Patient's question:
NoDoctor's answer:
Uterine fibroids are fleshy tumors that grow on the uterus and are classified into three types based on their growth location: subserosal, intramural, and submucosal. When intramural and submucosal fibroids occur, they can cause infertility. This is because intramural fibroids, if large and extending into the uterine cavity, can alter the shape of the cavity and affect its anatomical relationships. Particularly when they grow near the uterine cornua, they can block the fallopian tubes or impede the upward movement of sperm, hindering the combination of sperm and eggs, and may also lead to ectopic pregnancy or miscarriage. Submucosal fibroids occupy the uterine cavity, similarly affecting the combination of sperm and eggs, and can also cause ectopic pregnancy and miscarriage. However, not all women with uterine fibroids are unable to conceive. If the fibroids are small and grow near the serosa, pregnancy is still possible. During pregnancy, due to the rich blood supply of the uterus, fibroids may grow faster and may also undergo red degeneration, causing pain, or even lead to preterm labor. Therefore, women with uterine fibroids who wish to conceive should consult a doctor before planning pregnancy to determine if they are suitable for pregnancy and to seek medical advice. If the fibroids are too large, it is recommended to have them removed first, and then conceive after recovery. If there are submucosal fibroids, they should be removed first under hysteroscopy before pregnancy. For women with uterine fibroids and pregnancy, it is important to choose an experienced doctor for diagnosis and treatment, undergo regular prenatal examinations, and develop a reasonable treatment plan and delivery method. Additionally, decisions should be made about whether to remove the fibroids during a cesarean section, which can help prevent miscarriage, postpartum hemorrhage, malposition of the fetus, and uterine rupture.