A uterine myoma is a benign neoplasm that occurs in women under the influence of many factors. In recent years, this disease has become significantly "younger", fibroids began to occur in patients under the age of 30. In this regard, women should know whether it is possible to become pregnant with uterine fibroids, and how quickly the desired event can occur.
Instructions
Step 1
Before planning a pregnancy, see your gynecologist for an examination. On palpation, the doctor can detect such a neoplasm as fibroids. The doctor will determine the size of the uterus and send it for further examination, which will help determine the type of fibroids, the number and location of the nodes.
Step 2
Get an ultrasound of the uterus. This safe procedure will help pinpoint the presence of fibroids, their location and size. Diagnosis is best done on the 5-7th day of the cycle, since closer to the onset of menstruation, the size of the fibroid increases slightly. In addition to ultrasound, the gynecologist can offer examinations such as hysteroscopy, laparoscopy and magnetic resonance imaging. If studies show that myomatous nodes are located outside the uterus and are small in size, a woman is given a year to conceive naturally. If pregnancy does not occur within a year, a second examination and treatment is carried out.
Step 3
If it is impossible to become pregnant naturally, contact a specialist again to prescribe the appropriate treatment. The choice of a treatment method is determined only by a gynecologist and depends on many factors: the type of fibroids, the patient's age, the size and location of the nodes, as well as the growth rate of neoplasms. With drug therapy, the patient undergoes a course of hormonal or other drug therapy aimed at stopping the growth of nodes and reducing the already existing tumor. After treatment, you can try to get pregnant again on your own.
Step 4
Surgery. It is necessary if it is impossible to cure fibroids in a conservative way. Usually, doctors try to remove only neoplasms while preserving the uterus. This operation is called myoectomy and is performed in various ways: using laparoscopy, laparotomy and hysteroscopic method. At the same time, the woman's ability to conceive is preserved. The doctor allows you to try to get pregnant, as a rule, 6-12 months after the operation.
Step 5
If pregnancy does not occur naturally, even after treatment for fibroids, contact your fertility specialist for an in vitro fertilization procedure. According to statistics, the onset of pregnancy after the IVF procedure in women with a history of uterine fibroids occurs in more than 30% of cases. Doctors advise to undergo an artificial insemination procedure no later than a year after treatment or removal of fibroids. This increases the chances of conceiving and carrying a baby.
