🤰Episode 5: Fibroids and Pregnancy
Many women are surprised to learn they have fibroids during pregnancy.
The good news is that most women with fibroids have successful pregnancies and healthy babies.
However, the impact of fibroids during pregnancy depends largely on their size, number, and location.
💥Submucous Fibroids
🔴 Most likely to interfere with pregnancy
These fibroids distort the uterine cavity and may be associated with:
• Difficulty conceiving
• Increased risk of miscarriage
• Problems with implantation.
💥Intramural Fibroids
🟡 May affect pregnancy
Large intramural fibroids can sometimes be associated with:
• Miscarriage
• Pain due to fibroid degeneration
• Preterm labor
• Malpresentation of the baby
• Increased likelihood of cesarean delivery.
💥subserosal Fibroids
🟢 Usually have the least impact on pregnancy.
Because they grow on the outer surface of the uterus, they generally do not interfere with fetal growth or implantation.
However, very large fibroids may occasionally cause discomfort or pressure symptoms.
🧠What Happens to Fibroids During Pregnancy?
Fibroids may increase in size, particularly during the first and second trimesters, due to hormonal changes.
🤰Some women may experience:
• Abdominal pain
• Localized tenderness
• Red degeneration of the fibroid.
Fortunately, many fibroids remain stable and cause no significant complications.
🤔Key Message
Having fibroids does not mean you cannot have a healthy pregnancy.
Most women with fibroids deliver healthy babies, but careful antenatal monitoring is important, especially when fibroids are large, multiple, or close to the uterine cavity.
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