Is pregnancy dangerous with uterine fibroids?

Pregnancy with uterine fibroids can be risky, but in most cases the pregnancy is safe. Uterine fibroids are common benign tumors of the female reproductive system. The risk during pregnancy is related to the size and location of the fibroids and whether they cause complications.

Uterine fibroids during pregnancy usually do not directly affect fetal development, but may increase pregnancy risks. Fibroids that are small and located between the uterine muscle walls often have no obvious symptoms, and pregnant women only need regular ultrasound to monitor changes in the fibroids. Some pregnant women may experience mild abdominal pain or pressure, which can be relieved by adjusting their sleeping position and avoiding strenuous exercise. If the fibroids are located under the mucosa or are large in size, they may interfere with embryo implantation or cause abnormal placental position. It is necessary to increase the frequency of prenatal check-ups and monitor fetal growth indicators.

Rarely, fibroids can cause serious complications. Red degeneration of fibroids can cause persistent abdominal pain and low-grade fever, requiring hospitalization for analgesic treatment. Submucosal fibroids may cause recurrent vaginal bleeding and increase the risk of miscarriage or premature birth. Giant fibroids may cause abnormal fetal position or obstruction of the birth canal, requiring cesarean section to terminate the pregnancy. Hormonal changes during pregnancy may stimulate the rapid growth of fibroids. If severe abdominal pain accompanied by vomiting occurs, you need to be alert to the torsion of the fibroid pedicle.

It is recommended that those who find uterine fibroids before pregnancy undergo a gynecological evaluation. Submucosal fibroids may be removed by hysteroscopy before preparing for pregnancy. During pregnancy, you should maintain a balanced diet and take appropriate amounts of high-quality protein and iron to prevent anemia. Avoid supplements that may contain estrogen, and have monthly ultrasounds to monitor fibroid size and fetal development. If you have persistent uterine contractions, vaginal bleeding or abnormal fetal movements, you must seek medical attention immediately.