Women's uterus and benign tumors seen in the uterus is seen in 15-20 percent. International Polyclinic Etiler Gynecology and Obstetrics Specialist Op. Dr. Orhon Ergin tells about the curiosity of fibroids.
: What is fibroids?
Kiss. Dr. Orhon Ergin: Fibroids are benign tumors of the female uterus (uterus). It occurs in 15% to 20% of women over 35 years of age.
Kiss. Dr. Orhon Ergin: Although the exact cause is unknown, it is thought to develop due to the effects of estrogen hormone.
: Does pregnancy prepare the ground for fibroids? Do fibroids grow during pregnancy?
Kiss. Dr. Orhon Ergin: Pregnancy does not pave the way for new fibroids, but existing fibroids can grow during pregnancy.
: Can fibroids harm the baby?
Kiss. Dr. Orhon Ergin: The placement of fibroids is very important, whether during pregnancy or at other times. Subserous (ie, uterine fibroids) can cause miscarriages, miscarriages, premature births, co-abnormalities, and infant arrival abnormalities. Intramural uterine muscle fibroids, which we call the intermediate group and may cause more or less problems depending on the location of the group. The size and number of fibroids are also determinant in the occurrence of these complications. Otherwise, fibroids do not cause congenital anomalies and do not directly harm the baby.
: Can fibroids be treated during pregnancy?
Kiss. Dr. Orhon Ergin: Except for very special conditions, such as excessive degeneration of fibroids, which are very rare, treatment of fibroids should be postponed until postpartum. Surgical and medical interventions during pregnancy should be avoided unless it is obligatory.
: In the presence of fibroids, is it possible to perform examinations other than routine examinations during pregnancy follow-up?
Kiss. Dr. Orhon Ergin: Very specific tests are not required. The growth rates or degeneration of fibroids should be closely monitored by ultrasound. It is important that the baby's location abnormalities are detected early.
: Is uterine fibroids removed during cesarean section?
Kiss. Dr. Orhon Ergin: It is a general principle to avoid other surgical procedures during cesarean section. However, well-located subserous small fibroids can be removed. Risky interventions should be avoided.
: How to treat after pregnancy?
Kiss. Dr. Orhon Ergin: Pregnancy with uterine fibroids should be closely monitored for bleeding during the postpartum period. Spontaneous regression of fibroids is expected and monitored in the following months. It is convenient not to rush in terms of operation. Surgical necessities should be expected.