Pregnancy with Uterine Fibroids
Overview
Uterine fibroids are non-cancerous growths in the uterus that can sometimes complicate pregnancy. While many women with fibroids have smooth, healthy pregnancies, in some cases they may cause pain, bleeding, or risks during pregnancy and delivery. At our clinic, we provide specialized care and monitoring for expecting mothers with fibroids to ensure the best outcomes for both mother and baby.
What Are Uterine Fibroids?
Fibroids (also called leiomyomas or myomas) are growths of muscle and fibrous tissue inside or around the uterus. Their size can vary — from very small (like a seed) to large (like a grapefruit). They may be located:
Inside the uterine cavity (submucosal fibroids)
In the uterine wall (intramural fibroids)
On the outer surface of the uterus (subserosal fibroids)
How Do Fibroids Affect Pregnancy?
Not all fibroids cause problems, but depending on their size, number, and location, they may:
Cause pelvic pain or pressure.
Lead to bleeding or spotting in early pregnancy.
Increase risk of preterm labor.
Cause fetal growth restriction if fibroids compete for space in the uterus.
Lead to miscarriage in rare cases.
Interfere with the baby’s position, sometimes requiring a C-section delivery.
Symptoms During Pregnancy
Women with fibroids may experience:
Severe abdominal or pelvic pain.
Vaginal bleeding or spotting.
Pressure or heaviness in the lower abdomen.
More frequent urination (if fibroids press on the bladder).
Some women may have no symptoms at all, and fibroids are only detected during ultrasound.
Diagnosis
Ultrasound scan – the most common way to detect fibroids during pregnancy.
MRI (in rare cases) – for detailed mapping if fibroids are very large or complicated.
Regular monitoring – to assess fibroid growth and its impact on the baby.
Management During Pregnancy
Since surgery is usually avoided during pregnancy, fibroids are managed with careful monitoring and supportive treatment:
Pain management (safe medications prescribed by your doctor).
Bed rest and hydration in cases of severe pain episodes.
Frequent ultrasounds to monitor baby’s growth and fibroid changes.
Iron supplements if fibroids cause heavy bleeding and anemia.
Specialized birth planning to decide between vaginal delivery or C-section.
Delivery & Post-Pregnancy Considerations
Many women with fibroids still have normal vaginal deliveries.
Large or lower-segment fibroids may require a C-section.
After pregnancy, fibroids may shrink naturally due to hormonal changes.
In some cases, surgical removal (myomectomy) may be considered after delivery to prevent future complications.
Risks to Monitor
Miscarriage (in early pregnancy).
Placental complications (placenta previa or abruption).
Preterm birth.
C-section requirement due to obstruction.
With specialist care and continuous monitoring, most risks can be minimized.
Emotional & Medical Support
Pregnancy with fibroids can cause anxiety. We provide:
Personalized counseling for mothers.
Holistic prenatal care focusing on both mother and baby’s health.
Postnatal guidance on future treatment options for fibroids.
Why Choose Us for Managing Pregnancy with Fibroids?
Expertise in high-risk pregnancy management.
Advanced ultrasound and imaging for accurate monitoring.
Multidisciplinary care (gynecologists, obstetricians, fertility experts).
Tailored birth plans ensuring safety for mother and baby.
Compassionate team providing both medical and emotional support.
👉 Having fibroids during pregnancy does not mean you cannot have a safe and healthy delivery. With proper monitoring, expert care, and timely intervention, both mother and baby can thrive.