What Are Fibroids?
Fibroids (also called myomas or leiomyomas) are non-cancerous lumps that grow in or around the uterus. They vary in size—from tiny seedlings to large masses.
🧬 Effects of Fibroids on Pregnancy
While many women with fibroids have normal pregnancies, some may face complications depending on:
- Size
- Number
- Location
Here’s how fibroids may affect pregnancy:
1. Infertility or Difficulty in Conceiving
- Large fibroids may block fallopian tubes or interfere with embryo implantation.
2. Miscarriage Risk
- Fibroids can increase the risk of early pregnancy loss, especially submucosal fibroids (inside the uterine lining).
3. Preterm Labour
- Fibroids may stretch the uterus, leading to early contractions.
4. Abnormal Position of Baby
- The baby may not settle into the head-down position due to space issues caused by fibroids.
5. Heavy Bleeding & Pain
- Some pregnant women may experience severe pain or bleeding, particularly in the second or third trimester.
6. Cesarean Delivery (C-Section)
- If fibroids obstruct the birth canal or weaken uterine muscles, a C-section may be necessary.
💊 How to Treat or Cure Fibroids?
Treatment depends on symptoms, size, and future pregnancy plans.
✅ Non-surgical Options (for smaller or asymptomatic fibroids):
- Medication:
- Hormonal therapy (e.g., GnRH agonists)
- Anti-inflammatory drugs for pain
- Lifestyle changes: Weight management, low-estrogen diet
🔍 Minimally Invasive Treatments:
- Uterine Artery Embolization (UAE): Blocks blood supply to shrink fibroids (not recommended for women planning pregnancy).
- MRI-guided Focused Ultrasound: Non-invasive fibroid destruction using sound waves.
🩺 Surgical Options:
- Myomectomy (removal of fibroids, uterus preserved):
- Best for women who wish to get pregnant.
- Can be done through laparoscopy (keyhole surgery).
- Hysterectomy (removal of uterus):
- For severe cases where pregnancy is no longer desired.
🏥 When to See a Doctor?
Visit a gynecologist if you experience:
- Heavy/prolonged periods
- Pelvic pain or pressure
- Trouble conceiving
- Pain during intercourse
- Recurrent miscarriages
👩⚕️ Final Advice
Fibroids are manageable, and many women with fibroids go on to have healthy pregnancies. Early diagnosis and personalized treatment with a specialist—like Dr. Neelu Prasad, Gynecologist, AasthaLok Hospital—can help ensure the best outcome for both mother and baby.
