Your fertility specialist can evaluate whether fibroids may be an issue and whether any treatment is needed. Uterine fibroids can affect your fertility in several different ways based on how their size and location changes your uterus, cervix or fallopian tubes. Treatment for fibroids should be based on your individual situation such as the severity of your symptoms and whether there may be other explanations for your infertility. You and your partner should both have a thorough fertility evaluation and discuss the issue with your doctor.
While there are many different treatment options only surgery, often minimally invasive, can eliminate any given fibroid permanently. Other treatments that use ultrasound, electrical energy, embolization or medications can often make a given fibroid smaller, but sometimes only temporarily.
Furthermore, new fibroids may grow after treatment. There is also disagreement over whether treatment will improve your fertility. If you are trying to improve your fertility vs. Research is weak and does not support treatment for other types of fibroids based on comparing outcomes for pregnancy and live birth rates for women receiving treatment and those not receiving treatment.
What is a uterine fibroid? A few examples: Endometrial ablation , a treatment that uses heat or energy to remove the uterine lining altogether, treats the abnormal bleeding associated with fibroids, but also makes it essentially impossible to get pregnant afterwards.
During uterine artery embolization , tiny particles are injected into the arteries leading to the uterus, cutting off blood flow to fibroids. While the treatment can successfully shrink and eliminate fibroid tumors, it can also compromise blood flow to the ovaries, leading to longer term acceleration of the decline in ovarian reserve, and fertility after uterine artery embolization can be affected.
Myomectomy , or surgical removal of fibroids, can cause scarring in the reproductive organs that may impact future fertility. Hysterectomy removal of the uterus is a major surgery used in severe fibroid cases that eliminates the possibility of carrying children in the future, although having a child using your eggs and a gestational carrier may still be possible.
Should women with fibroids freeze their eggs? Bottom line, while fibroids may cause infertility for some women, other explanations for infertility are more common. If you are having trouble conceiving or maintaining a pregnancy, I recommend you see a fertility specialist to explore other possible causes before attributing the issue to fibroids. I tell my patients that fibroids are like real estate. It is all about location and size. It is well-known that larger fibroids, and especially those closer to the inside lining of the uterus, may cause trouble with pregnancy and delivery.
Medium and large sized fibroids can impact surrounding organs by causing pressure on the bladder, bowel, causing symptoms like frequent urination, difficulty emptying the bladder, and constipation. Because uterus sits close in close proximity to rectum and bladder, medium and large sized fibroids may pressure these organs.
It isn't inherently dangerous, however, these fibroids can lead to uncomfortable symptoms and even pain. What will happen to my fibroids if I become pregnant? Any complications that can happen during pregnancy? While there is a large amount of research on fibroids in non-pregnant patients, data is limited on how fibroids can affect pregnancy.
During pregnancy, fibroids tend to grow in size, but most will shrink by the postpartum period. Thankfully, we do know that most patients with fibroids will have an uneventful pregnancy and delivery. Having a few small fibroids is rarely cause for concern. However, depending on your fibroids location, size, how many you have, certain problems may occur during pregnancy. Among other issues, fibroids may cause the placental attachment abnormalities, restrict the growth of the baby, increase the risk of preterm delivery, and bottom-down instead of head-down presentation at the time of delivery.
What sort of procedures are recommended when you want to get pregnant in the future?
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