Patient's question:
On October 16, 2005, the first physical examination revealed: a median uterus, approximately 42×57×52mm, with uneven distribution of intracavitary echoes, and an endometrial thickness of 10 mm. There was a solid hypoechoic mass on the posterior wall of the uterus, measuring about 3×4×5mm (subserosal). No abnormalities were noted in the bilateral adnexa. Since I am 31 years old this year and wish to conceive in the near future, and I have no symptoms, I am wondering if pregnancy is possible under these circumstances. Thank you, eagerly looking forward.Doctor's answer:
Pregnancy and uterine fibroids have a mutual influence. When pregnancy coexists with uterine fibroids, the fibroids can affect the uterine cavity to some extent, causing deformation of the uterine cavity, pathological changes in the endometrium, and obstruction of the cervical canal. This may hinder the implantation of the fertilized egg and affect the development of the fetus in the uterus, leading to premature birth, miscarriage, and other complications. As the fibroids continue to grow, when they compress the uterus, they may also obstruct fetal development, leading to malposition of the fetus, low-lying or placenta previa. During delivery, if the fibroids obstruct the birth canal, they can reduce uterine contractions, prolonging the labor process. Additionally, after delivery, fibroids can increase the risk of postpartum hemorrhage due to factors such as easy placenta adhesion, difficulty in placenta expulsion, and uterine atony.During pregnancy, women secrete a significant amount of estrogen and progesterone, which can stimulate the growth of fibroids. This can cause the fibroids to grow rapidly and lead to various degenerations, with red degeneration being the most common during pregnancy. As the fibroids rapidly enlarge and become congested, patients may experience abdominal pain accompanied by fever, which can result in adverse outcomes such as fetal death in utero, miscarriage, and premature birth.