FIBROID & PREGNANCY

FIBROID AND FERTILITY

  • It is well accepted that Type 0,1,2 fibroids reduce fertility and increase miscarriage. Hence removal of such fibroids by Transcervical Resection of Myoma is advised.
  • Type 6,7 fibroids do not usually affect fertility, unless they are very large and distorting the pelvic anatomy. Hence such fibroids can be left alone if they are not >6cm.
  • For large Type 3,4,5 fibroids, studies have shown a 21% reduction in pregnancy rates and a 24% increase in miscarriage rates.
    (Sunkara 2010)

PREGNANCY WITH FIBROID

Most women with fibroids go through pregnancy without problems. A few women may find their fibroids grow in pregnancy to cause pain from a condition called red degeneration. Some fibroids may prevent a vaginal delivery, so a caesarian section is needed. After delivery, most fibroids will shrink and return to their original size.

A few women with fibroids > 5cm may have problems in pregnancy like

  • miscarriage (1.2x more)
  • bleeding in second / third trimester
  • premature birth (1.5x more)
  • premature placenta separation (3.2x more)
  • stillbirth (1.7% more)

(Lee 2010, Stout 2010)

FIBROID SURGERY AND PREGNANCY

fibroid surgery and pregnancy

When fibroid surgery is done prior to getting pregnant, two issues need to be addressed.

  1. The duration between surgery and future pregnancy
  2. The risk of the fibroid surgery area tearing in pregnancy, called uterine rupture.

How long to wait

After fibroid surgery, it is advisable to wait at least 6 months before trying to get pregnant. One small study using MRI to assess the healing process after fibroid surgery, found that healing is satisfactory in 70% of cases at 3 months, 80% at 6 months and 95% at 12 months.
(Tsuji 2006)

Uterine rupture

This is the most serious complication to occur in pregnancy after fibroid surgery. Fortunately, the risk is very low, at 0.75%. It can happen in the early third trimester before labour, with significant risk to the baby. For women going into labour after fibroid surgery, there is >85% chance of a normal vaginal delivery with no uterine rupture.
(Claeys 2014)

Fibrois Surgery Treatment Singapore
OUR CLINIC'S EXPERTISE
CONTACT US
ASC Clinic for Women Pte Ltd
Gleneagles Medical Centre #05-04
6 Napier Road,
Singapore 258499

Appointments : +65 64799555
Email : fibroid@anthonysiow.com
FOR MORE INFORMATION
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