Fibroids & Pregnancy
Fibroids can both interfere and also complicate pregnancy.

• They may interfere with conception (getting pregnant).

• They may cause abortion.

• They may interfere with the position of the baby in the uterus.

• They can cause premature labour.

• They can cause more pain during pregnancy.

• They may cause obstruction of labour.

• They can cause heavy bleeding after birth.

• They can enhance anaemia (low haemoglobin).

• Internal examination by the gynecologist.

• Ultrasound - The quickest way.

• MRI (Magnetic Resonance Imaging).

• Hysterography.

• In non-pregnant women: Small symptom-free fibroids should be observed and measured with the ultrasound every six months.

• Fibroids, if large, can be removed surgically, if they are causing complications then a hysterectomy (the removal of the uterus) becomes necessary.

• Most fibroids need no treatment.

• Partial removal of the uterus wall is done, if the fibroid is localized.

• Abnormal, heavy bleeding causing anaemia.

• Severe pain in the pelvic area.

• Urinary tract interference, like urinary retention i.e. the bladder cannot be fully emptied. Frequency and urgency of urination - the patient is just going to and fro to the bathroom day and night, sometimes wetting their underwear.

• Infertility.

• Rapid increase in size.

• Sudden growth of the fibroid after or during menopause.