I am pregnant. Will uterine fibroids affect the fetus?

Patient's question:

I am pregnant. Will uterine fibroids affect the fetus? What should I do?

Doctor's answer:

For pregnant women, it is a happy thing, but if they suffer from uterine fibroids during pregnancy, they need to pay attention. Uterine fibroids can cause miscarriage in the early stages of pregnancy and lead to difficult labor in the later stages.
Recommendations:
If a woman has uterine fibroids that are less than 5 cm in diameter and located in the subserosal layer, they generally do not affect pregnancy. However, if a woman has uterine fibroids that grow before pregnancy and their diameter exceeds 5 cm, they may continue to grow during pregnancy, especially with the possibility of malignant transformation. Additionally, this may lead to miscarriage or premature birth.
For some women, even if the uterine fibroids are less than 5 cm in diameter, their location may be problematic, such as within the uterine cavity or on the cervix. This can compress the fallopian tubes, requiring timely treatment. After the fibroids are cured, pregnancy can be considered.

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