Can women with long uterine fibroids get pregnant?

Patient's question:

31-year-old female has been feeling weak all over and lacking energy recently. I'm very concerned. Please ask: can one get pregnant with uterine fibroids?

Doctor's answer:

Personal advice would be better to first decide on treating uterine fibroids. It would be better to wait two years before having a baby. You can first have a color Doppler ultrasound of the uterine adnexa to carefully check the size of the uterine fibroids. If the fibroid is larger than 5 cm, it will affect the baby's growth and development, and ultimately lead to miscarriage. If the fibroid is still less than 5 cm, it is recommended that those who are not yet pregnant should seek medical treatment first. If already pregnant, regular prenatal check-ups should also be conducted to closely monitor the fibroid and prevent other complications.

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