This procedure removes fibroids from the outside of the uterus or from within the uterine wall while leaving the uterus intact. Fibroids growing in the uterine cavity are generally left in place due to the possible risks to the fetus. Treating uterine fibroids before pregnancy may improve your fertility risk. The most common treatments for fibroids that preserve fertility include:. Other treatments are available for women with fibroids who may want to have children in the future.
Each treatment carries its own risk and complications, so talk with your doctor about your options. With some treatments, such as the birth control pill, you can try for pregnancy as soon as you stop using it.
For others, there may be a waiting period. You may not have any symptoms of fibroids. If you do have symptoms, the most common symptoms include:.
Fibroids may be felt during a pelvic exam. If your doctor suspects you have the noncancerous growths, they may order an imaging test, such as an ultrasound , to confirm the growths are indeed fibroids and not something else. Uterine fibroids may affect your fertility. They may also impact your ability to carry a pregnancy successfully.
However, most women will experience no fertility issues or pregnancy complications as a result of these tumors. If you have fibroids and wish to start a family, talk with your doctor about your options for treatment and your risks.
Likewise, a healthy lifestyle , which includes maintaining a healthy weight, may lower your risk for fertility issues and high-risk pregnancies. Surgery may be an effective treatment for symptomatic fibroids. There are three types of surgery your doctor may recommend depending on the size…. Vaginal cramps are often part of period pain. But they can also be a result of an infection, allergic reaction, or chronic condition.
How can you tell…. Hello Rory offers treatments for a wide range of health concerns, from skin issues to reproductive health and more. Overall, reviews of Rory are quite…. Vaginal peeling can be caused by many conditions and may include vaginal itching, burning, or swelling.
Accurate diagnosis is important for effective…. Menorrhagia is the clinical term for a heavy or abnormally long menstrual flow. A doctor can help identify an underlying cause and come up with a…. Most women who have fibroids will not face infertility as a result.
If there are problems, a woman and her partner should find out if there are other factors involved prior to seeking treatment for fibroids. Your fertility specialist can evaluate whether fibroids may be an issue and whether any treatment is needed. Uterine fibroids can affect your fertility in several different ways based on how their size and location changes your uterus, cervix or fallopian tubes.
Treatment for fibroids should be based on your individual situation such as the severity of your symptoms and whether there may be other explanations for your infertility. You and your partner should both have a thorough fertility evaluation and discuss the issue with your doctor.
While there are many different treatment options only surgery, often minimally invasive, can eliminate any given fibroid permanently.
Other treatments that use ultrasound, electrical energy, embolization or medications can often make a given fibroid smaller, but sometimes only temporarily. Furthermore, new fibroids may grow after treatment. There is also disagreement over whether treatment will improve your fertility.
Many people with uterine fibroids wonder if getting fibroids treated or removed will improve their fertility. Most people with uterine fibroids are able to become pregnant without treatments. Some fibroids can make conceiving difficult or cause miscarriage, depending on their location, size, and type.
If the fibroids distort the inside of the uterus, this can affect implantation. If fibroids obstruct the fallopian tube, cervix, or uterine cavity, this may block the migration of sperm and prevent fertilization of the egg. If you have fibroids and are struggling to conceive, it is important to undergo a basic fertility evaluation to determine the cause of infertility and determine what treatments may be needed. Your doctor may also refer you to a fertility clinic, where you and your partner can be evaluated by a reproductive endocrinologist RE who may run additional tests to confirm the cause of infertility and discuss the next steps with you.
Once the cause of infertility is identified, your OB-GYN or RE will recommend potential treatments to help you become and stay pregnant. If fibroids are affecting your ability to become pregnant, you may want to consider treating or removing them.
While hormonal contraceptives are generally prescribed to prevent heavy menstrual bleeding and do not have an effect on fibroids themselves, GnRHa medications can help reduce the size of fibroids. They are usually used short term to shrink fibroids before surgery. Myomectomy is the surgical removal of fibroids from the uterus. It is the best fibroid treatment for people who are trying to or want to become pregnant. Myomectomy may improve your chances of pregnancy if you have submucosal fibroids, but not if you have other types of fibroids.
It is unclear if removing fibroids improves fertility or prevents pregnancy complications. Some studies show positive outcomes after these procedures, but more research is needed. Uterine artery embolization UAE is a procedure that involves threading a thin tube into the blood vessels that supply blood to the fibroid s. Plastic or gel particles are injected into the blood vessels to block blood supply to the fibroid, causing it to shrink.
While pregnancy is possible in some people after UAE, it is not recommended for people who desire future pregnancy. There are also natural fibroid treatments that you may want to consider. Most people with fibroids have normal pregnancies carried to term. Having fibroids does not necessarily mean your pregnancy will be high risk.
Your OB-GYN will monitor your pregnancy closely and will work with you to look out for signs of any potential problems. Whether fibroids should be removed before pregnancy depends on many factors, including location, size, and number of fibroids, as well as your past and current health history. Most fibroids do not interfere with pregnancy or grow during pregnancy. Most people with fibroids have normal pregnancies without complications. This can increase the chances of requiring a cesarean section to deliver the baby.
Heavy bleeding, painful periods, a feeling of fullness in the lower stomach, and frequent urination are all symptoms of fibroids. The only way to be certain you have fibroids is to see your doctor. Uterine fibroids are a common problem. They often do not affect fertility or cause pregnancy complications, but they may due to location, size, and other factors.
There are treatment options that may preserve fertility. Uterine fibroids may affect your fertility and impact your ability to carry a pregnancy.
However, most people with fibroids are able to conceive and carry a pregnancy full term. If you have uterine fibroids and your fertility is on your mind, talk with your OB-GYN to discuss your treatment options and next steps. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Epidemiology and management of uterine fibroids. Int J Gynaecol Obstet. American Society for Reproductive Medicine.
Fibroids and fertility. Updated Uterine fibroids: burden and unmet medical deed.
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