There is a 37-year-old woman who has been troubled by uterine fibroids. She has been looking forward to having a child for many years. When I met her, she was unexpectedly pregnant. She was mixed about this pregnancy because she had three fibroids, some large and some small. , the largest fibroid is about 7 cm. Before coming to me, she had consulted many doctors, who told her, \”The fibroids are too big, and the baby may not be saved, and there may be heavy bleeding, which is life-threatening.\” Almost all doctors suggested that she have an abortion first, and then Have fibroid surgery. She couldn\’t bear to give up on the child she had been waiting for for so many years, so she found me.
After multiple examinations, I found that the problem was not that serious. I thought it was possible to get pregnant with effective guidance, but the development of the fetus must be monitored at all times.
In fact, throughout her pregnancy, the fibroids also grew with the growth of the fetus. At the time of the cesarean section, the largest fibroids had grown to about 10 centimeters. But what is interesting is that the fetus is very adaptable. She found the best position in the \”rugged\” uterine cavity to play and play in it without being squeezed at all. For fear of causing heavy bleeding, I did not choose to remove the fibroids at the same time as the cesarean section. Instead, I suggested that she undergo surgery to remove the fibroids a year later. Although she still has to go through another surgery, it is very gratifying for this not-so-young mother to go home with a healthy daughter.
Uterine fibroids are the most common benign tumors in female reproductive organs and one of the most common tumors in the human body. They are also called fibroids and uterine fibroids. The cause of uterine fibroids is still unclear, but may involve complex interactions among cell mutations in the normal myometrium, sex hormones, and local growth factors. This woman\’s fibroids were caused by long-term work stress. Ovarian function and hormone metabolism are controlled and regulated by high-level nerve centers, so nerve center activity may also play an important role in the onset of fibroids.
Uterine fibroids are more common in women of childbearing age, widowed and uncoordinated sexual life. Chronic pelvic congestion caused by long-term sexual imbalance may also be one of the causes of uterine fibroids.
Some patients with uterine fibroids are infertile or prone to miscarriage. The impact on conception and pregnancy outcomes is related to the growth location, size and number of the fibroids.
When intramural fibroids and submucosal fibroids occur in uterine fibroids, it may cause infertility, because if the intramural fibroids are larger and protrude into the uterine cavity, they will change the shape of the uterine cavity. , affects the anatomical position of the uterine cavity, especially when it grows near the uterine horn, blocks the fallopian tube or affects the upward speed of sperm, preventing sperm from passing through the fallopian tube andEgg fusion may also cause ectopic pregnancy or even miscarriage.
Submucosal fibroids occupy the uterine cavity, which will also affect the implantation of fertilized eggs and can also cause ectopic pregnancy and miscarriage.
But not all women with uterine fibroids cannot become pregnant. Those with smaller fibroids and the growth site close to the serosa can also become pregnant. During pregnancy, due to the rich blood in the uterus, the fibroids will grow larger. Soon, red degeneration may occur, causing pain and even premature birth. The spontaneous abortion rate of patients with fibroids is higher than that of the normal population, with a ratio of approximately 4:1.
Therefore, if women with uterine fibroids want to become pregnant, they should see a doctor before planning a pregnancy to understand whether they are suitable for pregnancy. If the fibroids are too large, it is recommended to have uterine fibroids removed first and then recover after recovery. If there are submucosal fibroids, the fibroids should be removed under hysteroscopy before pregnancy.
For women with uterine fibroids, if they are already pregnant, do not be pessimistic and believe that surgery is necessary. Instead, they should choose an experienced doctor for diagnosis and treatment, conduct regular prenatal examinations, and formulate reasonable treatments. Plan and delivery method, and also determine whether to remove fibroids at the same time if a cesarean section is performed. Scientific diagnosis and treatment can prevent miscarriage, postpartum hemorrhage, abnormal fetal position, uterine rupture, etc.
This article is provided by Baidu Reading. It is excerpted from \”Very Good Pregnancy: You Can Get Pregnant by Doing This\” Author: Yu Yue\’e