Interactions of Fibroids with Pregnancy.

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Hey lovelies! Apologies for not posting this earlier, it has been such a busy month! *Angie here: when I started thinking about fibroids and their association with pregnancy, my initial emotion was fear and uncertainty. At my age, I thought I’d be getting my first kid, or even onto my second child (owe my teenage fantasies!). For the most part of my life I have been very ignorant about reproductive health issues and up to the time I got my fibroid diagnosis, I only cared to learn how I’d make my vagina smell nicer or how I’d make sure my occasional encounters with candidiasis or bacterial vaginosis or urinary tract infections didn’t recur. It turns out that there is this whole information base concerning female reproductive health that I did not know. The saddest part about all this is that I knew a lot more than most women know. I have seen about four gynecologists, and two of them have recommended surgery. But I’ve still been toying with the idea of getting pregnant even while having the fibroids. So I’ve been doing some research on how fibroids affect pregnancy and I’d very much like to share some of the details with you guys! Apart from the obvious symptoms of fibroids, when a woman with fibroids gets pregnant, there’s usually an increase in estrogen almost immediately. Estrogen, as we now know is a risk factor for developing fibroids, even without the pregnancy bit. So this is where it gets scary. Firstly, yes, it is possible to get pregnant when one has fibroids. During the first trimester however, one of two things may happen; the fibroids may undergo either red degeneration, or white degeneration. Red degeneration means that fibroids bleed into themselves, and in white degeneration, portions may undergo cell death and become cystic. These two occurrences may cause abdominal pain at the site where the fibroid is located, but over-the-counter pain medication can be used to relieve this. For more information, you can check out https://www.livestrong.com/article/255242-signs-of-fibroid-degeneration/ Research has shown that most women with fibroids actually do pull through pregnancy. Depending on the location and the number of fibroids, women may experience complications such as slight bleeding, abdominal pain, fever, and slight increased risk of miscarriage. Some sites indicate that fibroids can reduce in size during pregnancy. http://www.parents.com/pregnancy/complications/health-and-safety-issues/fibroids-during-pregnancy/ .Fibroids occasionally cause the baby to be in an abnormal location during delivery (breech birth), and increase chances of pre-term delivery (giving birth before the full 37 weeks are complete). Chances of having a cesarean section increase substantially as well. There are more serious complications of fibroids during pregnancy such as placental abruption, and bleeding after the baby is born, which you can peruse right here. https://www.webmd.com/women/uterine-fibroids/what-if-i-have-uterine-fibroids-while-pregnant#1 .The good news is that 70-80% of fibroids shrink after delivery, and although some women may experience the above complications, the baby is not affected at all. The biggest issue with pregnancy in women with fibroids is pain. This seems to be largely influenced by the size, location, and the number of fibroids. This is where your gynecologist or doctor comes in, I think this is very important during pregnancy in any case is keeping in contact with your doctor. If you have fibroids, which most women come to find out when trying to get pregnant or when going for prenatal checkups, you will need to make consistent trips to the doctor even when the pain is not there. This is because all our bodies are unique in their own ways and all pregnancies, regardless of fibroid presence or absence, are different. For more info http://www.emedmd.com/content/fibroids-pregnancy .Some doctors go as far as recommending myomectomy or embolization during pregnancy. I think that this happens in rare cases, and almost definitely not in Kenya, due to the risk that comes with the procedures. I have done a lot of research on fibroids and their interactions with pregnancy, but I’m still very unsure about my decision regarding getting pregnant. Maybe I’ll just cross my fingers and hope everything will fall into place. I really hope this was helpful. If you have any questions, or stories you want to share, feel free to send to this email; endocringe33@gmail.com you are not alone, we are in this together! ❤

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