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Preconception Care: How do fibroids impact your chances of pregnancy?

Fibroids are non-cancerous growths in the uterus, it is common condition in women. While they rarely cause serious health problems.

Well, it depends on individual cases but you should have a detailed knowledge of fibroids and their impact on your health to seek medical attention at the right time.

Understanding fibroids

  • Fibroids are made of muscle and fibrous tissue.
  • They can vary greatly in size – from undetectable to grapefruit-sized.
  • Fibroids can grow inside the uterine cavity (submucosal), within the muscle wall (intramural) or outside the uterus (subserosal).

Symptoms of fibroids

Some women don’t exhibit any symptoms of having fibroids at all. Those who have the symptoms, they commonly complain of:

  • Lower back pain
  • Constipation
  • Heavy and painful periods
  • Bleeding and spotting in between periods
  • Anaemia, caused by excessive bleeding
  • Pain during intercourse
  • Frequent urination
  • Difficulty in emptying your bladder

Impact of fibroids on fertility

  • Most women with fibroids can conceive naturally. However, the location and size of fibroids can play a role.
  • Submucosal fibroids protruding into the cavity may hinder implantation of a fertilised egg.
  • Large fibroids can distort the uterine shape, influencing sperm motility and egg transport. It can also restrict foetal growth due to decreased space in the womb.
  • The placenta can also break away from the uterine wall if it’s blocked by a fibroid.
  • Fibroids can also trigger uterine contractions, leading to premature delivery.
  • Fibroids may increase the risk of miscarriage, especially submucosal ones.
  • Fibroids may sometimes necessitate a caesarean section delivery.

When to take medical advice?

Consult your healthcare provider if you have fibroids and are trying to conceive.

Seek medical advice if you experience:

  • Heavy or prolonged menstrual bleeding
  • Pelvic pain or pressure
  • Difficulty getting pregnant

Fibroids are completely treatable

  • Doctors typically diagnose fibroids through pelvic exams, ultrasounds or MRI scans.
  • Treatment depends on the severity of symptoms and your desire for pregnancy.
  • Options include medications to shrink fibroids, minimally invasive procedures like uterine artery embolization or surgical removal of fibroids (myomectomy).

You can have a healthy pregnancy with fibroids too!

  • Prenatal care is crucial for women with fibroids who are pregnant.
  • Regular checkups allow healthcare providers to monitor potential complications.
  • Maintaining a healthy weight and lifestyle can optimize pregnancy outcomes.
  • In vitro fertilisation (IVF) may be recommended for women with infertility due to fibroids, especially if other treatments have been ineffective.

If you have fibroids it doesn’t mean that you can't get pregnant. Talk openly with your healthcare provider about your specific situation and individual risks. Together, you can create a plan to help you achieve a healthy pregnancy. There are medicines available to help you with the common symptoms of fibroids and a guided medical assistance is effective for healthy pregnancy with fibroids.

Sources:
Healthline
Mayo Clinic
UT Southwestern Medical Center
WebMD