Uterine fibroids which are solid non cancerous tumors found within or on the walls of the uterus may be able to impact maternity. If you have fibroids and are trying to get expecting, the following information on uterine fibroids plus pregnancy may be of great help to you.
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A. Before Pregnancy
The National Institutes of Health has observed that fibroids can be a significant cause of infertility in women however the link between the tumors and infertility could be subtle and very complicated.
Many doctors believe that uterine fibroids may impact fertility in the following ways;
1 ) Type of Fibroids
Some types of cancers and not others are believed to affect male fertility. The types of tumors are usually dependant on the location of the tumors in the uterus. Fibroid tumors that are located in the particular endometrial cavity of the uterus are believed to cause the most problems with fertility. These tumors that are located in this particular part of the uterus are known as submucosal fibroids.
The uterus is pear shaped and hollow and is regarding the size of a lemon and its wall space that are muscular are lined with a tissue known as endometrium which is gentle and rich. In a woman of child bearing age, layers are added to this lining in expectation of a fertilized egg. When fertilization occurs, this lining nourishes the fertilized egg until birth.
When fertilization does not occur, portions of this endometrial tissue break down and together with the unfertilized egg are expelled through the monthly menstrual cycle. Some women who have problems with infertility do so because of a condition called Endometriosis which is when the tissue through the endometrial lining detaches itself inexplicably and instead of being expelled from the body through the monthly period, this instead continues to grow in the abdominal cavity outside the uterus. This displaced endometrial tissue also continues to bleed with no outlet for this blood since it is definitely outside the uterus leading to the formation of cysts filled with blood.
This particular shows that the healthy functioning of the endometrium is necessary for pregnancy when submucosal fibroids start to grow on this lining, it can impact fertility.
Research has shown that in women along with submucosal tumors, pregnancy levels reduced by about 70 percent. This is why if a woman with submucosal fibroids decides to improve her fertility through IVF (in-vitro fertilization) the fertility specialists will usually recommend that the submucosal growths be removed first.
Submucosal growths can also change the endometrium in such since way that it is incapable of nourishing the fertilized egg until birth. Instead of swelling and thickening in preparation for receiving a fertilized egg, this lining may become a smooth, cold and hard wall which is no place for any fertilized egg.
2 . Blockages
Other forms of fibroids that may affect the woman’s fertility are intramural plus subserosal fibroid tumors. These tumors are usually found close to the fallopian pipes which release an egg every month in women of childbearing age group in order to be fertilized. With the subserosal plus intramural tumor being located close to the fallopian tubes, they can block or shrink the tubes making it impossible to have an egg to be released. This can actually lead to the dangerous situation of the ectopic pregnancy when a fertilized ovum starts to grow in a fallopian pipe.
The tumors with a decreased risk of being able to impact fertility are usually pendunculated fibroids which grow far from the lining and the fallopian tubes. These types of tumors are usually attached to the womb by a narrow stem or track which limits their ability to influence fertility because they do not grow inside the uterine wall or inner chamber of the uterus.
Subserosal tumors may also not affect fertility but only when they grow beneath the uterus’s outer covering. They only affect male fertility as discussed previously when they are usually close to the fallopian tube leading to obstruction or compression of the tube.
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