Patient's question:
All symptoms: I have had uterine fibroids for 2 years, and now I am pregnant. I want this child, but the other day when I went to the community for an ultrasound, there was still some fluid accumulation. The uterine fibroids were also 39mm and 27mm. Can I keep this child?Onset time and cause: Treatment history: I get an ultrasound every year, but there is no treatment.
Doctor's answer:
Hello, the incidence of uterine fibroids combined with pregnancy is relatively high. Pregnancy's impact on uterine fibroids is mainly acute abdominal pain caused by red degeneration, while the impact of fibroids on pregnancy: submucosal fibroids can obstruct the implantation of the fertilized egg, leading to infertility or early miscarriage. Larger intramural fibroids combined with pregnancy may easily lead to miscarriage due to mechanical obstruction or uterine cavity deformity. If red degeneration occurs, the pregnant woman may experience severe abdominal pain, nausea, and vomiting. Conservative treatment and symptomatic management can usually alleviate the symptoms. Larger fibroids can cause abnormal fetal position, restricted fetal growth, placenta previa, etc. During delivery, they may obstruct the birth canal, leading to dystocia, or cause uterine inertia, resulting in prolonged labor and postpartum hemorrhage. However, this only occurs in a very small number of patients. Most pregnant women with uterine fibroids can deliver naturally, and the fetal development is not affected. However, postpartum hemorrhage should be after delivery. Regular prenatal examinations are necessary to dynamically monitor changes in the fibroids and the development of the fetus. If a cesarean section is performed during delivery, the fibroids can be removed at the same time.