Can I get pregnant with uterine fibroids?

Becoming a mother is what most female friends wish for, but there are many reasons that prevent this from happening, and gynecological diseases are one of them. So, can women with uterine fibroids get pregnant? Can they give birth to a healthy baby? In fact, this mainly depends on the condition of the fibroids. You must know that fibroids will grow rapidly during pregnancy, which will put a heavier burden on pregnant women. Let's find out whether women with uterine fibroids can get pregnant.

Women with uterine fibroids can get pregnant, but it will reduce the success rate of pregnancy. However, patients with uterine fibroids can get pregnant. Uterine fibroids complicated by pregnancy account for 0.5%-1% of fibroid patients. The impact of uterine fibroids on pregnancy and delivery is related to the type and size of the fibroids.

1. Miscarriage. Submucosal fibroids can affect the implantation of the fertilized egg and lead to early miscarriage; excessively large intramural fibroids can cause deformation of the uterine cavity or insufficient blood supply to the endometrium, leading to miscarriage.

2. Abnormal fetal position. Fibroids that grow in a lower position can hinder the descent of the fetal presenting part, resulting in abnormal fetal position, low-lying or previa placenta, birth canal obstruction, etc. in late pregnancy and during delivery.

3. Postpartum hemorrhage. After the fetus is delivered, postpartum hemorrhage is likely to occur due to placental adhesion, large attachment surface or difficulty in expulsion, and poor uterine contraction.

Pregnancy complicated by uterine fibroids can usually result in natural delivery, but postpartum hemorrhage should be prevented. If the fibroids hinder the descent of the fetus and a hard cesarean section is required, whether the fibroids should be removed during the operation depends on the size and location of the fibroids and the patient's condition.

The symptoms of uterine fibroids mainly include irregular menstruation, lumps in the lower abdomen, increased vaginal discharge, compression symptoms, back pain, etc. If you find these symptoms, you should take them seriously to avoid worsening of the condition and affecting the treatment effect. Symptoms of uterine fibroids include the following:

1. Irregular menstruation

Irregular menstruation with increased menstrual flow and prolonged menstrual period is the most common symptom of uterine fibroids.

2. Lower abdominal mass

When the fibroids are small, no lump can be felt in the abdomen. However, when the fibroids gradually increase in size and the uterus exceeds the size of a 3-month pregnancy, they can be felt from the abdomen. Giant submucosal fibroids can prolapse outside the vagina, and patients may seek medical attention due to prolapse of the vulva.

3. Increased leucorrhea

Intramural fibroids increase the area of ​​the uterine cavity, increase the secretion of endometrial glands, and are accompanied by pelvic congestion, which leads to increased leucorrhea. Once submucosal uterine fibroids are infected, there may be a large amount of pus-like leucorrhea. If there is ulceration, necrosis, or bleeding, there may be bloody or purulent vaginal discharge with a foul odor.

4. Compression symptoms

Fibroids in the lower segment of the anterior wall of the uterus can compress the bladder and cause frequent and urgent urination; cervical fibroids can cause difficulty urinating and urinary retention; fibroids on the posterior wall of the uterus (isthmus or posterior wall) can cause symptoms such as lower abdominal distension and discomfort and constipation.

5. Other symptoms

Including lower abdominal distension, back pain, and aggravated menstrual symptoms.