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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Do Uterine Fibroids Affect The Growth Of The Fetus?

Hello Doctor, I had early pregnancy scan and below are the observations: Two well defined hypoechoic lesions seen in the myometrium, measuring 6.6*5.0 cm in the fundus and 2.4*1.7 cm in the posterior myometrium. No mass effect over the endometrial cavity. Both ovaries appear normal. Single live intrauterine gestation corresponding to 9 weeks Will these uterine fibroids affect growth of my baby? Will they grow bigger along with the baby? Please advise. Kind regards, Kalpana
Wed, 20 Apr 2016
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General & Family Physician 's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
Most women who have one or more of these non-cancerous growths (fibroids) do not experience any form of complications during pregnancy because of them.
About 10 to 30 percent of pregnant women with fibroids do end up having complications, the most common is abdominal pain, which occasionally may be accompanied by light vaginal bleeding.
In case they increase in size during the course of pregnancy or if it is large in size, it would cause certain problems associated with development of the fetus. It is possible that between weeks 12-22 the blood supply to the fibroid may stop causing it to turn red and die, which is known as 'Red Degeneration'.
Hence, it requires careful monitoring during pregnancy and mange according to the needs.
Generally, progesterone supplements are given to control the associated bleeding and cramping.
Kindly consult your doctor for proper advise and management in this regard.
Hope the information provided would be helpful.
All the best.
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Do Uterine Fibroids Affect The Growth Of The Fetus?

Hi, Thanks for posting in HCM. I understand your concern. Most women who have one or more of these non-cancerous growths (fibroids) do not experience any form of complications during pregnancy because of them. About 10 to 30 percent of pregnant women with fibroids do end up having complications, the most common is abdominal pain, which occasionally may be accompanied by light vaginal bleeding. In case they increase in size during the course of pregnancy or if it is large in size, it would cause certain problems associated with development of the fetus. It is possible that between weeks 12-22 the blood supply to the fibroid may stop causing it to turn red and die, which is known as Red Degeneration . Hence, it requires careful monitoring during pregnancy and mange according to the needs. Generally, progesterone supplements are given to control the associated bleeding and cramping. Kindly consult your doctor for proper advise and management in this regard. Hope the information provided would be helpful. All the best.