Uterine fibroids, although benign tumors, can raise concerns for pregnant women or those wishing to conceive. Their impact on fertility and pregnancy deserves particular attention. Their existence can pose challenges depending on their size and location. In this article, explore the different types of fibroids, their symptoms, as well as practical advice for navigating this delicate period in a woman’s life.
What is a uterine fibroid?
Uterine fibroids, also known as myomas or fibromyomas, are non-cancerous tumors that develop on the wall of the uterus. Frequently encountered in women of childbearing age, they affect about 8.8% of women between 30 and 55 years old, according to studies. These fibroids can appear in various forms and sizes, ranging from the size of a pea to a melon.
The different types of uterine fibroids
There are mainly three types of fibroids: intramural fibroids, which grow within the uterine muscle; subserosal fibroids, which are found outside the uterus, often attached by a small stalk; and submucosal fibroids, which form just under the uterine lining. Each of these types can present various symptoms and interfere with pregnancy in distinct ways.
Possible symptoms of fibroids
A woman with fibroids may experience abdominal pain, a feeling of heaviness in the lower abdomen, irregular bleeding, or even heavy menstruation. These symptoms can sometimes lead to complications during pregnancy, particularly due to pressure on the bladder or intestines.
Impact of uterine fibroids on fertility
In many cases, fibroids do not affect fertility. However, their size and location can create obstacles to fertilization or implantation of the egg in the uterus. This is particularly true for submucosal fibroids that distort the uterine cavity. When discovered during a fertility evaluation, they should be carefully assessed to determine their influence on conception.
Practical advice for pregnant women and couples wishing to have a child
If fibroids are diagnosed, it is crucial to consult a gynecologist. Depending on their appearance, size, and location, the healthcare professional may recommend different approaches, including a possible myomectomy to remove the fibroids while preserving the uterus. Regular monitoring during pregnancy to ensure the absence of complications can also be beneficial. Prenatal classes and support groups can help manage stress and promote a positive mindset, thus contributing to a serene pregnancy.
Women are encouraged to ask questions about their health and to inquire about treatment options. Open communication with their partner can also help alleviate concerns, creating an atmosphere of mutual support during this time.
In the context of a pregnancy accompanied by a fibroid, it is good to stay attentive to one’s body. Keeping track of symptoms can be helpful during medical consultations. Having a clear birth plan, including concerns related to the fibroids, is also a good practice to consider with the medical team.
Uterine fibroids, while they can pose challenges, do not prevent most women from successfully carrying their pregnancies. Medical and emotional support is essential to navigate this experience with confidence.
