[:es]Miomas en el embarazo[:]

Fibroids in pregnancy, how to treat them properly? Valencia

Since fibroids are usually found in young women, the diagnosis may be made during ultrasound monitoring of pregnancy. In this case, it is very important to individualize each case since the vast majority of women do not need any treatment and can carry on with their pregnancy without major inconveniences.

In any case, given that fibroids grow due to estrogen stimulation, and that these are very high during pregnancy, it is possible that fibroids tend to grow as pregnancy progresses.

Diagnosis of fibroids in pregnancy

Diagnosis is initially made by ultrasound. The fibroid may already be known prior to pregnancy or it may be diagnosed at the time of performing an ultrasound as part of the pregnancy monitoring.

Fibroids can grow during pregnancy (due to higher maternal estrogen levels).

Fibroids can grow during pregnancy (due to higher maternal estrogen levels). Therefore, it is essential that, in the same way that the growth of the baby is controlled, the evolution of fibroids during pregnancy is also controlled ultrasound. Thus, in certain cases, it is necessary to perform an MRI, a study that is perfectly compatible with pregnancy.

Consequences of fibroids in pregnancy

Almost all women who have fibroids go through their pregnancy without any consequences.

In any case, in very special circumstances, they can cause some type of complication in relation to their size and location in the uterus.

Complications of fibroids during pregnancy abortion.
Preterm delivery.
Altered fetal growth.
Complications during childbirth
hemorrhages.
Difficulty in fetal descent during labor if the fibroid partially occludes the birth canal.
Alteration in uterine contractions.
Treatment of fibroids in pregnancy

The only possible treatment is surgical removal and should be reserved for exceptional cases:

  • Altered fetal growth.
  • Maternal pain that cannot be controlled with analgesics compatible with pregnancy.

Vaginal delivery is not usually contraindicated unless, due to the location of the fibroid, it occludes the birth canal. After birth, the fibroid tends to reduce significantly in size or even disappear. Otherwise, it is advisable to remove them to avoid complications in future pregnancies.

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