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Pregnancy and Childbirth: The answers

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Home |  Pregnancy overview |  Reproductive Health | Complications | Labor & Birth

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Fibroids and Miscarriage: Surgery for Fibroids

If a woman has fibroids within the womb cavity and there is strong evidence that they have contributed to her fertility problems and that the procedure can be carried out without seriously compromising the womb's ability to carry a pregnancy, then the doctor should proceed with the operation.

 

On the other hand, if this evidence is lacking or weak, it may be more prudent to encourage the woman to try for a baby without the operation.

 

It is important for the prospective parents to be aware that the surgery may sometimes so seriously weaken the uterine wall operated on as to make future safe pregnancy uncertain.

Moreover, occasionally scarring within the womb cavity may follow the operation, potentially further reducing the ability to conceive.

All the pros and cons should be discussed so that the prospective parents are fully in the picture.

Womb position and miscarriage

 

The majority of wombs tilt gently towards the front. A substantial minority of women, however, do have wombs which tilt towards the back. The common term is "retroverted uterus". This does not cause miscarriage or pregnancy loss.

 

There is an exceedingly rare complication of this anatomical state, where a growing uterus may be trapped in the pelvis and will fail to rise into the abdominal cavity. Such a complication will cause increasing pain and an operation will easily correct the problem. This complication is very rare.

 

 

Other factors associated with miscarriage: Next Page