Women health

If you have fibroids, how can you get pregnant?

If you're having trouble conceiving due to fibroids, read this.

While most specialists feel that fibroids do not prevent conception, they can make it difficult to conceive. It also depends on the fibroid's size and location. Pregnancy is difficult in the presence of fibroids since these non-cancerous growths are present in the uterus. Other commonly asked questions about fibroids can be found here.

Fibroids can be asymptomatic, which means they don't cause any symptoms. They can also cause painful periods, heavy and prolonged bleeding, frequent urination, back soreness, pelvic pain, and infertility. This isn't to claim that everyone with fibroids will have trouble getting pregnant. Only around a third of women with fibroid may experience fertility problems. The following are five of the most common causes of female infertility.

Fibroids: Can They Affect Your Pregnancy?

Fibroids come in a variety of sizes and forms. It could be the size of a pea or the size of a ball. They are usually quite small, and if there are no symptoms, they are less likely to create difficulties during pregnancy. According to Dr. Bandita Sinha, gynecologist and fertility specialist at World of Women in Navi Mumbai, "it is rare to see a large fibroid that is symptomatic and may cause a difficulty during conception."

When should you be worried about fibroids?

If you're trying to get pregnant, you should know where your fibroid is and how it can impair conception and fertility. The following is how fibroids are named based on their location:

Fibroids in the intramural space

The most common types of uterine fibroids are those that develop within the uterine wall. They enlarge the uterus and may be the cause of copious or uncomfortable bleeding. They might also make it difficult to conceive.

Fibroids in the submucosa

Fibroids develop beneath the uterus's inner lining. They can change the lining or endometrial, making it more difficult to conceive. They can also induce painful or heavy periods.

Fibroids in the subserosal space

Fibroids that grow outside of the uterus might bulge or extend into the pelvis, exerting pressure on the intestines and bladder.

Cervical fibroids             

Develop in the uterus's neck, as the name implies.

Usually, the fibroids aren't large enough to obstruct fertilization. Submucosal fibroids, on the other hand, can make pregnancy difficult. By degrading the uterine lining, these fibroids can deform the curvature of the uterus and interfere with egg implantation. Even if implantation occurs, fibroids can cut off the egg's blood supply, resulting in a miscarriage. After the first trimester, there are five reasons for miscarriage.

If you're having trouble conceiving and ultrasound finds fibroids in your uterine lining, talk to your doctor about how to get them treated to improve your chances of getting pregnant. When a patient has submucosal fibroids, a treatment to remove the fibroids and make conception easier is recommended. Dr. Beena Jeysingh, Consultant, Obstetrics and Gynecology, Motherhood Hospitals, Bengaluru, adds that because fibroids disrupt the uterine lining, it's difficult to carry a baby to term even if you conceive without treating them beforehand.

What should you do if you've become pregnant despite having a fibroid?

Even if you have a fibroid, you might be able to conceive. It's preferable to be aware of the ramifications once your sonography result indicates them. The majority of fibroids do not require treatment. However, a surge in estrogen during pregnancy can encourage the growth of existing fibroids. This, in turn, may have an effect on the embryo's development. Medications are usually used to stop fibroid growth so that it does not interfere with your pregnancy.

What is the treatment for a fibroid?

If you discover you have a submucosal fibroid before becoming pregnant, you will need a laparoscopy to remove the fibroids. However, if your fibroids are discovered during an ultrasound after conception, your doctor may advise you to wait and watch so that the fibroid may be monitored. They are usually too tiny to interfere with embryonic development. If it becomes too large and causes danger to the baby, treatment or procedure is recommended, depending on how it affects the fetus and the pregnancy as a whole.


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