Taking into account incidence of fibroma in women of childbearing age, it should be noted that the conditions for the development of fibromatous formations often occur during pregnancy. Due to the fact that the disease is asymptomatic, most fibroids are diagnosed for the first time in pregnant women.
According to statistics, the incidence of uterine fibroids during pregnancy is 2.6%. It should be borne in mind that fibroma can interfere with the implantation of the embryo and its development, as well as cause spontaneous abortion. Also, fibroids during pregnancy can cause premature contractions due to additional stimulation of uterine contractions.
Assumptions that uterine fibroids grow faster during pregnancy were disproved in recent studies. Only in 30% of pregnant women the fibroid increased in size. The development of complications due to the presence of fibroma is directly proportional to the growth of formation, and also depends on hormonal changes associated with pregnancy. A disproportionate increase in the size of fibroids can lead to bleeding.
An increase in fibroma during pregnancy is associated not only with increased cell proliferation, but also because of their hypertrophic status. A decrease in volume (this also happens) is associated with cellular atrophy.
An influence of fibromyoma on the fetus
Changes in tumor volume during pregnancy usually do not lead to serious consequences. The biggest problem is the location of the fibroids. If a woman has a genetic predisposition to fibroma, or had a history of several miscarriages, then there is a high risk of abortion, which should not be underestimated. During caesarean section, fibromatous nodes are not removed to prevent possible uterine bleeding.
Diagnosis of fibromyoma
During the first trimester of pregnancy, it is necessary to monitor the size of the fibroma. This is necessary in order to control possible complications. Ultrasound and gynecological examination - are the most accurate diagnostic methods in relation to fibroma during pregnancy. With the help of ultrasound, the doctor analyzes the volume of education, the stage of its development, size, location, cellular composition.
The choice of the appropriate therapy is carefully evaluated by gynecologists, taking into account the age of the expectant mother, the location and volume of fibroma. Surgical excision of the tumor is indicated only in cases of severe acute complication. The risk of negative effects of the operation on the successful course of pregnancy is very high. Therefore, as a rule, pregnant women suffering from fibroma are recommended conservative drug therapy that promotes proper uterine contractility during pregnancy. Possible further treatment of fibroma is considered after the birth of the baby.