Myomas or fibroids are non-cancerous masses located in the uterus. Do not be afraid of its existence, since in most cases they are small non-malignant growths that do not affect pregnancy.
But it is true that sometimes they can be an impediment to achieve pregnancy or interfere with pregnancy.
For that reason we raise our doubts to Dr. Luis Herráiz Roda, gynecologist at Vithas Nisa Rey Don Jaime Hospital in Castellón. These are your answers.
1. What are myomas?
These are small, non-carcinogenic masses that appear in the uterus and can cause pain and bleeding, or not cause symptoms at all.
In Babies and more, can fibroids cause pregnancy problems?Also called fibroids are formed by muscle cells and other tissues that grow inside the wall of the uterus, on the outside or between the uterine muscles.
They are the most common type of benign tumor in women of reproductive age. It affects more those who suffer from obesity, suffer from hypertension, or have a family history.
Although the causes of myomas are unknown, it is known that female hormones stimulate their growth.
Thirty percent of women have no symptoms, although they can negatively interfere with their sexual and social life.
2. Can you be a mother with uterine fibroids?
More and more women in old age are seeking gestation. That causes The number of women with fibroids who want to be mothers is increasing.
Most are small, non-malignant growths that do not affect pregnancy. But sometimes there could be some risk.
Therefore, the woman must be valued by a specialist, even before seeking pregnancy, since in some cases it can compromise fertility or cause repeated abortions. It will be the doctor who will evaluate the treatment so that the woman can be a mother.
In Babies and more The 11 most frequently asked questions about infertility answered by an expert3. When is it recommended to operate to extract them?
When tumors cause significant symptoms or are large, they can interfere with fertility or complicate a pregnancy. In these cases, surgery is the most commonly used treatment. The most frequent symptoms are:
Weight gain.
Frequent urination
Longer rules and more bleeding.
Swelling and pain in the abdomen.
Pelvic pain.
These symptoms may be more or less depending on the size, location and number of fibroids that occur, which will also condition the surgery used:
Myomectomy It is removal of the fibroids without affecting the uterus.
Hysterectomy. It involves the partial or total removal of the uterus.
4. Can they compromise pregnancy?
It increases in size due to estrogen, and since progesterone predominates during pregnancy, fibroids are likely to be at rest until delivery.
But everything will depend on the size, number and location of the fibroids.
Some located at the submucosal level (under the endometrium) or intramiometrial (inside the uterine wall) can reduce fertility and increase the abortion rate.
In addition, they have also been related to:
First quarter bleeds.
Premature rupture of membranes.
Breech presentations.
Threat of premature delivery.
5. Does your removal involve delivery with caesarean section?
In most cases, the delivery can be vaginal.
If the opening of the endometrial cavity has been removed when the myoma was removed, vaginal delivery can be chosen but with greater care in the risk of scar rupture.
In some locations of the myoma (such as the uterine fundus) or if several have been removed, a caesarean section is most common to avoid uterine ruptures.
Definitely, Myomas do not have to affect fertility, pregnancy or childbirth. But each case is different and has to be assessed and supervised by the doctor. It will depend on whether the myoma has been operated or not, on its size, location ...
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