What should I do if I become pregnant with uterine fibroids?

Sep 16, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

In general, women who become pregnant with uterine fibroids should manage their condition through enhanced prenatal monitoring, adjustment of daily activities, attention to nutritional diet, awareness of physical symptoms, and cooperation with medical interventions. It is important to maintain a positive mindset during pregnancy and avoid excessive anxiety, as anxious emotions may affect hormone levels and jeopardize pregnancy stability. At the same time, maintain close communication with the physician to stay informed about both maternal and fetal conditions.

In general, when a woman with uterine fibroids becomes pregnant, she should manage her condition through enhanced prenatal checkups, adjusting daily activities, maintaining proper nutrition, monitoring physical symptoms, and cooperating with medical interventions as advised by her doctor. The specific measures are as follows:

1. Enhanced Prenatal Monitoring: After becoming pregnant, the frequency of prenatal visits should be increased. Ultrasound examinations should be used to closely monitor changes in the size and location of the fibroids, as well as fetal growth and development. Hormonal fluctuations during pregnancy may cause fibroids to grow larger, so regular monitoring helps detect abnormalities early.

2. Adjusting Daily Activities: Pregnant women should avoid intense physical activities such as running or jumping, and reduce heavy physical labor to prevent increased abdominal pressure that could stimulate the uterus and cause discomfort. Gentle exercises like walking are recommended, as they help maintain pregnancy stability and reduce risks associated with uterine fibroids.

3. Maintaining Nutritional Intake: A balanced diet rich in protein, vitamins, and minerals—such as lean meat, fish, and fresh fruits and vegetables—is essential to strengthen the body's immunity. Spicy and irritating foods should be avoided to minimize stimulation to the uterus.

4. Monitoring Physical Symptoms: Be alert for abnormal symptoms such as abdominal pain, vaginal bleeding, or lower back pain. If red degeneration of the fibroid occurs, it may lead to abdominal pain; if the fibroid is located in a critical area, it might also affect the fetus. Promptly reporting any symptoms to a doctor allows for timely intervention.

5. Cooperating with Medical Interventions: If the fibroid is large, located in a sensitive area, or causes complications, it is crucial to follow the doctor’s recommendations. Based on gestational age, fibroid characteristics, and fetal condition, the doctor will develop an appropriate management plan, which may include medication to relieve symptoms or, if necessary, surgery at an optimal time.

Throughout pregnancy, maintaining a positive mindset and avoiding excessive anxiety is important, as stress and anxiety can disrupt hormonal balance and negatively impact pregnancy stability. Regular communication with healthcare providers ensures timely awareness of both maternal and fetal conditions, helping prepare for a safe delivery.

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Is uterine fibroid serious?

In general, the severity of uterine fibroids needs to be determined based on their size, symptoms, and growth pattern. Small fibroids without symptoms are usually not serious and do not require special treatment; however, fibroids that cause significant symptoms or grow rapidly are considered more severe and require timely intervention. In daily life, it is important to maintain a regular作息 (作息 should be translated as "routine" or "lifestyle rhythm"), avoid excessive fatigue, limit the intake of foods high in estrogen, and reduce the risk of fibroid growth.

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How are uterine fibroids caused?

Under normal circumstances, the main causes of uterine fibroids include hormonal changes, aging, endometritis, polycystic ovary syndrome, and adenomyosis. If discomfort symptoms occur, it is recommended to seek timely medical treatment at a正规 hospital. In daily life, one should maintain external genital hygiene and avoid unclean sexual activity; maintain a regular diet and balanced nutrition.

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What causes bleeding during ovulation?

In general, bleeding during the ovulation period may be caused by a temporary decline in estrogen levels, vigorous exercise, endometritis, cervical polyps, submucosal uterine fibroids, or other factors. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under a doctor's guidance. Additionally, it is important to maintain menstrual hygiene, change sanitary products frequently, and avoid unclean sexual practices.

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What causes brown discharge during ovulation and what should I do?

In general, brown discharge during the ovulation period may be caused by factors such as fluctuations in estrogen levels, follicle rupture during ovulation, endometritis, cervical polyps, or submucosal uterine fibroids. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through general care, medication, hysteroscopic treatment, or other appropriate methods.