Women with fibroids can have children with treatment, surgical removal of the fibroids, or IVF.
Doctor Pham Thi My Tu, Reproductive Support Center, Tam Anh General Hospital in Ho Chi Minh City, said uterine fibroids are common gynecological tumors. According to a survey study by the Center for Reproductive Endocrinology and Infertility, Hue University of Medicine and Pharmacy Hospital from May 2019 to June 2020, the incidence rate in women over 30 years old was 50%, in women after the age of 50 is 70-80%.
Many women of childbearing age with fibroids are able to conceive naturally and give birth normally, even without treatment or assisted reproductive technology. However, about 5-10% of female infertility cases are related to uterine fibroids.
According to Dr. Tu, uterine fibroids affect the ability to conceive, the process of pregnancy and even when giving birth. Specifically, uterine fibroids reduce the ability to conceive or if conception is successful, fibroids can compress the fetus causing miscarriage, or preterm labor, or even retained placenta after birth.
For women of reproductive age with uterine fibroids, the location of the fibroids will determine the degree of influence on the ability to conceive. In case the uterine fibroids are located close to the cervical canal, completely obstructing or reducing the number of sperm that can enter the uterus to meet the egg, thereby reducing the possibility of conception. In addition, uterine fibroids can also change the shape of the uterus, hinder the movement of sperm to fertilize the egg or hinder the movement and implantation of embryos after fertilization.
If the fibroids are located under the lining of the uterus, it will affect the uterine cavity, making it more difficult for the fertilized egg to implant, or if it is implanted, it is more likely to have a miscarriage or increase the risk of premature birth. In addition, uterine fibroids change blood flow to the uterine cavity, reducing the ability of blood supply during fetal development.
“If a woman is found to have uterine fibroids for a long time and has not been pregnant for a long time, or has repeated miscarriages, she should go to a hospital with an obstetrician, a fertility doctor for appropriate treatment. can be based on age, accompanying medical conditions to decide whether to treat before embryo transfer or not, “doctor Tu recommended.
Infertile women with fibroids larger than 6cm may need surgical removal before embryo transfer. However, if the uterine fibroids are located below the serosa and far from the uterine lining, it has little effect on the development of the fetus. Therefore, women expecting children can still perform IVF and embryo transfer without any other intervention.
Doctor My Tu said that most cases of uterine fibroids do not cause any symptoms, so no treatment is required. Single women with uterine fibroids, or who do not intend to have children, need periodic gynecological examinations to monitor the development of fibroids or re-examine when the onset of symptoms such as: menstruation, lower abdominal pain, miscarriage, or warning symptoms of a large tumor such as difficulty urinating, frequent urination, constipation…