The effect of myoma on fertility

The desire for parenthood and infertility affects the lives of many couples. Those who face difficulties in conceiving or carrying a pregnancy often encounter challenges related to infertility. In many cases, health factors may be behind these problems, requiring thorough investigation. Specialists at fertility centers can assist in diagnosing the situation and finding appropriate treatment options.

Causes of Female Infertility

Female infertility can be attributed to various causes, one of which is fibroids, benign tumors that form from the muscle tissue of the uterus. Fibroids can occur in various sizes and locations, and they can affect fertility as well as the course of pregnancy. Knowing the accurate diagnosis and appropriate treatment methods is essential for women planning to conceive.

The impact of fibroids on fertility is a complex issue that can be concerning for many women. It is important for couples to be aware of their options and the potential problems caused by fibroids so that they can make the best decisions regarding parenthood.

The Impact of Fibroids on Fertility

Fibroids, these benign tumors, can influence female fertility in different ways. These formations are located in or near the uterine wall, and depending on their size and location, they can cause problems. Fibroids can affect the implantation of a fertilized egg into the uterine lining, leading to miscarriage or preterm birth.

Particularly, fibroids located within the uterine cavity can pose significant obstacles during pregnancy. When a fibroid is directly beneath the uterine lining, it can disrupt the embryo’s implantation. Additionally, fibroids located within the uterine cavity can block the fallopian tubes, leading to infertility. Therefore, the size and location of fibroids play a key role in how much they affect a woman’s fertility.

During pregnancy, fibroids can also grow, as hormonal changes can stimulate tumor development. Even small fibroids can grow rapidly, causing pain and other complications. Generally, the removal of fibroids during pregnancy is not recommended unless they threaten the mother’s life. The best solution for treating fibroids is to diagnose them before pregnancy and, if necessary, surgically remove them.

Complications from Fibroids During Pregnancy

During pregnancy, fibroids can cause numerous complications that affect the health of both the mother and the fetus. The presence of fibroids can cause pain as they may exert pressure on surrounding tissues. If the pain intensifies or bleeding occurs, urgent medical intervention may be necessary.

The location of fibroids also determines the outcome of the pregnancy. For example, if a fibroid is located in the lower part of the uterus, it may obstruct the birth canal during delivery, necessitating a cesarean section. Moreover, fibroids can cause problems not only during delivery but throughout the entire duration of the pregnancy, potentially leading to early contractions.

The risk of placental abruption may also increase, especially if the fibroid is large and located near the site of placental attachment. Complications may also arise during the postpartum period, such as delayed placental detachment, which can lead to significant blood loss.

When is Treatment for Fibroids Necessary?

Before treating fibroids, it is important to understand that not every fibroid requires intervention. Fibroids located on the outer surface of the uterus generally do not affect fertility. However, if these fibroids cause symptoms or exceed 7-8 cm in size, it may be worth removing them before pregnancy.

In the case of fibroids located within the uterine wall, if they reach sizes of 3-4 cm, laparoscopic or open abdominal surgery is recommended. Fibroids located within the uterine cavity can cause infertility regardless of their size, so they should also be removed. During surgical interventions, it is advisable to prefer less invasive solutions.

It is crucial for every woman to pay attention to fibroids, especially if they cause symptoms, grow rapidly, or if there is a risk of malignancy. Proper medical supervision and regular check-ups can help in the timely detection of problems.

New Treatment Options and Medical Advice

In recent years, new therapeutic methods have emerged for the treatment of fibroids, but they are not applicable in all cases. For instance, the embolization of blood vessels supplying fibroids under X-ray control is not recommended for women planning to conceive. Currently, there is not enough information regarding how ultrasound treatment of fibroids affects fertility and subsequent pregnancies.

In any case of gynecological complaints, it is advisable to consult a specialist immediately, as the diagnosis and treatment of fibroids are essential for maintaining women’s health. Regular check-ups are particularly important, as some fibroids can become malignant. Symptoms associated with fibroids, such as cramps, pain, or changes in the menstrual cycle, may be warning signs.

Thus, the treatment of fibroids is a complex task that requires thorough medical evaluation. For healthy family planning, it is advisable for women to educate themselves about the effects of fibroids and possible treatment options to make the best decisions.