One of the most common problems among women is fibroids, and most women only discover it occasionally when their doctor orders routine exams, while in other cases they only discover the fibroid in pregnancy when they start the prenatal exams requested by the obstetrician.
It is usually found in pelvic ultrasound and ends up frightening when they receive the diagnosis because they do not understand what it is or imagining it to be a malignant tumor, when in fact fibroids are benign tumors that can reach up to 20 cm in diameter and start benign and end benign, are very few cases that have seen malignant tumors.
But the issue is the fibroid in pregnancy, and this occurrence can lead to complications for pregnancy if not followed up correctly. Symptoms that do not normally appear during pregnancy will show signs. Abdominal discomfort is a frequent complaint of women who have a fibroid in pregnancy, and depending on the location of the fibroid in the uterus and the size can affect the development of the baby , spontaneous abortion may occur . Other occurrences that can happen due to myoma in pregnancy are premature birth, constant bleeding throughout the pregnancy and the early detachment of the placenta, in addition to the various discomforts that can appear during the entire period such as pain when urinating, constipation and discomfort in sexual intercourse.
Myoma Treatment and Surgery
The treatment of fibroids in pregnancy is basically performed with analgesics and maximum rest , there is only indication for surgery to remove uterine fibroids in cases considered to be at risk of death for the mother and baby, as it is a delicate surgery and that can bring risks to the baby.
Myoma surgery, called myomectomy, has three different procedures to perform:
Laparoscopic Myomectomy: The procedure is performed through tiny holes made in the abdominal area, through which a micro camera and the surgical instruments necessary for the removal of the fibroid will pass. This procedure is only recommended for easily removed fibroids that are found on the outer walls of the uterus.
Abdominal Myomectomy: This is already a more aggressive surgical procedure, where a cut will be made in the pelvic region in order to reach the region of the uterus, allowing the removal of the fibroid.
Hysteroscopic myomectomy: In this procedure, a surgical instrument called a hysteroscope is inserted through the vaginal canal, inserting it until it reaches the uterus and performing the removal of the myoma. This procedure is performed without cuts and only for fibroids located inside the uterus.
Fibroids can reach up to 20 cm in diameter
All the procedures mentioned above preserve the uterus , unless bleeding occurs during or after surgery and it is necessary for the complete removal of the uterus, obviously not in cases of fibroids in pregnancy.
As for recovery from myomectomy procedures, if the option is for cut procedures, recovery will take an average of four weeks, and should remain at rest , under no circumstances under any circumstances and have a healthy and balanced diet. In the case of myomectomy performed by the vagina, the woman will be able to return to her routine again after hours of the procedure because she does not need to care for the healing of cuts.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.