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How Uterine Fibroid and Miscarriage are Related

by Shivani Tyagi We are expert in Urology

Uterine fibroids are benign(non-cancerous) lumps of tissue that grow in the wall of the uterus. Fibroids are not uncommon; estimates suggest that anywhere between 20% and 50% of women have some type of fibroid. Fibroids are generally developed in a woman’s adulthood.

Symptoms of fibroids in the uterus

In many women, fibroids cause no problems. Some women, however, may experience pelvic pain, unusually heavy menstrual periods, or fertility problems. In some women, fibroids can cause recurrent miscarriages.

How Fibroids Are Related to Miscarriages

The reason, why fibroids cause problems for some women, have to do with the type and size of the fibroid and its location in the uterus.

For example, if the fibroid is closer to the middle of the uterus, where a fertilized egg is more likely to implant, then the fibroid is more likely to cause a miscarriage.

Submucous Fibroids are the ones that stick out into the uterine cavity and change its shape and intracavity fibroids are the ones that are within the uterine cavity. These are more likely to cause miscarriages.

Intramural fibroids are within the uterine wall.

Subserosal fibroids bulge outside the uterine wall. 

A large fibroid tends to be more problematic than a small one. The bigger a fibroid is, the more blood vessels it contains, and the more it can take blood flow away from the uterus and a developing fetus. 

How to diagnose fibroids in the uterus

Gynecologist diagnoses through a pelvic exam initially followed by hysterosalpingography or HSG or a sonohysterogram in some cases, especially where a woman is having recurrent miscarriages.

During an HSG, a 30-minute outpatient procedure, an iodine-based dye is placed through the cervix and x-rays are taken.

Treatment Options for fibroids in the uterus

Multiple treatments exist for fibroids and women who have no negative symptoms associated with their fibroids may not even need treatment.

Medications are available that can shrink fibroids.

The most drastic treatment for fibroids is a hysterectomy (removal of the entire uterus)—a treatment that would obviously not work for anyone who has a goal of getting pregnant again.

Another procedure called uterine artery embolization stops the blood supply to the fibroid and has shown a success.

A surgery called laparoscopic myomectomy is usually a top choice for a woman who is hoping to get pregnant again. In a myomectomy, the doctor surgically removes the fibroid, sometimes via a hysteroscope or laparoscope.

 


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About Shivani Tyagi Junior   We are expert in Urology

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Joined APSense since, June 21st, 2019, From Faridabad, India.

Created on Jul 24th 2019 04:00. Viewed 340 times.

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