How to treat uterine fibroids during pregnancy

The incidence of uterine fibroids is increasing, especially for women who have not given birth, have sexual dysfunction, or are depressed. Experts say that excessive hormone secretion is the most common cause of uterine fibroids. So how to treat uterine fibroids during pregnancy?

How to treat uterine fibroids during pregnancy?

The treatment of uterine fibroids during pregnancy should be determined based on factors such as the month of pregnancy, size of the uterine fibroids, and clinical manifestations.

1. Treatment of uterine fibroids in early pregnancy

Intervention of uterine fibroids in early pregnancy can easily lead to miscarriage, so it can be delayed until the second trimester.

If the uterine fibroids are large in early pregnancy, it is estimated that there is a high chance of complications if the pregnancy continues, and termination of pregnancy is recommended. If the patient requires an artificial abortion, the pregnancy can be terminated first, and a uterine fibroid removal can be performed in the short term, or an artificial abortion and myomectomy can be performed at the same time.

2. Treatment of uterine fibroids during mid-pregnancy

① For patients with uterine fibroids less than 6 cm in diameter and without symptoms, regular prenatal examinations are recommended and most of them do not require special treatment.

② When the diameter of uterine fibroids is greater than 6 cm, the fibroids may continue to grow as the uterus grows. Large fibroids are prone to reddening and stimulate uterine contractions or peritoneal irritation symptoms. At this time, obstetricians only recommend bed rest and the use of analgesics for protective treatment. It is rarely recommended to perform uterine fibroid removal surgery during pregnancy, and uterine fibroid removal surgery is only performed when necessary.

3. Treatment of uterine fibroids in late pregnancy

Small uterine fibroids do not need to be treated. If the diameter of the uterine fibroids is greater than 8 cm, but there are no symptoms, cesarean section can be performed at full term, and uterine fibroid removal surgery can be performed at the same time. Because large uterine fibroids may not only affect uterine contraction, abnormal labor force and delayed labor, but also increase the possibility of postpartum placental retention, postpartum hemorrhage and postpartum infection than normal mothers. The best way of delivery is elective cesarean section, and cesarean section and fibroid removal surgery are performed at the same time.