There are two types of fibroids and pregnancy: fibroids that are pregnant and fibroids that are trying to get pregnant. If you are “pregnant with fibroids” first, if you are “trying to get pregnant with fibroids”, skip to the second half.
”Pregnant fibroids”
(i.e. fibroids during pregnancy)
”There are two types of fibroids: those that were not known to have fibroids, and those that were known to have fibroids. If you know that you have fibroids, you can refer to “fibroids that you want to get pregnant”, but in this case, you usually have already struggled with it, and you are prepared for it.
If you didn’t know about the fibroids before, but found them after you got pregnant, you will often struggle with “will they degenerate”, “will they miscarry”, “will the fibroids grow”, “will they affect the delivery”, “will the fibroids affect the delivery”, and “will the fibroids affect the delivery”. “Will it affect the delivery?” and “Can I have the surgery at the same time as the cesarean?” And other questions. One by one steak!
1.Will it change sex?
Answer: It is possible, but not all fibroids will be denatured.
How can not change sex?
Answer: I don’t know, try it!
What are the symptoms of degeneration?
Answer: abdominal pain, high fever, nausea and vomiting, etc.
What should I do if I have a sex change? Do I need surgery?
Answer: no surgery, either tolerate, or symptomatic medicine. If you have pain, stop the pain, if you have high fever, reduce the fever. No surgery unless it is absolutely necessary.
How to prevent degeneration?
Answer: No need to prevent, and can not be prevented, who knows what it wants to do ah.
Red degeneration of uterine fibroids: It is common during pregnancy and puerperium. The onset of the disease may be due to elevated estrogen levels, excessive growth of the fibroids, and the blood supply not keeping up, necrosis and bleeding occurring in the center, making the fibroids expand rapidly and causing pain, fever, elevated white blood cells and other manifestations. It is also thought to be caused by degenerative vascular degeneration. Most red degeneration in pregnancy can resolve spontaneously with conservative treatment for one to two weeks. In individual cases where progressive exacerbation cannot be relieved, surgery may be resorted to, but surgery may lead to miscarriage, or risk of uterine rupture, therefore, surgery is the next best thing and should not be done as a last resort. Given that there is no good treatment, if degeneration occurs in early pregnancy, preservation of the pregnancy is usually not recommended, and conservative treatment after termination of pregnancy followed by elective surgery for fibroids is recommended.
The incidence of fibroids in pregnancy combined with uterine fibroids tends to increase with the age of childbirth, but only about 0.5% to 1.2% of them undergo degeneration. This figure fully tells us that although it is painful to have fibroids degenerate, it is not right to be afraid of pregnancy because of the fear of degeneration.
2.Will it miscarry?
The risk of miscarriage due to fibroids exists, but there are not many cases of miscarriage simply because of fibroids. The risk of miscarriage may be higher for interstitial fibroids, which cause more obvious morphological changes in the uterine cavity. The simplest way to think about it is, “We’ll never know until we try, should we not have this baby because we are afraid?”
What can be done to prevent miscarriage?
The answer is no. But if there are signs of miscarriage, you can consider the treatment of birth control, the method of birth control, and ordinary birth control drugs are similar.
3.Will the fibroids grow?
Uterine fibroids usually grow during pregnancy because the uterus is growing and the fibroids are growing with it. Likewise, after delivery, the uterus shrinks and so do the fibroids. Therefore, for fibroids found during pregnancy, the size of pregnancy should not be used to determine whether surgery is needed.
4.Does it affect the normal delivery? Can a cesarean section be performed at the same time?
In principle, it is possible to have a normal delivery without obstruction of the birth canal. The cesarean delivery while removing fibroids is limited to when the fibroids obstruct the surgical operation, because the pregnant uterus tends to bleed, so this matter cannot be forced and depends on fate.
”Fibroids that want to get pregnant”
(i.e. fibroids found before pregnancy)
The detection of fibroids before pregnancy is a little more complicated and includes various conditions of fibroids. Therefore it is necessary to talk about fibroids themselves, their classification, symptoms of fibroids, treatment of fibroids, and decisions related to pregnancy.
Uterine fibroids are classified by number, single fibroids, and multiple fibroids.
By location, they are classified as submucosal fibroids, subplasma fibroids, interstitial fibroids, and cervical fibroids.
The symptoms of fibroids are closely related to the location of fibroids.
Many people do not understand the difference between submucosal fibroids and subplasmic fibroids, which is a big difference.
The most common symptom of fibroids is – no symptoms, followed by menstrual changes
The symptoms of fibroids vary greatly, and can be asymptomatic or have many symptoms. The most important symptom is bleeding, heavy menstruation, and prolonged periods. In addition, compression of the bladder may cause frequent urination, compression of the rectum may cause constipation, and some may have lower abdominal pain. Combined endometriosis and adenomyosis often cause significant menstrual pain. Simple myomas may also cause dysmenorrhea, although it is not as severe. The degree of bleeding caused is closely related to the relationship between the fibroid and the endometrium.
The symptoms of multiple fibroids are related to the location of the specific individual fibroids.
Treatment of fibroids: Surgery is the main treatment.
The most common “treatment” strategy for fibroids is – no treatment!
All kinds of drugs that claim to cure fibroids are there to make you contribute to the GDP! You can believe it, if you really have no place to spend your money.
Therefore, the first step in discovering fibroids is to determine if there is an indication for surgery. The indications for surgery for fibroids are related first to symptoms and second to size.