Does uterine fibroids affect the fetus and the pregnant woman?

Patient's question:

I feel like my stomach really hurts every time I have my period. Also, the blood flow is quite heavy, and the color is very dark. Later, I had a detailed examination at the hospital, including a transvaginal ultrasound, which detected a uterine fibroid on the left side of my uterus. It was about 3 cm in size. The doctor didn't say it was necessary to have surgery. I'm still preparing to get pregnant. How is a uterine fibroid treated?

Doctor's answer:

For the treatment of multiple uterine fibroids, the main goal is to alleviate symptoms or create conditions for conception. In clinical diagnosis, fibroids smaller than 3 centimeters are generally recommended to be tested for pregnancy first, while those larger than 3 centimeters are advised to be treated before conception. Carrying a pregnancy with fibroids also carries risks, which may lead to miscarriage or stillbirth. The decision should be made based on a comprehensive evaluation of your specific situation. MRI ablation is more suitable for patients who are advised to conceive. If surgery is not performed, the best alternative is MRI ablation, also known as MRI-focused. At the same time, dietary issues should be taken into consideration, avoiding spicy and irritating foods to prevent worsening the condition.

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