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Myoma When Pregnant, Recognize Symptoms and How to Overcome It

Myoma during pregnancy generally has developed since before pregnancy, but it was only discovered when an ultrasound examination of pregnancy. Myoma, also called leiomyoma or fibroids, is a benign tumor that grows on the wall or sometimes on the outside of the uterus. Just like myoma in general, myoma during pregnancy varies in size, from a very small size to the size that can increase the size of the uterus. This condition is generally not related to uterine cancer. Myoma during pregnancy can be found in 10% of women, and often occurs in women aged 30-40 years.

Recognize the Symptoms that are felt

Many women who have myoma but do not feel any symptoms. However, if it appears, the symptoms of myoma during pregnancy can vary. Complaints experienced depend on the size, number, and location of myoma growth. The most common myoma symptoms of myoma include:
  • Menstrual period is more than a week
  • Stomach ache
  • Feeling pressure or pain in the pelvic cavity
  • Frequent urination
  • Constipation
  • Severe menstrual bleeding
Due to the influence of hormones in pregnancy, there can be an increase in the size of the myoma during pregnancy, although sometimes the size of the myoma during pregnancy can also be reduced for no apparent reason. Myoma can grow inside the uterine wall, protrude into the uterine cavity, or grow to the outside of the uterus. A small proportion (10-30%) of women with myomas during pregnancy may experience pregnancy complications in the form of abdominal pain or mild bleeding from the vagina, but rarely affect the condition of the fetus, except in severe cases. In certain conditions, myoma during pregnancy may increase the risk of miscarriage and premature labor. In addition, the myoma during pregnancy can cause an abnormal position during labor or close the birth canal, so it is possible to have a Caesarean section.

Myoma Risk Factors When Pregnant

The actual cause of myoma is not clearly known, but there are several factors that can influence the formation of myoma, including:
  • Hormone

  • Estrogen and progesterone are hormones produced by the ovaries. Both of these hormones cause the lining of the uterus to regenerate during each menstrual cycle and can stimulate myoma growth.
  • Pregnancy

  • Increased production of the hormones estrogen and progesterone in the body during pregnancy can trigger myoma growth.
  • Family history

  • The presence of other family members, such as mothers, sisters, or grandmothers, who have had myoma, can increase the risk of someone also having myoma.

How to deal with myoma when pregnant

Given that myoma often does not cause complaints, doctors usually find myoma through pelvic examination or ultrasound. After confirming the diagnosis, your doctor will consider treatment that is appropriate for your condition. The first step to overcome myoma, the doctor will recommend a total rest in bed (bed rest), and take advantage of an ice pack if symptoms of annoying pain arise. No need to worry too much about myoma during pregnancy. Your doctor will provide the safest treatment options for your pregnancy. However, do not ever take medication without consulting a doctor to overcome complaints due to myoma during pregnancy. Ask your doctor for advice on how to treat myoma during pregnancy without affecting the condition of the fetus. Also do regular pregnancy control to the doctor, to monitor your pregnancy, including the condition of the myoma during pregnancy, to avoid complications.

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