Uterine Fibroids and Pregnancy: What to Expect?

For some women, pregnancy can be complicated by the presence of uterine fibroids. These noncancerous growths in the uterus can raise concerns and questions for expectant mothers. Understanding the interaction between fibroids and pregnancy, as well as what to expect during this time, is crucial for a smooth and healthy gestation period. Learn more from a high-risk pregnancy doctor in Dum Dum.

What are uterine fibroids? 

These are benign tumours that develop within the muscular wall of the uterus. While many women with fibroids may remain asymptomatic, others might experience symptoms such as heavy menstrual bleeding, pelvic pain, frequent urination, and difficulties with conception or maintaining a pregnancy.

What happens when a woman gets pregnant in the presence of uterine fibroids? 

When a woman with fibroids becomes pregnant, the impact can vary. In some cases, fibroids might enlarge due to increased estrogen levels during pregnancy, potentially causing discomfort or complications. The location and size of fibroids can influence how they affect a pregnancy. Submucosal fibroids, which tend to grow into the uterine cavity, may increase the risk of miscarriage or difficulties during childbirth.

During the first trimester, expectant mothers with fibroids might experience heightened concerns about miscarriage. Studies suggest that certain types of fibroids could be linked to a higher risk of miscarriage, although many women with fibroids have successful pregnancies without complications.

As the pregnancy advances, the uterus expands to accommodate the growing fetus. For women with fibroids, this growth might trigger pain or discomfort due to pressure on surrounding organs. In some instances, fibroids could interfere with the baby’s position, potentially leading to complications during labour or necessitating a cesarean section (C-section).

However, not all pregnancies involving fibroids end in complications. Many women successfully carry their pregnancies to term and deliver healthy babies without significant issues. Regular prenatal check-ups and monitoring by healthcare providers are crucial in such cases. These appointments allow for the tracking of both the baby’s development and the fibroids’ behaviour throughout the pregnancy.

Treatments

Generally, high-risk pregnancy specialists prioritize managing symptoms rather than attempting to remove the fibroids during pregnancy. Pain management and monitoring for any signs of complications are essential components of care.

Postpartum, some women might notice changes in their fibroids. In certain cases, fibroids might shrink after pregnancy, particularly after menopause, when estrogen levels decrease. However, for others, these growths may persist or even grow larger.

Conclusion

While fibroids can pose challenges, many women with these growths have successful pregnancies. Understanding the potential complications, being vigilant about symptoms, and maintaining regular communication with the best high risk pregnancy doctor can help ensure a healthy pregnancy journey for the mother and the baby.