Fibroids and Pregnancy

Overview

Fibroids, also known as leiomyomas, are noncancerous tumors that can grow in the womb. While many women with fibroids have no symptoms and may not even realize they have them, in some cases, fibroids can impact fertility and pregnancy. Here's what you need to know about the impact of fibroids on getting pregnant and pregnancy:

Impact on fertility:

• Most women with fibroids can still conceive naturally without any issues.
• However, certain types of fibroids, such as submucosal fibroids that grow into the uterine cavity, can increase the risk of infertility or pregnancy loss.
• Other factors can also contribute to infertility, so your doctor will explore other possible causes before attributing it solely to fibroids.

Risks to pregnancy:

• For most women, fibroids do not significantly affect pregnancy.
• However, in some cases, fibroids can lead to complications during pregnancy:
  • Pain: Larger fibroids (more than 5 centimeters) in the last two trimesters of pregnancy may cause pain.
  • Fetal growth restriction: Large fibroids can restrict the growth of the fetus due to limited space in the womb.
  • Placental abruption: Fibroids blocking the placenta from the uterine wall can lead to reduced oxygen and nutrient supply to the fetus.
  • Preterm delivery: Fibroid-related pain can trigger uterine contractions and result in an early delivery.
  • Cesarean delivery: Women with fibroids are six times more likely to require a cesarean delivery (C-section) compared to those without fibroids.
  • Breech position: The abnormal shape of the womb caused by fibroids may make it difficult for the baby to align properly for vaginal delivery.
  • Miscarriage: Women with fibroids have a higher risk of miscarriage compared to those without.

Reducing risks:

• While you cannot prevent fibroids from developing, maintaining a healthy lifestyle may help lower your risk of experiencing fertility issues or high-risk pregnancies.
• Talk to your doctor about your options for treatment if you have fibroids and wish to start a family. They will assess the size and position of your fibroids and discuss how they might affect conception or pregnancy.
• It's important to remember that each case is unique, so working closely with your doctor is crucial in determining the safest approach for your future pregnancy.

Remember, this information is not a substitute for professional medical advice. If you have concerns about fibroids or their impact on fertility or pregnancy, it's best to consult with your doctor. They will provide personalized guidance based on your specific situation.