Treatment of uterine fibroids combined with pregnancy

The uterus is a reproductive organ unique to female friends. Often due to improper care and living habits of women, it is particularly easy to cause some diseases. Uterine fibroids are the most common gynecological disease for women. If not treated in time, it is particularly easy to cause disease lesions, leading to the occurrence of cancer. Pregnancy during this period will have a great impact on women's physical health, and to a large extent lead to miscarriage and the gradual increase of uterine fibroids, which will have a great impact on women's physical and mental health. If such symptoms occur, they must be treated in time. We must master its treatment method. Let's learn about the treatment method of uterine fibroids combined with pregnancy.

Uterine fibroids are the most common benign tumors in the female reproductive organs and one of the most common tumors in the human body. They are also called fibroids, uterine fibroids, and uterine leiomyoma. If a patient with uterine fibroids becomes pregnant, the hormonal changes in the body after pregnancy will stimulate the uterine fibroids, causing them to increase in size during pregnancy, making them more susceptible to fibroid degeneration and increasing the risk of miscarriage, premature birth, cesarean section, and postpartum hemorrhage. The harm of uterine fibroids to pregnancy mainly depends on the size, location and number of uterine fibroids.

Treatment of uterine fibroids combined with pregnancy

1. Pre-pregnancy consultation and treatment

If the uterine fibroids are non-submucosal and are 4 cm in diameter, they are prone to induce degeneration and miscarriage (premature birth) during pregnancy. It is recommended to undergo a uterine fibroid removal before pregnancy and then become pregnant.

2. Pregnancy monitoring

Regular B-ultrasound check-ups during pregnancy should be performed to understand changes in the fibroids. Generally, fibroids will increase significantly during pregnancy. If there are no symptoms, no treatment is needed.

3. Treatment of uterine fibroid degeneration during pregnancy

If the patient's fibroids degenerate during pregnancy, causing uterine contractions, hospitalization is required and antibiotics can be given. If the uterine contractions are obvious, drugs that inhibit uterine contractions can be given.

4. Childbirth

If the fibroids do not block the birth canal, vaginal delivery is possible. However, uterine contractions and progress should be monitored during labor. If uncoordinated contractions or weak contractions occur and treatment is ineffective, a cesarean section may be required. Be alert to placental adhesion after delivery and postpartum hemorrhage caused by poor uterine contractions.

5. Cesarean section

It is suitable for patients whose birth canal is blocked by uterine fibroids or who have other obstetric indications for cesarean section. The size of uterine fibroids can be detected during the operation. Because fibroids are rich in blood vessels and have unclear boundaries during pregnancy, they can easily cause heavy bleeding during peeling. Therefore, it is not recommended to perform myomectomy during cesarean section, unless it is a subserosal fibroid or a pedunculated fibroid, which can be removed during cesarean section because of its low surgical risk.

The above is an introduction to the treatment of uterine fibroids complicated by pregnancy. After understanding it, we know that this symptom has a particularly great impact on women's physical and mental health. In order to be able to get effective relief, it is not difficult to find through the treatment methods that there are many ways to treat it. However, when choosing a method, we must check it in combination with our own physical condition, and go to the hospital for regular prenatal check-ups throughout the pregnancy.