At this time, some sisters are worried. If you don't have surgery, you have to have a child. You are worried that if you use hormones to prepare for pregnancy and prevent pregnancy, uterine fibroids will become bigger, and if they are still malignant, it will be more serious.
But the operation will take at least three months. In case of infection caused by poor recovery from surgery, the plan to have children can only be postponed, and some sisters with premature ovarian failure may even miss the best birth opportunity.
So when you encounter uterine fibroids during pregnancy, is it surgery first or husband and child?
The first step is to see whether hysteromyoma is benign or malignant.
Sisters in pregnancy really need to consider whether the uterus is benign or malignant. Although the uterus will develop into malignant leiomyosarcoma, according to the research literature:
More than 99% of uterine fibroids are benign, and the incidence of malignant tumors is very low. Malignant sarcoma accounts for about 1% of all hysterectomy, and most of them occur in postmenopausal women aged about 60 or 70.
Many doctors only follow up regularly by B-ultrasound when making plans for the treatment of uterine fibroids. Whether fibroids need surgical treatment depends largely on the symptoms caused by fibroids.
More than half of women with fibroids have no discomfort at all.
Common symptoms caused by fibroids include abnormal bleeding, pelvic pain, compression symptoms (such as frequent urination), infertility, repeated abortion, fibroid degeneration during pregnancy or obstruction of birth canal.
These symptoms have degree problems, some can be observed or controlled by drugs, and some are more serious, so surgical myomectomy should be considered. Many sisters in the nest are difficult to get pregnant, and some are accompanied by premature ovarian failure, so it is necessary to consider the time of surgical recovery.
Most malignant tumors regenerate themselves, not from the original fibroids, and most malignant sarcomas will grow rapidly or B-ultrasound will show degeneration or abnormality.
Therefore, once pregnant girls find uterine fibroids, they must first observe the growth rate of fibroids. If it is confirmed that it is a benign tumor and the growth rate is slow, they can start pregnancy first. It is unlikely that a benign tumor will suddenly become a malignant tumor, but the timing of pregnancy is very precious.
Step 2: The location of uterine fibroids is also very important.
Leiomyoma can be divided into submucosal leiomyoma, intramural leiomyoma and subserous leiomyoma according to the growth position of uterus.
Submucous myoma: a myoma that grows into the uterine cavity. Because menstruation and pregnancy are related to the endometrium of the uterine cavity, the space of the uterine cavity is limited. If the myoma grows in this position, it will usually cause menorrhagia, infertility or abortion.
Submucosal fibroids usually require surgery. This kind of myoma is located in the accessible position of uterine cavity, which is suitable for hysteroscopy.
Subserous myoma: a myoma that grows outside the uterus because of the large space in the pelvic cavity or abdominal cavity.
This kind of myoma usually grows to a large size before it has symptoms. Most inadvertently found subserous fibroids can be followed up regularly by B-ultrasound. If surgery is needed, laparoscopic myomectomy can be considered.
Myomyoma: Myomyoma has a complex effect on fertility. Some studies think it will affect fertility, while others think it won't. Generally speaking, if the myoma is relatively large, it may lead to the distortion of the uterine cavity, which in turn will affect the implantation of the embryo and thus affect the fertility.
Uterine fibroids, surgery first or having children?
Whether surgical resection of uterine fibroids will increase the chances of pregnancy is still controversial in academic circles.
Because the operation of hysteromyoma, especially the resection of intermuscular myoma, is very traumatic to the uterus. If the sutured uterine wound does not heal well, it may lead to uterine rupture during pregnancy.
After myomectomy, it is very easy to cause adhesion at the wound, such as intestinal adhesion, tubal adhesion and even intrauterine adhesion. These problems may be more complicated.
So do you want to do surgical resection for uterine fibroids first? This first needs to consider whether it has caused infertility or abortion, and then need to consider the location and size of fibroids.
However, the sisters who do test tubes need to consider whether the use of drugs has an impact on the growth of uterine fibroids while tuning and promoting ovulation. Therefore, when treating uterine fibroids, be sure to tell your doctor about your pregnancy assistance plan, and the doctor will make a treatment plan after comprehensive evaluation.