Your GP or midwife will be able to give you further information and advice if you have fibroids and are pregnant. Infertility the inability to become pregnant may occur in cases where a woman has large fibroids.
Fibroids can sometimes prevent a fertilised egg attaching itself to the lining of the womb, or prevent sperm reaching the egg, but this is rare. If you have a submucosal fibroid a fibroid that grows from the muscle wall into the cavity of your womb , it may block a fallopian tube, making it harder for you to become pregnant.
Page last reviewed: 17 September Next review due: 17 September Because of these potential problems your doctor may indeed opt to perform a Cesarean section. However, you should know that most doctors will not attempt to remove the fibroid during this surgery for fear of heavy bleeding. If they remain large, continue to grow or cause abnormal bleeding, surgery — or one of the other fibroid treatments such as embolization essentially, cutting off the blood supply to the fibroid so they shrivel up — should be considered at a later date.
If pain develops, or if there is any bleeding or suspicion of premature labor, medication and bed rest may be advised. If the pain becomes severe or a uterine fibroid seems to be growing rapidly, your doctor may recommend a myomectomy fibroid removal , even during the pregnancy.
I myself underwent this type of surgery when I was pregnant with my last child. Thankfully, it turned out to be a pedunculated fibroid — one on a stalk — and was removed without complications during my fourth month of pregnancy. I was put on bed rest for the next four months and ultimately delivered a healthy, seven-pound baby girl.
It is important to have supportive, vigilant prenatal and delivery care. It is published by William Morrow, a division of HarperCollins. PLEASE NOTE: The information in this column should not be construed as providing specific medical advice, but rather to offer readers information to better understand their lives and health. It is not intended to provide an alternative to professional treatment or to replace the services of a physician.
IE 11 is not supported. For an optimal experience visit our site on another browser. Read on to learn more about why fibroids develop and how they affect pregnancy. What are the effects on pregnancy? These include: Fetal growth restriction. Large fibroids may prevent a fetus from growing fully due to decreased room in the womb. Placental abruption. This reduces vital oxygen and nutrients. Preterm delivery. Pain from fibroids may lead to uterine contractions, which can result in an early delivery.
Cesarean delivery. Breech position. Because of the abnormal shape of the cavity, the baby may not be able to align for vaginal delivery. Research notes the chances for miscarriage are doubled in women with fibroids. What are the effects of pregnancy on fibroids? What are the effects of fibroids on fertility? How are fibroids treated during pregnancy? How are fibroids treated before pregnancy to improve fertility? The most common treatments for fibroids that preserve fertility include: Myomectomy.
This surgical procedure is used to remove fibroids. Hormonal birth control pills. But this contraceptive can help ease symptoms of the condition, such as heavy bleeding and painful periods. Intrauterine device IUD. However, it can help eliminate some of symptoms while preserving fertility. Gonadotropin-releasing hormone Gn-RH agonists. It can help shrink fibroids. This procedure uses an electric current, laser, or radio-frequency energy beam to shrink the blood vessels that feed the fibroids.
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