Uterine fibroids are benign growths in the uterus that can affect women of childbearing age. While these tumors are usually non-cancerous, their presence during pregnancy can create concerns and challenges. Here are five essential things you need to know about uterine fibroids and pregnancy:
1. Uterine Fibroids are Common, But Often Unnoticed
Uterine fibroids are present in up to 30% of women during their reproductive years. Many times, fibroids are asymptomatic and only discovered during a routine prenatal ultrasound. Their size and location determine if they will have any impact on a pregnancy.
2. Fibroids May Affect Pregnancy, But Not Always
The majority of women with fibroids have normal pregnancies. However, in some cases, fibroids might cause complications such as:
Preterm Birth: Some studies link fibroids to a higher risk of giving birth before 37 weeks.
Breech Birth: Fibroids may change the shape of the uterus, causing the baby to be in a position other than head down at birth.
C-Section: A larger fibroid may block the birth canal, necessitating a cesarean section.
It’s essential to consult with your healthcare provider to understand how fibroids might affect your unique situation.
3. Monitoring is Key
Close monitoring by healthcare professionals, including obstetricians and interventional radiologists, is essential if you have fibroids during pregnancy. Regular ultrasounds can track fibroid growth and assess potential impacts on the baby.
4. Treatment During Pregnancy is Rare But Possible
Most fibroids don’t require treatment during pregnancy. However, if a fibroid causes significant discomfort or poses risks, treatment might be necessary. Conservative management, such as pain relief medication, is usually the first step. In extreme cases, surgical interventions may be considered, but this is rare and typically only performed when there are severe complications.
5. Post-Pregnancy Consideration
Post-pregnancy, fibroids may shrink naturally as the uterus returns to its pre-pregnancy size. However, if fibroids cause problems during pregnancy or continue to cause symptoms postpartum, discussing long-term treatment options with an interventional radiologist or other specialists can be beneficial.
Conclusion
Uterine fibroids can present challenges during pregnancy, but they are often manageable with careful monitoring and collaboration between healthcare providers. Awareness and understanding of fibroids can help ensure that you receive the appropriate care and support throughout your pregnancy.
If you have uterine fibroids and are pregnant or planning to become pregnant, consult with healthcare professionals who are experienced in managing fibroids during pregnancy. Each case is unique, so personalized care is vital to a healthy pregnancy for both mother and baby.
If you would like more information about the treatment of uterine fibroids, contact us at Houston Vascular Care.

