Can I have children with fibroids?

  What can cause fibroids?  It is well established that uterine fibroids are hormone-dependent tumors that are related to female hormones, so they tend to occur in women of childbearing age and tend to increase rapidly during pregnancy, while most of them stop growing or even shrink after menopause. In addition, some patients have a family history, that is, there is a certain family gathering phenomenon.  Can a patient with fibroids get pregnant?  The incidence of uterine fibroids is very high, and it is reported that about 20% of women over 35 years old suffer from this disease. Most fibroids do not require special treatment and do not affect pregnancy, but there are some special parts of fibroids that do affect pregnancy.  Will pregnancy affect normal fetal development?  Usually, fibroids do not directly affect the growth and development of the fetus, but pregnancy with fibroids is a high-risk pregnancy, and fibroids can have an adverse effect on both pregnancy and delivery. Submucosal fibroids can cause miscarriage if they prevent the development of a fertilized egg, and large interstitial fibroids can cause deformation of the uterine cavity and miscarriage. Large fibroids can cause fetal malposition, fetal growth restriction, placental hypoplasia or placental abruption. During labor, they may obstruct the birth canal and interfere with the descent of the fetal previa, and cause prolonged labor and postpartum hemorrhage due to weak uterine contractions. The incidence of puerperal infection is also relatively high. These conditions can directly endanger the safety of the mother and indirectly affect the normal development and health of the fetus.  What treatment should be done before pregnancy in patients with uterine fibroids?  Cases in which surgery is recommended before pregnancy: those who are currently infertile and cannot exclude fibroids as the culprit; those who have been pregnant in the past and have failed to achieve their wishes because of fibroids; cervical fibroids, submucosal fibroids, fibroids compressing the fallopian tubes; anemia and abdominal cramps caused by fibroids, abnormal urination and defecation due to pressure symptoms, and those who do not exclude fibroid malignancy. The following are recommended Pregnancy is recommended after surgery.  What advice do you have for patients diagnosed after pregnancy?  Since you are pregnant, you should not give up lightly. In case of myoma red degeneration, most of the pregnancies can be successfully treated conservatively, but in case of myoma torsion, surgery is necessary.