How are fibroids treated during pregnancy?
During pregnancy, treatment for uterine fibroids is limited because of the risk to the fetus. Bed rest, hydration, and mild pain relievers may be prescribed to help expectant mothers manage symptoms of fibroids.
In some cases, a myomectomy can be performed in women in the second half of their pregnancies. This procedure removes fibroids from the outside of the uterus or from within the uterine wall while leaving the uterus intact. Fibroids growing in the uterine cavity are generally left in place due to the possible risks to the fetus.
How are fibroids treated before pregnancy to improve fertility?
Healing uterine fibroids before pregnancy may improve your fertility risk. The most common treatments for fibroids that preserve fertility include:
Myomectomy. This surgical procedure is used to remove fibroids. It may increase the need for cesarean delivery, and you’ll likely need to wait about three months following the procedure before attempting to conceive.
Hormonal birth control pills. While you’re on the pill, you won’t be able to become pregnant. But this contraceptive can help ease symptoms of the condition, such as heavy bleeding and painful periods.
Intrauterine device (IUD). Like the birth control pill, an IUD will prevent pregnancy as long as you’re using it. However, it can help eliminate some of the symptoms while preserving fertility.
Gonadotropin-releasing hormone (Gn-RH) agonists. This type of medication blocks the production of the hormones that lead to ovulation and menstruation, so you won’t be able to become pregnant while taking this medication. It can help shrink fibroids.
Myolysis. This procedure uses an electric current, laser, or radio-frequency energy beam to shrink the blood vessels that feed the fibroids.
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