Patient's question:
Can women with uterine fibroids get pregnant? How can they take care of themselves? I was diagnosed with this disease last year and have been too afraid to have a baby. I don't know if it will affect the baby, and I don't know if any of my friends who haven't been pregnant are also affected.Doctor's answer:
This depends on the size, location, and growth rate of the uterine fibroid. The location where the uterine fibroid grows can lead to varying degrees of control symptoms. Uterine fibroids during pregnancy affect both early pregnancy and labor. Submucosal fibroids can obstruct the implantation of the fertilized egg or cause early miscarriage. Larger intramural fibroids during early pregnancy are prone to miscarriage due to mechanical obstruction or uterine cavity deformity. During pregnancy, the uterus becomes engorged with blood, tissues swell, and smooth muscle cells hypertrophy, gradually increasing in size as labor approaches. Rapid shrinkage of fibroids during pregnancy can lead to red degeneration, causing severe abdominal pain accompanied by nausea, vomiting, fever, and a decrease in white blood cell count. For fibroids of a certain diameter without symptoms, regular prenatal check-ups are recommended to monitor for red degeneration. Most pregnant women can deliver vaginally without special intervention.