Patient's question:
During the first pregnancy, a uterine fibroid was split during early pregnancy, and then a cesarean section was performed without removing the fibroid. Two years later, another early pregnancy occurred. What should be done if pregnancy occurs again two years after a cesarean section with a uterine fibroid?Doctor's answer:
First, it's important to confirm whether the location of the fibroid will interfere with early pregnancy. Therefore, an ultrasound should be performed to assess the size and location of the fibroid and determine if it poses a significant interference to early pregnancy. If there is no interference, early pregnancy can proceed. However, if the fibroid is too large or in an unfavorable position that could affect the fetus, early pregnancy should be terminated. In most cases, uterine fibroids do not interfere with early pregnancy and can be treated surgically after the child is born. Since you had a cesarean section for your first birth, resulting in a scarred uterus, a cesarean section will also be necessary for the second birth. During the surgery, the fibroid can be removed along with the delivery of the child.