How to get pregnant when there are present uterine fibroids?

Posted by on Jul 6, 2017 in Diseases & Dysfunctions |

How to get pregnant when there are present uterine fibroids?

Let’s call fibroids tufts or groups of benign tumors (i.e. non-cancerous) growing on the the uterine walls. The female reproductive system is vulnerable to it. In medical terminology, fibroids are denoted as leiomyoma (benign tumor of smooth muscle), fibromyoma (nonmalignant tumor of connective tissue) and myoma (benign tumor composed of muscle tissue). This is different from the usual four types (intramural, subserosal, submucosal and cervical) under which fibroids are categorized based on their location in the uterus.

Intramural fibroids are the most commonly occurring ones growing on the inside walls of the uterus. The subserosal types are large and found on the outer uterine wall. Submucosal (submucosa is the connective tissue beneath mucous membrane) fibroids sometimes extend into the womb growing under the inner lining of the uterine wall, while for cervical fibroids, it is the walls of the cervix uteri i.e. the neck-like opening to the uterus.

Fibroids being typically asymptomatic (show no symptoms) it becomes difficult if one has it. It is estimated that anything between 20% and 80% women have fibroids and 99% of these are benign. However, if there’s heavy and/or prolonged menstrual bleeding (menorrhagia), there stays a probability of fibroids playing nasty. Fatigue, anemia, a continuous pain in the pelvic region during menstruation, pain during intercourse, constipation, hemorrhoids and urinary incontinence are a few other tell-tale symbols (not symptoms) of fibroids.

Fibroids are thought to be a part of almost every woman aged between 35 and 50, taking seed after puberty and nourished by excess/imbalanced hormonal levels. They shrink once menopause sets in; however; the number and size of fibroids are genetically determined, if not by obesity. This is different from fibroids increasing in size due to higher estrogen levels during pregnancy. Whether you have fibroids is detectable only with a smear test or an ultrasound scan is taken.

Some people link fibroids with infertility, but the intramural and the subserosal types do not affect significantly like the other two, often causing miscarriages. But then again, the degree of complications depends more on the location of the fibroids and rarely did they result in adverse effects. One of that was an increased risk of pre-term delivery; others are a prolonged/non-progressing labor, baby in breech position making normal/vaginal delivery difficult and the breaking of placenta from the uterine wall, which cuts down oxygen to the fetus. The remedy to this is a C-section.

A rule of thumb in this context is: Never disturb the fibroids unless they are causing any inconvenience. If they do, then there are medications to mitigate them before manifestations occur through severe symbols. That may call for surgical methods like myomectomy (fibroids removed from the uterus), hysterectomy (surgical removal of the entire uterus), uterine artery embolisation (fibroids are shrunk by limiting their blood supply), myolysis (fibroids are destroyed with extreme cold or heat transferred through a needle) and endometrial ablation (the mucous membrane lining the uterus is removed; turns women permanently infertile).

One good thing about fibroids is there is less than one percent of cases where the changed to cancer or may give rise to potential complications (in the first trimester), like a miscarriage.