Can pregnant women with uterine fibroids have a normal delivery?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I'm also extremely sensitive to cold and coldness. Can a pregnant woman with uterine fibroids have a natural birth?

Doctor's answer:

Generally speaking, uterine fibroids accompany the pregnant woman until delivery and do not have a significant impact. However, uterine fibroids can change as the pregnancy progresses. Some fibroids may change in position, some may increase in size, and some may develop "red degeneration" due to tissue congestion and thrombosis after pregnancy, leading to symptoms such as abdominal pain and uterine contractions. Since the size and conditions of uterine fibroids vary from person to person, the decision of whether to have a vaginal delivery with uterine fibroids should be made based on the actual situation and under the guidance of a doctor.

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