Uterine Fibroid Size Can Affect Your Fertility
Fibroids are the most common tumour of female in the reproductive age group. It affects 20–50 % of young women and can lead to excessive bleeding, severe pain and infertility. Fibroids are related to infertility through many speculated ways. But the impact of fibroids on reproductive function and infertility is largely unknown. Fibroids impart their function through their position in the uterus and size of growth. Usually, removing the fibroid by surgical means is the treatment for fibroids. Alternatively, therapies including medical and radiological means are also tried depending on the uterine fibroid size.
If your fibroid in uterus is too big to cause physical obstruction to the movement of sperm to the site of fertilization in the fallopian tube it may cause infertility. Similarly, uterine fibroid size can also affect the transport of egg and embryo as a mechanism to explain the anti-fertility effects of fibroids. However, as sperm egg and embryos are microscopic structures and mechanical obstruction to gametes by uterine fibroid size seems unlikely.
So many other factors can may affect your ability to carry pregnancy and deliver a healthy baby. One potential factor which affects about 20-50% of girls of reproductive age and 50–80% of African-American women is uterine fibroids. they’re a standard condition and sometimes run in families. If your mother had fibroids, there’s an honest chance you would possibly have them, too.
What are Fibroids? Is ovarian cyst same as fibroid?
Uterine fibroids are benign (non-cancerous) tumors that occur within the muscle tissue of the uterus. Women usually have fibroids and they vary in size and location. They will change both the dimensions and shape of the uterus and affect the cervix. Uterine fibroid size and site always affect the type of symptoms you experience, which can lead to infertility as well. Ovarian cysts are fluid-filled sacs od ovary and these are different from fibroids.
There are three major differing types of fibroids that depending on location
- Subserosal are within the outer wall of the uterus (55%)
- Intramural are found within the muscular layers of the uterine wall (40%)
- Submucosal protrude into the cavity (5%)
- The complete process on how the fibroids originate is not much known but it is somewhat clear that both genetics and environmental factors play a vital role.
- The commonest way your doctor will determine if you’ve got fibroids and assess their size, number and site is thru a physical exam and ultrasound. In some cases, additional imaging tests like an MRI could also be required.
It’s a debatable issue to discuss. Estimates suggest that about 5-10% of girls facing infertility have fibroids and it’s their size and site which can create problems. The huge uterine fibroid size that is more than 6 centimeters usually occupies the uterine cavity. At times, uterine fibroids in females may prove to be problematic to deliver a normal good healthy-looking baby even if she gets conceived. Studies show that in most cases, it’s only submucosal fibroids which protrude into the uterus which will affect fertility. However, there are some exceptions like the example of a large fibroid as I discussed above that these large fibroids have the ability to enclose the opening of fallopian tube into the uterine cavity. Most women who have fibroids won’t face infertility as a result.
Uterine myoma or fibroid is usually a non-cancerous tumour originating from the muscle layer of the uterus. Most patients with uterine fibroid remain unknown about their tumour and are asymptomatic. These cases are often detected by sonographic or pelvic examinations done for other purposes. Rarely these fibroids turn into cancer in long term. If a fibroid grows rapidly it may indicate cancer changes inside it.
How do fibroids cause infertility?
Uterine fibroids can affect your fertility in several alternative ways supported how their size and site changes your uterus, cervix or fallopian tubes.
• Fallopian tubes are often blocked by fibroids which makes it challenging or impossible for an embryo to implant. May interfere with sperm migration, ovum transport and embryo implantation.
• Changes within the shape of the cervix can affect the amount of sperm which will enter the uterus. If fibroids are localized near the cervix or near the tubal ostia, the anatomical distortion may reduce access to the tubes by ejaculated sperm, whereas large cornual lesions might impair ovum retrieval by the tubes.
• Changes with the infrastructure or internal shape within the uterus can lead to problems related with sperm motility or movement and in the implantation of the embryo in the uterus. Alteration of the uterine cavity contour causing mechanical pressure or by the occurrence of abnormal uterine contractility.
• Fibroids can cause a change in differential thickness of the uterine epithelium. Local inflammation associated with the presence of submucosal fibroids may result in a hostile endometrial environment that impairs sperm transport and embryo implantation
• Blood flow to the cavity is usually reduced. This will decrease the power of an embryo to implant within the uterine wall or to develop. Inadequate blood supply to the endometrium is the reason to explain reduced embryo implantation.
Uterine fibroids may cause psychological stress due to fear of surgery, infertility risk or severe pain and bleeding. Women have slightly higher risk of depression after diagnosis of uterine fibroid. In fact, women using antidepressants are also at risk of developing uterine fibroid due to various hormone changes in their body.
How to enhance fertility in uterine fibroid disease?
Treatment for fibroids depends by your individual situation like the severity of your symptoms and whether there could also be other explanations for your infertility. You and your partner should both have a radical fertility evaluation and discuss the difficulty together with your doctor. While there are many various treatment options, only surgery, often minimally invasive, can eliminate any given fibroid permanently. Other treatments that use ultrasound, electricity, embolization or medications can often make a given fibroid smaller, but sometimes only temporarily. Furthermore, new fibroids may grow after treatment. there’s also disagreement over whether treatment will improve your fertility.
If you’re trying to enhance your fertility vs. relieving symptoms, research so far only supports treatment for sub mucosal fibroids because it does end in increased pregnancy and birth rates.
Research is weak and doesn’t support treatment for other sorts of fibroids supported comparing outcomes for pregnancy and birth rates for ladies receiving treatment and people not receiving treatment.
It’s an honest idea to regularly monitor fibroids during pregnancy because they’ll grow larger and make complications. Only 2-12% of pregnant women have fibroids and if they are doing grow, it’ll presumably be during the primary 12 weeks. Fibroids affect many ladies, often at an age once they try for pregnancy. The speed at which fibroids alone cause infertility is sort of low and most frequently associated with submucosal fibroids.
If you think that you’ve got fibroids, you ought to see your doctor for a diagnosis and, if found, have an assessment of their size, number and site. If you’ve got fibroids and you and your partner are having problems getting pregnant, you ought to both have a fertility work-up to seem in the least possible causes including fibroids. Whether it’s worth seeking treatment for fibroids before other treatments like in vitro fertilization (IVF) depends on your unique situation. Your doctor can assist you evaluate the choices that are best for you.
Can fibroids cause spotting and bleeding in pregnancy?
It is difficult to diagnose uterine fibroids during pregnancy. But existing uterine fibroid size expands during this period. There is risk of spontaneous miscarriage, preterm labour, placenta abruption, malpresentation, labour dystocia, caesarean delivery, and postpartum haemorrhage in pregnant women with fibroid. Often pregnant women with fibroids present with mild to moderate bleeding or spotting. Approximately 10% to 30% of women with uterine fibroids develop complications during pregnancy which includes bleeding or miscarriages.
Will uterine fibroid size reduce after menopause?
After menopause fibroids usually shrink in size due to lower levels of female hormone oestrogen. However, women taking hormone replacement therapy are at risk of increasing size. At times their uterine fibroid may turn cancerous. Women with the rapid growth of fibroid after menopause are at risk for cancer.