How sad it is not aware of, but in recent time, uterine fibroids are increasingly diagnosed in pregnant women.This is primarily due to the increasing age of nulliparous women fibroids usually observed after 30 years.A second step is to be noted that this pathology is uterine fibroids younger, and it is diagnosed more often in women of 25 or even 20 years.Certainly, uterine fibroids and pregnancy - rather unpleasant, and moreover, the heavy combination.How to behave uterine fibroids during pregnancy is difficult to predict.But pregnancy is, in turn, has an impact on fibroids.
What are uterine fibroids and its species
Myoma is a benign tumor formation, which grows out of the muscle and / or connective tissue.There are subserous myoma (fibroids grow into the abdominal cavity), interstitial fibroid (node and nodes grow in the thickness of the uterus), and submucosal fibroids, which is the most unfavorable one for pregnancy (myoma node grows into the uterine cavity, deforming it).
reasons which lead to the formation of fibroids are numerous.First of all it should be noted that the fibroids appear more often in women who for a long time delaying the birth of the child, taking advantage of the hormonal contraceptives.Also, various intrauterine fibroids provoke intervention (abortion, diagnostic curettage Scraping - heavy and unsafe procedure uterus).In addition, uterine fibroids occur against the background of hormonal imbalance (menstrual disorders, obesity, etc.).Another cause of uterine fibroids is heredity.
Effect of uterine fibroids on pregnancy and childbirth
- Uterine cancer and birth
One factor infertility with uterine cancer is the compression of the units of the fallopian tubes Fallopian tubes: an important part of the reproductive system , thatIt makes it difficult or virtually impossible the penetration of sperm in their lumen.Furthermore, uterine cancer are often associated endometrial hyperplasia, which leads to impossibility of implantation of the fertilized ovum.Also hinder the introduction of the egg into the thickness of the mucosa and do fibroids (especially submucosal), which causes deformation of the uterus.In the case of cervical fibroids occur compression of the cervical canal Cervical canal - the path traversed by every person , which also prevents sperm from entering the uterus.And if born, but not diagnosed myoma node (when the node is in the lumen of the cervix or vagina), the latter playing the role of "IUD".
- Hysteromyoma the first trimester of pregnancy
often in the first trimester of pregnancy ends in miscarriage.This occurs when the fertilized egg, or try to attach already implanted in the host.The reasons that lead to spontaneous abortion, are different.Firstly, placentation in node latter often causes destruction (necrosis myoma node), accompanied by the release of prostaglandins that leads to increased uterine activity.Secondly, in the uterus if nodes initially broken blood supply.Thirdly, myoma of the uterus accompanied by various hormonal disorders Hormonal disorders - oversupply and a lack of equally dangerous , which provoke a miscarriage.Well, recently, hyperplastic processes associated myoma, also play a role in the expulsion of the ovum.
- Uterine cancer and the second and third trimesters of pregnancy
second and third trimester of pregnancy with uterine fibroids often end in miscarriage in late term or premature birth.This is again due to increased uterine activity.A child on the background of suffering from uterine fibroids in utero (hypoxia due to poor blood supply to the node), often there is a delay of development, children are born LBW.It is noted that the uterine fibroids cause various deformities in the fetus (compression of the skull, torticollis).
- Uterine cancer and birth
Deliveries against the backdrop of uterine fibroids often protracted, complicated or childbirth postpartum hemorrhage.Often uterine fibroids during pregnancy is a cause for cesarean section due to incorrect position of the fetus (pelvic, leg, or cross).