Can suffer from the uterine fibroids be pregnant?
The uterine fibroids is one species positive uterus tumor, very familiar in the women grow age.Fibroids growth part such as the stress oviduct, uterine tube, Fallopian tube affect sperm, ovum of the movement will result in a sterility.Once can pregnancy, expect fibroids along with the growth of uterus in the Yun, particularly after the Yun metaphase quickly grow up, the occurrence”degeneration”, creation abdominal pain, fever etc. symptom.The uterine fibroids sometimes also easily results in abotion, premature delivery.Generally speaking get the women of uterine fibroids, the fibroids can be with the pregnancy in the true conjugate diameter, anteroposterior diameter 4 Li rices following.But the pregnancy ex- uterine fibroids grow up a true conjugate diameter, anteroposterior diameter more than 4 Li rices already, the Yun period grow up, occurrence degeneration and result in the opportunity increment of abotion, premature delivery;Or fibroids true conjugate diameter, anteroposterior diameter although the shortage is 4 Li rices,the growth part be not good, such as in the temple antrum, or the temple be jugular up, or oppress an oviduct, uterine tube, Fallopian tube influence a sterility an etc. circumstance, had better do surgical operation first to pick and get rid of fibroids again be pregnant.Any reproductive life women who has uterine fibroids must after the gynecologist of check again determination whether pregnancy.
Uterine fibroids Introduction
Uterine fibroids are noncancerous growths of the uterus that often appear during your childbearing years. Also called fibromyomas, leiomyomas or myomas, uterine fibroids aren’t associated with an increased risk of uterine cancer and almost never develop into cancer.
As many as three out of four women have uterine fibroids, but most are unaware of them because they often cause no symptoms. Your doctor may discover them incidentally during a pelvic exam or prenatal ultrasound.
In general, uterine fibroids cause no problems and seldom require treatment. Medical therapy and surgical procedures can shrink or remove fibroids if you have discomfort or troublesome symptoms. Rarely, fibroids can require emergency treatment if they cause sudden, sharp pelvic pain.
Uterine fibroids Signs and symptoms
When signs and symptoms are present, the most common uterine fibroids symptoms include:
- Heavy menstrual bleeding
- Prolonged menstrual periods or bleeding between periods
- Pelvic pressure or pain
- Urinary incontinence or frequent urination
- Constipation
- Backache or leg pains
Rarely, a fibroid can cause acute pain when it outgrows its blood supply. Deprived of nutrients, the fibroid begins to die. Byproducts from a degenerating fibroid can seep into surrounding tissue, causing pain and fever. A fibroid that hangs by a stalk inside or outside the uterus (pedunculated fibroid) can trigger pain by twisting on its stalk and cutting off its blood supply.
Fibroid location influences your signs and symptoms:
- Submucosal fibroids. Fibroids that grow into the inner cavity of the uterus (submucosal fibroids) are thought to be primarily responsible for prolonged, heavy menstrual bleeding.
- Subserosal fibroids. Fibroids that project to the outside of the uterus (subserosal fibroids) can sometimes press on your bladder, causing you to experience urinary symptoms. If fibroids bulge from the back of your uterus, they occasionally can press either on your rectum, causing constipation, or on your spinal nerves, causing backache.
Uterine fibroids Causes
Uterine fibroids develop from the smooth muscular tissue of the uterus (myometrium). A single cell reproduces repeatedly, eventually creating a pale, firm, rubbery mass distinct from neighboring tissue.
Fibroids range in size from seedlings, undetectable by the human eye, to bulky masses that can distort and enlarge the uterus. They can be single or multiple, in extreme cases expanding the uterus so much that it reaches the rib cage.
Doctors don’t know the cause of uterine fibroids, but research and clinical experience point to several factors:
- Genetic alterations. Many fibroids contain alterations in genes that code for uterine muscle cells.
- Hormones. Estrogen and progesterone, two hormones that stimulate development of the uterine lining in preparation for pregnancy, appear to promote the growth of fibroids. Fibroids contain more estrogen and estrogen receptors than do normal uterine muscle cells.
- Other chemicals. Substances that help the body maintain tissues, such as insulin-like growth factor, may affect fibroid growth.
Uterine fibroids Risk factors
There are few known risk factors for uterine fibroids, other than being a woman of reproductive age. Other factors include:
- Heredity. If your mother or sister had fibroids, you’re at increased risk of also developing them.
- Race. Black women are more likely to have fibroids than are women of other racial groups. In addition, black women have fibroids at younger ages, and they’re also likely to have more or larger fibroids.
Inconclusive research
Research examining other potential risk factors has been inconclusive. Although some studies have suggested that obese women are at higher risk of fibroids, other studies have not shown a link.
In addition, limited studies once suggested that women who take oral contraceptives and athletic women may have a lower risk of fibroids, but later research failed to establish this connection. Researchers have also looked at whether pregnancy and giving birth may have a protective effect, but results remain unclear.
When to seek medical advice
See your doctor if you have:
- Pelvic pain that doesn’t go away
- Overly heavy or painful periods
- Spotting or bleeding between periods
- Pain with intercourse
- Difficulty emptying your bladder
- Difficulty moving your bowels
Seek prompt medical care if you have severe vaginal bleeding or sharp pelvic pain that comes on suddenly.
Uterine fibroids:Screening and diagnosis
Uterine fibroids are frequently found incidentally during a routine pelvic exam. Your doctor may feel irregularities in the shape of your uterus through your abdomen, suggesting the presence of fibroids.
Ultrasound
If confirmation is needed, your doctor may obtain an ultrasound — a painless exam that uses sound waves to obtain a picture of your uterus — to confirm the diagnosis and to map and measure fibroids. A doctor or technician moves the ultrasound device (transducer) over your abdomen (transabdominal) or places it inside your vagina (transvaginal) to obtain images of your uterus.
Transvaginal ultrasound provides more detail because the probe is closer to the uterus. Transabdominal ultrasound visualizes a larger anatomic area. Sometimes, fibroids are discovered during an ultrasound conducted for a different purpose, such as during a prenatal ultrasound.
Other imaging tests
If traditional ultrasound doesn’t provide enough information, your doctor may order other imaging studies, such as:
- Hysterosonography. This ultrasound variation uses sterile saline to expand the uterine cavity, making it easier to obtain interior images of the uterus. This test may be useful if you have heavy menstrual bleeding despite normal results from traditional ultrasound.
- Hysterosalpingography. This technique uses a dye to highlight the uterine cavity and fallopian tubes on X-ray images. Your doctor may recommend it if infertility is a concern. In addition to revealing fibroids, it can help your doctor determine if your fallopian tubes are open.
- Hysteroscopy. Your doctor inserts a small, lighted telescope called a hysteroscope through your cervix into your uterus. The tube releases a gas or liquid to expand your uterus, allowing your doctor to examine the walls of your uterus and the openings of your fallopian tubes. A hysteroscopy can be performed in your doctor’s office.
Imaging techniques that may occasionally be necessary include computerized tomography (CT) and magnetic resonance imaging (MRI).
Other tests
If you’re experiencing abnormal vaginal bleeding, your doctor may want to conduct other tests to investigate potential causes. He or she may order a complete blood count (CBC) to determine if you have iron deficiency anemia because of chronic blood loss. Your doctor may also order blood tests to rule out bleeding disorders and to determine the levels of reproductive hormones produced by your ovaries.
