Patient's question:
I always have severe abdominal pain during my period. Later, I went for a pre-pregnancy check-up and discovered a 3 cm-sized uterine fibroid on my left uterus during a transvaginal ultrasound. The doctor said that the size doesn't necessarily require surgery and let me decide for myself. It hurts a lot.Doctor's answer:
Hello. The impact of uterine fibroids on early pregnancy and labor depends on the size and location of the fibroids. Submucosal fibroids can affect the implantation of the fertilized egg, leading to miscarriage. Large intramural fibroids can cause uterine cavity deformation or insufficient endometrial function, resulting in miscarriage. In the late stages of pregnancy, fibroids can obstruct the ascent of the presenting part, leading to abnormal, low-lying placenta, and birth canal intestinal obstruction, all of which can cause dystocia. After the fetus is delivered, fibroids can cause poor uterine contraction, leading to excessive bleeding. Most uterine fibroids do not cause obvious symptoms and are often discovered during routine health check-ups. Submucosal fibroids and larger intramural fibroids often cause symptoms such as excessive menstrual bleeding or prolonged menstrual periods. Since you have no symptoms, and the fibroids are neither submucosal nor large, you can conceive. Most cases of uterine fibroids in early pregnancy can naturally go into labor, but it is important to pay attention to comprehensive prevention and treatment of postpartum hemorrhage.