Myoma, or fibromyoma, is called a benign tumor from the connective tissue that results from spontaneous cell division. The most common cause of uterine fibroids are hormonal disorders. Women who learned about their diagnosis are usually worried about whether it is possible to realize the childbearing function and how the fibroid affects pregnancy.
Is pregnancy possible with myoma?
The possibility of conception with myome depends on a number of factors. First, the location of the myoma is taken into account. Interstitial myoma and pregnancy are often not compatible. Tumors of this kind grow on the inner shell of the uterus and prevent conception. Spermatozoa settle on the myoma, and not meeting with the egg in the fallopian tubes. Myomatous nodes deform the uterine cavity, squeeze the fallopian tubes, ovaries and disrupt ovulation. Sometimes the tumor is located on the outer shell or in the muscle layer and grows towards the abdominal cavity. This is a subserous uterine myoma, and pregnancy with it is quite possible, since deformities and obstacles for the movement of spermatozoa are not created.
Secondly, the possibility of conception depends on the size of the myoma. The fact is that a large tumor in any case deforms the uterine cavity, regardless of its type. Any increase in the uterus is usually indicated by the corresponding weeks of gestation in size. With a myome, whose size is less than 12 weeks, conception is quite possible.
Sometimes it happens that in the office of ultrasound confused pregnancy with fibroid. This is quite possible, because a small tumor and a fetal egg are very similar. Such diagnoses, as a rule, are rechecked after a while by another specialist.
Myoma during pregnancy and childbirth
As a rule, with small myomatous nodes, there are no special problems in the early stages of pregnancy. Quite often the first months the future mother suffers without complications, because the disease does not manifest itself. Difficulties can appear in the event that the placenta forms in close contact with a myoma. But pregnancy with fibroids often ends in spontaneous miscarriage. The tumor releases substances that lead to a reduction in the muscular fibers of the uterus, and the pregnancy is interrupted.
With uterine myoma during pregnancy in the second and third trimesters there is a risk of premature birth. In addition, the possibility of abortion does not decrease. This is due to the fact that for an ever growing fetus, there is less and less room in the uterus due to myoma nodes. There is an influence on the growth and development of the fetus. Because of the squeezing of a large tumor, often the fetus develops torticollis and deformation of the cranial bones. Influence of fibroids on pregnancy appears on the placental circulation, because of which the fetus suffers from a lack of oxygen and nutrients.
With a successful combination of uterine fibroids and pregnancy for nine months, birth can be complicated due to improper presentation of the fetus. Therefore, a caesarean section is shown, as a result of which a tumor can be removed.
Treatment of fibroids in pregnancy
For a small-sized myoma, no treatment is required. It is only necessary to observe the tumor, in order to take timely measures, if the myoma begins to grow. In pregnancy, the increase in uterine production provokes anemia, or lack of iron.
If a woman has a large fibroids or her growth is progressive, the child's planning is better to be postponed. There is a high probability of abortion and premature birth. Surgery is necessary. However, pregnancy after removal of fibroids is possible with small tumors. Unfortunately, after removal of large myomatous nodes, the genital function will not always be preserved.