For example, submucosal fibroids, which are a type of fibroid that grows and bulges into the uterine cavity, increase your risk for infertility or pregnancy loss. While fibroids may cause infertility for some women, other explanations for infertility are more common.
Talk with your doctor about the size or position of any fibroids you have. Ask if they could cause problems with your attempts to get pregnant or the ability to carry a pregnancy. Likewise, ask your doctor if fibroid treatments can help improve your odds for pregnancy success. During pregnancy, treatment for uterine fibroids is limited because of the risk to the fetus.
Bed rest, hydration, and mild pain relievers may be prescribed to help expectant mothers manage symptoms of fibroids. In very rare cases, a myomectomy can be performed in women in the second half of their pregnancies. This procedure removes fibroids from the outside of the uterus or from within the uterine wall while leaving the uterus intact. Fibroids growing in the uterine cavity are generally left in place due to the possible risks to the fetus.
Treating uterine fibroids before pregnancy may improve your fertility risk. The most common treatments for fibroids that preserve fertility include:. Other treatments are available for women with fibroids who may want to have children in the future. Each treatment carries its own risk and complications, so talk with your doctor about your options.
With some treatments, such as the birth control pill, you can try for pregnancy as soon as you stop using it. For others, there may be a waiting period. You may not have any symptoms of fibroids. If you do have symptoms, the most common symptoms include:. Fibroids may be felt during a pelvic exam.
If your doctor suspects you have the noncancerous growths, they may order an imaging test, such as an ultrasound , to confirm the growths are indeed fibroids and not something else. Uterine fibroids may affect your fertility. While there is a large amount of research on fibroids in non-pregnant patients, data is limited on how fibroids can affect pregnancy.
During pregnancy, fibroids tend to grow in size, but most will shrink by the postpartum period. Thankfully, we do know that most patients with fibroids will have an uneventful pregnancy and delivery.
Having a few small fibroids is rarely cause for concern. However, depending on your fibroids location, size, how many you have, certain problems may occur during pregnancy. Among other issues, fibroids may cause the placental attachment abnormalities, restrict the growth of the baby, increase the risk of preterm delivery, and bottom-down instead of head-down presentation at the time of delivery. What sort of procedures are recommended when you want to get pregnant in the future?
For women experiencing difficulty with uterine fibroids and infertility, there are treatment options that may help. Here at Mayo Clinic, we offer all available options ranging from medications to non-invasive treatments and surgery. Based on your goals and symptoms, this might change. Most women who are concerned about future fertility do choose to do fibroid removal surgery, or it's also known as myomectomy. That said, I recommend seeing a fibroid specialists to help you to choose the best available treatment.
For more information about our fibroid clinic, please go to MayoClinic. If a woman conceives after having a fibroid removed, she should discuss this with the obstetrician who will deliver the baby.
A cesarean section may be recommended. Uterine fibroids are common and can affect fertility in many ways. They can affect whether sperm and egg meet, they can affect whether an embryo can implant, they can affect whether a pregnancy can continue, and they can affect the growth and positioning of the baby. Treatment is decided on a case-by-case basis. It is based on the symptoms of fibroids and may improve overall fertility. Fibroids and Fertility-pdf.
Coppa diagnoses fibroids with a pelvic exam that might include an ultrasound or MRI. Your risk of placental abruption or preterm delivery might also be higher if you have fibroids. Coppa is here to help you have a healthy, full-term baby. Call the location closest to you or request an appointment online today to learn more.
But if your pregnancy is low-risk, exercising can help you feel like yourself again. Learn more about pregnancy-safe exercises and what you should know before you break a sweat. Prenatal care is specialized medical care for pregnant women.
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