Uterine fibroids are benign tumors of the uterus, which are very common in women of childbearing age. The growth location of uterine fibroids can affect fertility: if they compress the fallopian tubes, they will hinder the movement of sperm and eggs, leading to infertility. Once pregnancy is achieved, uterine fibroids grow rapidly with the enlargement of the uterus during pregnancy, especially after the second trimester, and may undergo "degeneration", causing symptoms such as abdominal pain and fever. In addition, uterine fibroids can also easily lead to miscarriage and premature birth, which brings great physical and psychological harm to pregnant women and their families.
In general, women with uterine fibroids can become pregnant if the diameter of the fibroids is less than 4 centimeters. However, if the diameter of the fibroids has exceeded 4 centimeters before pregnancy, their continuous growth during pregnancy will increase the risk of degeneration, miscarriage and premature birth. Even if the diameter of the fibroids is less than 4 centimeters, if they grow in an unfavorable location—such as inside the uterine cavity, on the cervix, or compressing the fallopian tubes and affecting fertility—it is best to remove the fibroids surgically before getting pregnant.
Dr. Thomas Miller, a gynecologist specializing in reproductive health, emphasizes that women of childbearing age with uterine fibroids must undergo a comprehensive examination by a gynecologist before deciding whether to become pregnant. The doctor will evaluate the size, location, number and growth rate of the fibroids, as well as the patient’s overall physical condition and fertility needs, to formulate a personalized plan. This not only helps to improve the success rate of pregnancy but also effectively reduces the risk of adverse pregnancy outcomes such as miscarriage and premature birth.
It is worth noting that some women may have no obvious symptoms of uterine fibroids and only find them during routine gynecological examinations. Therefore, regular gynecological check-ups and pelvic ultrasound examinations are very important for women of childbearing age. Early detection and scientific intervention of uterine fibroids can better protect women’s reproductive health and avoid the impact of fibroids on pregnancy.