HomeAnswersObstetrics and Gynecologyfibroid uterusI have fibroids. Can it cause premature labor?

I have two fibroids of about 2 to 2.3 inches. Could that cause preterm labor?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At April 29, 2018
Reviewed AtDecember 22, 2023

Patient's Query

Hello doctor,

I had preterm labor, and my baby was born at 27 weeks, but unfortunately, it had a brain bleed and passed away. I have two fibroids, about 2 to 2.3 inches. Could that cause preterm labor?

Answered by Dr. Uzma Arqam

Hi,

Welcome to icliniq.com.

Preterm labor can be the result of many reasons like intrauterine infection, cervical incompetence, fetal anomalies, intrauterine growth restriction, high blood pressure, abnormal placentation, trauma, multiple pregnancies, maternal uterine anomaly, pre labor preterm rupture of membranes, etc. In pregnancy, if not multiple seedling fibroids in grand multipara with soft and weak tissue texture of uterus (dangerous for post-delivery bleeding), normally one or two fibroids of 2 to 2.3 inches should reduce in size naturally. Fibroid locations, if it is present at the cervix, can affect labor and can weaken the cervix that leading to preterm labor or middle pedunculated fibroid, which is a distorting uterine cavity that can also need myomectomy before conception.

I do not have any idea about fibroid's locations in your case, but it is better to have a re-scan for size and location and discuss it here or with your treating gynecologist. Some locations and sizes need intervention before pregnancy to have a good outcome. Have Folic acid 0.4 mg daily if you do not have any chronic disease. Have full treatment of any disease that you and your partner have and discuss its effects on pregnancy and conception. Quit recreational drugs and have recreational activities for both of you. Daily exercise, healthy nutritious diet, balanced BMI (body mass index). After the scan and detailed discussion regarding the fibroid's size and location, you can retry for conception.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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