, since the uterus cannot contract adequately due to the myomatous node. By following all the doctor’s recommendations, most complications can be avoided.

Uterine fibroids - a fairly common disease. Unfortunately, most women learn about this unpleasant ailment by accident or during a planned ultrasound. Myoma is asymptomatic. According to statistics, up to 20% of women experience this disease after 30 years, but 40-50% after 40 years. This leads to the conclusion that it is necessary to check the condition of your genitals regularly. The sooner this or that deviation is revealed, the easier and faster it can be eliminated. It often happens that women who wish to become pregnant have such a disease. At this moment, they are worried about what is fibroids and is it possible to become pregnant with uterine fibroids? We will deal with these issues in this article. So what is uterine fibroids? How does this disease proceed and is it possible to get pregnant with it?

It is also called leiomyoma or fibromyoma. This disease is a benign neoplasm consisting of connective and muscle tissue. With improper treatment, in the absence of timely measures. Uterine fibroids can develop into a malignant tumor.

Unfortunately, the reasons for the appearance and formation of a benign tumor by doctors have not been established. It is known that uterine cells begin to actively divide. One of the most likely causes of this is hormonal imbalance, namely increased estrogen secretion. In the body there is a hormone that causes a reverse reaction - it is progesterone. So, when hormonal changes occur in the female body caused by a malfunction of these hormones, one or more nodes form on the walls of the uterus. Diagnosis of fibroids by a blood test is complicated by the fact that a local change in hormones in the uterus does not affect or slightly affects their content in the blood. In any case, the theory of the formation of fibroids is only speculative in nature and has not actually been proved.

With an ultrasound, the doctor discovers one or most often several nodes of various sizes. Depending on the location, they are of several types:

or subserous nodes are located under the outer cover of the uterus
interstitial or intramuscular are inside the uterine wall
submucous or submucous are located under the endometrium.

The future treatment depends on the type of nodes, as well as their size. Special and strictly individual treatment is required for women who have discovered fibroids during pregnancy. If this happens, then do not panic in advance. According to statistics, 90% of women carry and give birth to healthy babies with a benign uterus. Of course, not without medical intervention. This is more detailed.

Uterine fibroids during pregnancy

Recently, such a diagnosis has become more popular. It is sad to realize that doctors are not yet able to prevent the disease, and pregnant women have to be constantly monitored and treated. Remember that self-medication with this ailment is extremely dangerous. It is dangerous for the life of a woman and a child, so the doctor needs to report any changes that occur in the body. Be attentive to your health, and then both pregnancy and childbirth will go well.

Conception

Of course, uterine fibroids are an unpleasant consequence and, as a rule, in every possible way impedes the rapid conception. How does this happen? There are several reasons. The main ones are:

violation of ovulation;
the large sizes of the nodes squeeze the pipe, which blocks the path to sperm.

Ideally, of course, cure fibroids before pregnancy. Firstly, it will accelerate the positive result of conception, and secondly, it eliminates possible and mandatory complications during gestation. A woman who has a fibroid and who wants to get pregnant should be aware that the process of bearing and childbirth will not be able to completely bypass these or other complications. It is important to note that it is possible to get pregnant with myoma only when it has a size not exceeding a 12-week pregnancy. If the detected node is larger than indicated, then its removal can greatly damage the uterine cavity. This most often leads to its complete removal. Here the ability to bear children comes to naught.

It happens that doctors, having discovered a small fibroid, give a woman a year to conceive independently without much intervention. At this time, the node must be observed and probably take conservative treatment (non-surgical). If pregnancy does not occur, then a medical intervention occurs. What it will be, directly depends on the etymology of the neoplasm and on its size. There is an opinion that the onset of pregnancy favorably affects a benign tumor of the uterus, so some doctors even recommend that women give birth to a baby.

First trimester

We have said more than once that the course of uterine fibroids and pregnancy with fibroids directly depends on the size of the nodes, on their location in the cavity. For example, if the placentation process has occurred in the area of \u200b\u200bthe tumor, then the likelihood of complications is greatly increased. The woman is worried about severe pains, bleeding and, as a result, a miscarriage may open. This outcome occurs in most cases of contact of the nodes with the placenta.

If the size of a benign tumor is very small, then fibroids and pregnancy become able to proceed without complications and without pronounced symptoms.

Patients with uterine myoma often have spontaneous abortions. They are associated with the fact that when the nodes are located on the walls of the uterus, its contractility increases. What exactly happens at this moment? A growing and developing fetus squeezes the nodes and leads to their destruction. At this time, physiologically active substances - prostaglandins - are released from them. They, in turn, cause a strong uterine contraction.

There are other reasons for spontaneous abortion in myoma:

increased likelihood of developing chronic infectious diseases
circulatory disturbance in the uterine cavity
neuroendocrine abnormalities
endometrial polyposis, hyperplasia.

In the first trimester, myoma during pregnancy is not a reason to interrupt it. It is enough to be under the constant supervision of doctors. Many women carry and give birth to strong and healthy children with this diagnosis. Of course, there is nothing good in a benign tumor, but this is not a reason to give up and run to an abortion. The main thing that the gynecologist will pay attention to is the size of the nodes and where the placenta is located. If everything is in order, then the issue of pregnancy or fibroids is decided by itself.

Second and third trimesters

There is an opinion of doctors that fibroids significantly increase the risk of spontaneous abortion or (and) premature birth. Such fears occur if the size of the neoplasm is large enough. The location of the nodes and their contact with the placenta is very important. Complications cannot be avoided if the myoma and placenta are too close to each other.

In addition, a baby already grown up in the second trimester requires more space for its activity, it works hard with its legs and handles, it can accidentally hit one of the nodes or put pressure on it. What can this lead to? All in addition to their destruction, fraught with premature birth. Unfortunately, this can happen at any stage of pregnancy.

There were times when women were carrying and giving birth to babies with large uterine nodes. True, there were certain complications and deviations of children from the norm. For example, birth with torticollis and deformation of the skull due to the pressure of the fibroids on the child. In pregnant women with myoma, babies with low weight were most often born.

The conclusion is one, the larger the size of a benign neoplasm, the stronger and more likely the occurrence of complications. The decision to preserve the pregnancy and its possible consequences will be made by the doctor. Only a qualified and professional specialist is able to objectively study the situation, assess the risk of possible complications and consequences, and only then voice his verdict.

Childbirth

Childbirth with myoma is somewhat different from traditional. Firstly, due to the likelihood of placental abruption. This is especially possible if the fibroid is located behind the placenta. This can happen at any time, therefore, in women with a benign tumor of the uterus, childbirth occurs earlier than the due date.

Secondly, childbirth with myoma can be protracted. And the matter is not even in the myoma itself, but in the nodes and their sizes. They, as a rule, greatly inhibit the natural process of procreation. Often, doctors prescribe a cesarean section, because babies, due to forced constraint, can take a pelvic, facial or transverse presentation.

There are cases when the incision area at cesarean section is due to fibroids, then the doctor can remove a benign tumor of the uterus.

The postpartum period is always difficult for any woman. The body is restored, it is returning to normal. Hormonal changes occur, muscle, as well as changes in the uterus itself. After childbirth, she gradually comes to her usual shape and size.

How is the process of postpartum recovery in myoma? The consequences of childbirth with a benign tumor of the uterus can be early or late. Early complications include severe bleeding caused by a decreased uterine tone or a strong increment of the placenta to the walls of the uterine cavity. In this case, surgical cleaning of the endometrium is performed. Late complications include incomplete uterine involution (it does not return to its original position), chronic infectious diseases.

The effect of pregnancy on uterine fibroids

Myoma and pregnancy in one way or another affect each other. Moreover, this happens throughout pregnancy. That is why, in order to avoid serious complications, a pregnant woman with myoma should be constantly monitored.

It is believed that during pregnancy, uterine fibroids increase in size, but this increase can be explained by an increase in the uterus. In addition, as a rule, a slight increase is observed in the first and second trimester. In the latter, the neoplasm, on the contrary, becomes smaller.

Unfortunately, at any stage of pregnancy, degeneration of fibroids is likely. Despite the fact that this is the destruction of the tumor, it can bring the most unpleasant consequences.

After childbirth, the behavior of fibroids is completely unpredictable. A benign tumor of the uterus that did not manifest itself during pregnancy can cause a lot of trouble after childbirth. And vice versa. In addition, there are frequent cases when, after the birth of a baby, the myoma decreases in size, changes or acquires a new location.