Fibroid, also known as myoma, is a mass of compacted muscle and fibrous tissue that grows on the wall (or sometimes on the outside) of the uterus. It can be as small as a pea or as large as a grapefruit. Fibroids occur in 50 to 80 percent of women. Fibroids usually develop prior to pregnancy, though many women don’t know they have one until they have an ultrasound or the fibroid is discovered during a pelvic exam.
For the 10 to 30 percent of pregnant women with fibroids who do end up having complications, the most common is abdominal pain, which occasionally may be accompanied by light vaginal bleeding.
Effects of Fibroids
Your risk of miscarriage and premature delivery does increase slightly if you have fibroids. They occasionally cause the baby to be in an abnormal position for delivery. They can also stall labor, or, if they’re located in or near the cervical opening, they may block the baby’s passage. All of these problems can increase
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The majority of fibroids do not change their size during pregnancy, but one-third may grow in the first trimester. Although the data are conflicting and most women with fibroids have uneventful pregnancies.
Approximately 10% to 30% of women with uterine fibroids develop complications during pregnancy. If a fibroid or cluster of fibroids is particularly large or is growing on the outside of the uterine wall, it can push the uterus into an abnormal position. It can also put pressure on the bladder or intestine, causing symptoms such as frequent urination, constipation, pelvic pain, or backache. Fibroids may also cause heavy menstrual bleeding.
Fibroids can interfere with fertility, and they occasionally cause complications during pregnancy. For example, if a large fibroid blocks the opening of a woman’s uterus, she may have to deliver her baby by c-section.
Possible factors to note about fibroids:
Family history: Individual family genetics may affect your chances of getting fibroids. If your grandmother, mother, or sister had fibroids, you may too
Age: Fibroids generally first occur in women in their 30s. Fibroids often shrink and cause no symptoms in women who have gone through menopause.
Hormone levels: Fibroid growth seems to depend on estrogen or progesterone or perhaps both. Some studies show that fibroids are more likely to get smaller when estrogen levels go down (as they do after menopause).
Body weight: Some studies suggest that obesity might play a role in fibroid development. This is particularly important for fat women, who are 1.4 times more likely prone to fibroid
Childbirth: Studies have found that women who have delivered a baby are less likely to have fibroids. The risk probably goes down even more for women who have had two or more babies.
Lifestyle: Some studies have indicated that exercise and a healthy diet may lower the risk of fibroids, while studies have consistently shown that consumption of alcohol raises the risk.
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