Can I get pregnant and have a baby with uterine fibroids?

Patients with uterine fibroids can generally become pregnant and have children, but a comprehensive evaluation is required based on the size, location and symptoms of the fibroids. Uterine fibroids are common benign tumors of the female reproductive system. Most of them do not affect pregnancy, but some may increase the risk of miscarriage and premature birth.

Subserosal fibroids or small intramural fibroids usually have less of an impact on pregnancy. When this type of fibroid does not compress the uterine cavity, most pregnant women can have a normal pregnancy to term. Hormonal changes during pregnancy may stimulate the growth of fibroids, but they tend to shrink after delivery. Regular ultrasound monitoring of dynamic changes in fibroids is key, and reexamination every 8-12 weeks is recommended. If you have mild abdominal pain, try lying on your side to rest and avoid strenuous exercise. Progesterone capsules, dydrogesterone tablets and other drugs are commonly used clinically for miscarriage treatment, but they must be used strictly in compliance with the doctor's instructions.

Submucosal fibroids or intramural fibroids larger than 5 cm in diameter may interfere with embryo implantation. This type of fibroids can easily lead to symptoms such as increased menstrual flow and anemia. It is recommended to undergo hysteroscopic myomectomy before pregnancy. If red degeneration of fibroids occurs during pregnancy, persistent abdominal pain and low-grade fever will occur, and hospitalization will be required for intravenous infusion of antibiotics such as ceftriaxone sodium. The mode of delivery requires individual evaluation. Large fibroids may obstruct the birth canal and require cesarean section. Postpartum complications such as placental adhesion and uterine atony should be alerted to.

Gynecological ultrasound and anemia screening should be performed before preparing for pregnancy, and prenatal check-ups should be strengthened during pregnancy. It is recommended to supplement 0.4-0.8 mg of folic acid daily until the end of the first trimester, and consume more iron-rich foods such as animal liver and spinach. Keep the perineum clean and seek medical attention immediately if symptoms of threatened abortion such as vaginal bleeding or regular contractions occur. The 42-day postpartum review should focus on changes in fibroid size and uterine involution.