✨ When Fibroid  Location Matters More Than Size

Not all fibroids behave the same.

And not all pregnancy losses are chromosomal.

This was a 12-week pregnancy.

The baby was well.

No obvious fetal abnormalities.

But there was a large fundal fibroid about 12–13 cm.

And the placenta was located directly beneath it.

Over time, the fibroid underwent extensive degeneration and necrosis.

One month later… the pregnancy ended in a missed miscarriage.

💥What can we learn from this?

Most fibroids in pregnancy are harmless.

But when:

• The fibroid is large

• Located at the fundus

• Shares the same implantation site as the placenta

• And undergoes significant degeneration

The uteroplacental environment may be compromised.

Not always dramatically.

Sometimes gradually.

Sometimes silently.

Chronic vascular stress.

Mechanical distortion.

Inflammatory mediators from necrotic tissue.

All can affect placental perfusion.

Yesterday, we performed a myomectomy after about 8 weeks of that miscarriage. 

Not because fibroids always cause miscarriage.

But because in this specific case, anatomy mattered.

And preparation for a safer future pregnancy matters even more.

Medicine teaches us humility.

Sometimes it’s not about doing more.

It’s about understanding better.

Dr Rabab Cares 🤍

#DrRababCares 

#UterineFibroids

 #PregnancyCare 

#PlacentalHealth 

#Myomectomy