Can I get pregnant if I have uterine fibroids?

Uterine fibroids are a common disease among women. Generally, obesity or family inheritance may lead to the occurrence of uterine fibroids. Some women are found to have uterine fibroids after examination, but then they find out that they are pregnant. This makes women feel very entangled. They don’t know whether they can have children after getting pregnant with uterine fibroids. Is it possible to have children after getting pregnant with uterine fibroids?

Can I get pregnant if I have uterine fibroids?

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.

What are the symptoms of uterine fibroids?

First, uterine bleeding: It is the main symptom of uterine fibroids. Among them, cyclical bleeding is the most common, which can manifest as increased menstrual volume, prolonged menstrual period or shortened cycle. Uterine bleeding is more common with submucosal fibroids and intramural fibroids.

Second, abdominal mass and compression symptoms: the mass is solid, movable and non-tender. When the fibroids grow to a certain size, they can cause compression symptoms on surrounding organs, such as frequent urination and urgency.

Third, pain: Generally, uterine fibroids do not cause pain, but many patients may complain of a feeling of heaviness in the lower abdomen and pain in the waist and back.

Fourth, increased leucorrhea: enlargement of the uterine cavity, increase in endometrial glands, and pelvic congestion can cause increased leucorrhea.

Fifth, infertility and miscarriage: Some patients with uterine fibroids are infertile or prone to miscarriage. The impact on conception and pregnancy outcomes may be related to the growth site, size and number of the fibroids.

To sum up, it is possible to get pregnant with uterine fibroids, but it will also affect the baby, so it is very important to prevent uterine fibroids. Girls should pay attention to personal hygiene and have regular physical examinations. Obesity is the main factor causing uterine fibroids. Friends who are too obese should control their weight.