Will submucosal fibroid during pregnancy cause complication?

Question

Hi doctor,

My wife is 23 weeks pregnant. She has been diagnosed with an 3.1 inches submucosal fibroid. She is in agony everyday with pain. I know more likely she will need a C-section eventually for safer delivery. But should I do a CA-125 test for peace of mind to rule out ovarian cancer.

After delivery should we go for a UFE embolization to shrink the fibroids or hysterectomy altogether?
I am worried if the fibroid gets bigger than 3.1 inches it will affect the baby blood supply and the mother's health if there is a placental abruption. Please, can you guide us what to do?

Thank you very much for your time and support.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

1. CA125 is not relevant in pregnancy and it does not help in the management of a submucous fibroid.

2. After delivery the fibroid can be removed at the time of C-section by an expert doctor.

3. Hysterectomy is not needed for a fibroid of this kind.

4. Yes, this fibroid is a matter of concern. There is a likelihood of - premature delivery, abruption, fetal growth restriction, low birth weight, bleeding, degeneration of the fibroid.

At this stage all you can do is to watch it. Take simple painkillers like Paracetamol off and on for pain, take complete bed rest and avoid intercourse. The only thing that worries me here is that is it a fibroid.

Was it diagnosed on ultrasound or MRI? Pregnancy itself can impact the visualization of masses and rarely there is a possibility that it could be an ovarian mass or a subserosal fibroid. If her pain does not settle, she may have to go for an MRI. Please start looking for a good neonatal ICU unit for the baby incase delivery needs to be done before time.

In very good hands 28 to 32 weeks baby also has a good prognosis.

I hope this helps.

Thank you.