The 411 On Uterine Fibroids Plus Pregnancy
October 18, 2020
Uterine fibroids which are solid non cancer tumors found within or on the wall space of the uterus may be able to impact pregnancy. If you have fibroids and are trying to get pregnant, the following information on uterine fibroids and pregnancy may be of great help to you.
A. Before Pregnancy
The Nationwide Institutes of Health has observed that fibroids can be a significant reason for infertility in women however the link between the tumors and infertility could be subtle and very complicated.
Many doctors believe that uterine fibroids may have an effect on fertility in the following ways;
one Type of Fibroids
Some types of tumors and not others are believed to affect fertility. The types of tumors are usually dependant on the location of the tumors in the uterus. Fibroid tumors that are located in the particular endometrial cavity of the uterus are believed to cause the most problems with fertility. These tumors that are located in this particular part of the uterus are known as submucosal fibroids.
The uterus is pear shaped and hollow and is about the size of a lemon and its walls that are muscular are lined with a tissue known as endometrium which is soft and rich. In a woman associated with child bearing age, layers are added to this lining in expectation of the fertilized egg. When fertilization happens, this lining nourishes the fertilized egg until birth.
When feeding does not occur, portions of this endometrial tissue break down and together with the unfertilized egg are expelled through the month-to-month menstrual cycle. Some women who have problems with infertility do so because of a condition called Endometriosis which is when the tissue from the endometrial lining detaches itself inexplicably and instead of being expelled in the body through the monthly period, this instead continues to grow in the abdominal tooth cavity outside the uterus. This displaced endometrial tissue also continues to bleed with no outlet for this blood since it will be outside the uterus leading to the development of cysts filled with blood.
This shows that the healthy functioning from the endometrium is necessary for pregnancy when submucosal fibroids start to grow with this lining, it can impact fertility.
Research has shown that in women along with submucosal tumors, pregnancy levels reduced by about 70 percent. This is why if a woman with submucosal fibroids chooses to improve her fertility through IVF (in-vitro fertilization) the fertility professionals will usually recommend that the submucosal cancers be removed first.
Submucosal tumors can also change the endometrium in such as way that it is incapable of nourishing a fertilized egg until birth.
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Instead of swelling and thickening in planning for receiving a fertilized egg, this lining may become a smooth, cold plus hard wall which is no place for a fertilized egg.
2 . Blockages
Other types of fibroids that may affect a woman’s fertility are intramural plus subserosal fibroid tumors. These cancers are usually found close to the fallopian tubes which release an egg every month in women of childbearing age group in order to be fertilized. With the subserosal plus intramural tumor being located close to the fallopian tubes, they can block or compress the tubes making it impossible for an egg to be released. This can even lead to the dangerous situation of an ectopic pregnancy when a fertilized egg cell starts to grow in a fallopian tube.
The tumors with a decreased danger of being able to impact fertility are pendunculated fibroids which grow away from the lining and the fallopian tubes. These types of tumors are usually attached to the womb by a narrow stem or track which limits their ability to have an effect on fertility because they do not grow within the uterine wall or inner chamber of the uterus.
Subserosal tumors can also not affect fertility but only if they grow beneath the uterus’s external covering. They only affect male fertility as discussed previously when they are usually close to the fallopian tube leading to blockage or compression of the tube.
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