Patient: Examination and laboratory tests: uterus is median, size 41*58*40mm3, irregular morphology, uneven texture, a moderate hypoechoic nodule 39*42*34mm3 was detected in the left wall, part of the margin was close to the endometrium, blood flow signal was detected. The endothelium was 9mm with uneven echogenicity. The left ovary was 31*17*20mm3 in size and the right ovary was 36*17*18mm3 in size. Treatment: The doctor advised to get pregnant first and observe afterwards. When the baby is born, the fibroids will be removed by the way. I don’t know if I should get pregnant first or get treatment first. I’m afraid that if I get treatment, it will take two years to recover and I’m not sure if I’ll get pregnant, so please help me to see. Shao Feng, Department of Gynecology and Oncology, Zhejiang Cancer Hospital: In your case, the fibroid is located between the muscle wall, near the endometrium, the size of the fibroid is not small, if you are pregnant, there are three possibilities to affect the pregnancy. Secondly, when the placenta happens to be located near the fibroids during pregnancy, the growth rate of the fibroids is not synchronized with the growth of the uterus, and placental abruption occurs at the placental bed, which affects the pregnancy, and thirdly, the fibroids grow and are located near the birth canal, so the child cannot come out. Cesarean delivery is needed. Therefore, if you are pregnant, you need to review regularly for any of the above conditions and deal with them as appropriate. If the fibroids are treated first, because they are located near the mucosa, when they are removed, they may enter the uterine cavity and endometriosis may occur. 2 years of postoperative recovery is needed because there are scars on the uterus after surgery, which do not take that long to recover, and when the uterus is contracted and under great tension during birth, it is easy to rupture. 2 years later, pregnancy is usually not affected. Patient: Thank you, doctor.