Does uterine fibroids mean loss of fertility?
Asked by:Florence
Asked on:Apr 09, 2026 01:14 PM
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Botelho
Apr 09, 2026
For those who are not mothers female For, yes Uterine fibroids The biggest concern is whether it will affect fertility. Indeed, for people with uterine fibroids, if the fibroids grow in a bad location, they will cause infertility because the tumors occupy the position where the fertilized egg implants. Even if it does not occupy the position of fertilization and implantation, it is easy to miscarry after actual pregnancy, which is also related to uterine abnormalities. During pregnancy, the fibroids themselves can also change and cause pain. The pain is not life-threatening, but the patient needs to endure the pain and the panic it brings. During childbirth, the location of fibroids will affect fetus of delivery. At the same time, the fibroids themselves affect the contraction of the uterus, which will prolong the labor process. Since currently Gynecology Testing is not common, and many people discover fibroids on their uterus only after they become pregnant. Generally speaking, you can get pregnant if there are no signs of bleeding. If a caesarean section is performed during delivery, the fibroids can be removed at the same time.
Generally speaking, if uterine fibroids are not treated, they will gradually increase in size, such as growing too fast or being too large, or due to insufficient blood supply due to certain reasons (such as the slender pedicle of the fibroids). The fibroids may undergo degeneration, such as cystic degeneration, hyaline degeneration, red degeneration, etc. These are all benign changes. sexually transmitted diseases Change.
Malignant transformation of uterine fibroids is also called uterine fibroid sarcomatosis (commonly known as cancer). Its incidence is very low and it is more common in older patients. In addition, you don’t need to worry too much about general fibroids, because the malignant transformation rate of uterine fibroids is less than 4 in 1,000, and they are only common in intramural fibroids. Although the malignant transformation rate of uterine fibroids is very low, uterine fibroids can cause obvious symptoms, such as heavy menstruation, serious anemia ; Fibroids that are too large press forward on the bladder, causing frequent urination and difficulty urinating; and press backward on the rectum, causing constipate Or difficulty defecating, etc. In addition, uterine fibroids such as red degeneration can cause fever, severe stomach ache wait. When uterine fibroids undergo malignant transformation, there may be no obvious symptoms, so they are easily ignored by patients.
During gynecological examinations, people often find uterine fibroids during B-ultrasound examination. These people often ask: Is surgery necessary for uterine fibroids? In fact, for patients whose fibroids grow slowly, menstruation is not affected, and there is no pressure or other uncomfortable symptoms, surgery is not required. Of course, for older women, generally over 40 years old, whether to have surgery depends mainly on the size and symptoms of the fibroids. If the uterus exceeds the size of 10 weeks of pregnancy and there are obvious symptoms of bleeding and compression, the uterus should be removed. If the fibroids are smaller than this size or the symptoms are not severe, surgery may not be performed temporarily. However, it should be reviewed regularly, once every six months or once a year. There are two types of surgical treatments. One is hysterectomy, which is suitable for patients whose fibroids are small but have obvious symptoms, or whose fibroids grow rapidly and cannot rule out malignant transformation; the other is myomectomy, which is suitable for patients under 35 years old, unmarried or childless. At present, with the development of diagnostic technology, the incidence of uterine fibroids is gradually increasing, and the age is gradually advancing. Removing fibroids while preserving the uterus is the choice for women in this age group.
Clinically, more patients with uterine fibroids hope to solve the problem through conservative drug treatment. After all, removal of the uterus is a double physical and psychological blow to women. In addition to the traditional Chinese medicine method of promoting blood circulation and removing blood stasis, drug treatment mainly includes some hormone drugs, such as methyltestosterone, testosterone propionate, norethindrone, medroxyprogesterone and luteinizing hormone
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