| Discussion in 'All Categories' started by Pachiyammal - Nov 21st, 2012 10:54 am. | |
Pachiyammal
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I am living in salem at tamilnadu, india, i having a problem 14 cm intramural uterus fibroid during pregrancy. |
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re: 14 cm Intramural Uterus Fibroid during pregnancy
by Dr J S Chowhan -
Nov 21st, 2012
10:18 pm
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Dr J S Chowhan
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Dear Pachiyammal. It is true that a fibroid can affect a woman. If the fibroid outgrows its blood supply, it may undergo “red degeneration” or “white degeneration”. Usually the pain can be controlled with oral pain medications. In rare cases, the pain becomes severe enough to necessitate hospitalization for epidural pain management and in the worse case scenario, necessitate fibroid removal surgery (myomectomy). In many woman Fibroids may cause bleeding and increase the risk of early miscarriage, but even here studies are not very conclusive. The type of fibroid most likely to cause problems is one that grows into the uterine cavity.. Because in many woman with pcos it disrupts the lining of the uterus it can prevent normal implantation of the pregnancy or the ongoing growth of the placenta. Some data show that uterine fibroids may also increase the risk of second-trimester miscarriage, but that risk seems to be fairly small. The major concerns regarding fibroids are preterm labor, abnormal separation of placenta — placental abruption or fetal growth restriction. If a fibroid is large or there are multiple fibroids, the risk of preterm labor may be higher. A strategically “misplaced” fibroid can cause the baby to lie in breech or transverse position and an elective C-section may be in order. I realize these are scary complications, but there is no guarantee that they occur. fibroid can affect a woman’s pregnancy theoretically, but, surprisingly, the numerous studies that have been performed in many centre often disagree on the extent. What we do know is that pregnancy hormones can cause the uterus to grow in order to accommodate the enlarging fetus, and a fibroid may grow simultaneously. The majority of fibroid growth in pregnant woman seems to occur during the first few months of pregnancy. With regards J S Chowhan |
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