Fibroid Removal in Pregnancy
Uterine Fibroids and Pregnancy
Uterine fibroids are non-cancerous growths that grow within the muscle tissue of the uterus. Around 20-50 % of women impacted by uterine fibroids are of childbearing age.
While patients with uterine fibroids might get pregnant and have natural deliveries, a number of research studies have recommended that the size and location of the fibroid within the uterus might damage fertility and cause pregnancy problems that might emerge due to fibroid development in the uterus.
Myoma during pregnancy may lead to a number of issues.
Uterine fibroids and pregnancy problems include:
- Bleeding during the first trimester
- Placenta Displacement – Increased estrogen might cause accelerated fibroid development. If the fibroid grows during pregnancy then there is a risk that it will move or tear the placenta.
- Caesarian Section – Multiple fibroids located in the lower part of the uterus might obstruct the birth canal. In this case a caesarian birth is required.
- Premature Labor – A pregnant woman with uterine fibroids is at greater risk of premature delivery, depending on the location and shape of the fibroid(s).
- Miscarriages – Fibroids might serve as an obstruction in the uterus which avoids the embryo from developing and eventually causes a miscarriage.
Treating Uterine Fibroids During Pregnancy
Usually, uterine fibroids are not removed during pregnancy due to the enhanced risk of hemorrhage. It is possible that in between weeks 12-22 the blood supply to the fibroid may stop causing it to redden and die, this is called “Red Degeneration”.
When this happens it causes extreme abdominal discomforts and contractions which might lead to premature labor or perhaps miscarriage.
In spite of the various complications, numerous patients with uterine fibroids, who do get pregnant, have a typical pregnancies and successful deliveries.
Other Options to Treat Uterine Fibroids During Pregnancy
If you are already in the vicious trap of symptoms such as heavy menstrual bleeding, pain and difficulty in developing, you can insist your physician to describe to you, the various treatments that are offered for fibroids.
The last call will be taken by your healthcare service provider taking a look at the seriousness of the condition. The primary kinds of fibroid throughout pregnancy treatment available are as below:
1. Hormone-Balancing Drugs
Drugs that release a hormonal agent called gonadotrophin may be recommended. This hormone acts like a counteroffensive to your estrogen levels, lowering the production and consequently restricting the possibility of more fibroids growing.
- Gonadotrophin based drugs likewise help in shrinking the size of the existing fibroids.
- These drugs, also known as GnRHas are either prescribed through injection, nasal spray or implants that are put under your skin.
- GnRHas drugs have heavy side effects that lead to hot flashes, dry vaginal area and weaker bones. Hence these are provided over a long stretch of 3 to 6 months.
This is a surgical procedure that is utilized to eliminate the fibroids through operation. Throughout this treatment, a surgery is performed with the aid of laparoscopy or hysteroscopy.
- The healing time from a myomectomy largely depends upon the size of the fibroids eliminated.
- For larger fibroids, the duration to recuperate is quite long where after you will be suggested a stringent bed rest for many number of days.
- Myomectomy is extremely beneficial for women who are seriously preparing to conceive and have kids.
- Nevertheless, there is no assurance that fibroids will not grow back once again.
3. Endometrial Resection Or Ablation
An endometrial resection or ablation is a non surgical process. This treatment is mostly used for the treatment of submucosal fibroids that grow in the inner lining of the uterus.
- Throughout this procedure, the endometrial tissue from the inner lining is surgically gotten rid of, in the area where the fibroid is growing.
- After the conclusion of treatment, women can attempt developing again.
Myolysis is a procedure that is carried out with a keyhole surgery using a laparoscope or hysteroscope.
- A sonogram or MRI is then utilized to detect the specific position of the fibroid.
- The cosmetic surgeon will then insert a needle probe or electric current into the fibroid to cauterise both the fibroid and the surrounding capillary.
5. Uterine Artery Embolisation (UAE)
This procedure is performed by a skilled radiologist, who will use the magnetic resonance imaging (MRI) scan to spot the location of the fibroid.
- The MRI will also reveal a clearer view of all the blood vessels surrounding the fibroid.
- The radiologist will then inject a plastic plug into the blood vessel to cut off the blood supply to the growing fibroid.
- This is a reliable treatment where fibroids are diminished entirely. This procedure also can not ensure that fibroids will never return again.
- Most women may have to repeat the procedure after couple of years once there is another start.
- Unlike myomectomy or endometrial resection, UAE does not ensure as whether women who go through the procedure will develop again.
In most of the cases, fibroids are absolutely nothing more than pain in the stomach. Therefore, there is no need to stress unless the symptoms are causing too much issue in your pregnancy.
When & How to Remove Fibroids During Pregnancy
Can fibroid removed during pregnancy? What other say:
¤ It is exceptionally rare to have them removed during pregnancy. It truly should not be done as the threats to you and the baby are ineffective.
¤ I recently found out that my fibroid is growing. It’s a fundal fibroid and it’s using up a good portion of the left side of my uterus and the baby is on the right. It has def. grown b/c at 8 weeks I had an ultrasound and I might plainly see the baby. Yesterday the doc had to search for it b/c the fibroid had actually grown. I fidgeted initially but then saw the baby and the heartbeat. I asked if I needed to have it removed and I was informed that the baby takes top priority now. So the fibroid remains as painful as it is. As long as the baby is healthy, I’m happy and will draw it up. I’m hoping the baby goes to term and I have the alternative for a vaginal birth.
¤ Just to let everyone know, in the end everything went fine. Although the fibroid remained to grow and I also ended up with 3 other children, I never ever needed to have them eliminated. Likewise, the Doctors (i got two viewpoints and both were the exact same) said that there would be no chance that I could give birth naturally due to the positions of the fibroids and remained to validate this the way up to my 32week, then lo and behold I turn 35 weeks and they say ah baby has moved them out of the method you will be giving birth naturally … which was excellent news but extremely frightening viewing as i had not ready myself mentally but all was well brought to life a gorgeous baby kid in my 36th week, natural no medications woop woop! so to all you who have problems like these, don’t get too stressed, it can all turn out ok in the end.