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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Required To Terminate The Pregnancy If There Is Fibroid?

I have just discovered I am 5 weeks pregnant due to being in pain for over 6 weeks. With the discovery of pregnancy they have discovered the pain is due to a 7cm fibroid in my uterus. Would it be better to terminate this pregnancy? Pregnancy was not planned. I am 38
Fri, 25 Apr 2014
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OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
Actually, the presence of a fibroid per se is NOT an indication for pregnancy termination.
A lot of other variables have to be taken into consideration.
The size of the fibroid matters - 7 cm is a big one.
That said, the location of the fibroid matters.
If the fibroid is abutting the cervix or the endometrium or such a sensitive area, there are high chances that the pregnancy might end up in a miscarriage, or preterm labour, or malpresentations, or abnormal outcomes.
Subserosal fibroids, on the other hand, are relatively innocuous.
The number matters - multiple fibroids are more dangerous.
ALso, red degeneration within a fibroid is more painful and strenuous for the mother.
As such, even a big fibroid which is not compressing the fetus, is not that risky as a small fibroid that impinges on the cavity.
Thus, please attach or upload your ultrasound scan report and other clinical details and write in at -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
That way I will be able to provide a better opinion.
All the best.
Please feel free to discuss further.
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Is It Required To Terminate The Pregnancy If There Is Fibroid?

Hello Thanks for writing to us with your health concern. Actually, the presence of a fibroid per se is NOT an indication for pregnancy termination. A lot of other variables have to be taken into consideration. The size of the fibroid matters - 7 cm is a big one. That said, the location of the fibroid matters. If the fibroid is abutting the cervix or the endometrium or such a sensitive area, there are high chances that the pregnancy might end up in a miscarriage, or preterm labour, or malpresentations, or abnormal outcomes. Subserosal fibroids, on the other hand, are relatively innocuous. The number matters - multiple fibroids are more dangerous. ALso, red degeneration within a fibroid is more painful and strenuous for the mother. As such, even a big fibroid which is not compressing the fetus, is not that risky as a small fibroid that impinges on the cavity. Thus, please attach or upload your ultrasound scan report and other clinical details and write in at - http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623 That way I will be able to provide a better opinion. All the best. Please feel free to discuss further.