Uterine tumors or also called fibroids occur if uterine muscle cells grow abnormally in the lining of the uterine wall. This type of uterine tumor is generally not malignant. However, its existence is often feared by pregnant women or women who plan to become pregnant.
In medical terms, a uterine tumor is also known as a leiomyoma or myoma. Most cases of uterine tumors are benign (non-cancerous). Myoma can grow to consist of one tumor, but can also grow in large quantities in the uterus. Its size also varies, ranging from the size of grains to very large.
Benign Uterine Tumor
Based on the location of the growth, uterine tumors are classified into four, namely:
Myometrial fibroids (intramural)
Uterine tumors that grow in the uterine wall, precisely in the uterine muscle layer.
Uterine tumors that develop in the lining just below the endometrial lining of the uterus (the lining of the uterine wall, which directly borders the uterine cavity) and are likely to grow into the uterine cavity.
Uterine tumors that grow in the outer wall of the uterus toward the pelvic cavity.
If the base is in the subserous layer, usually the tumor will grow outside the uterus to the pelvic cavity. But if the base is in the submucosal layer, the tumor will grow toward the uterine cavity. This type of uterine tumor is attached to the uterine wall by hanging on a tissue stalk.
Uterine fibroids, aka benign uterine tumors, may show no symptoms at all. Therefore, most fibroid sufferers do not realize that they have this condition. However, if it causes symptoms, it can be in the form of prolonged periods (7 days or more) accompanied by heavy bleeding, pain in the pelvic cavity or below the navel, bleeding through the vagina, frequent urination, difficulty defecating, pain during sexual intercourse, back pain or leg pain, and feel bloated.
Pregnancy and Uterine Tumors
Uterine tumors are usually rarely an obstacle for a woman to conceive, but this depends on the type of tumor suffered. Benign uterine tumors that are most likely to affect pregnancy are submucosal fibroids. The reason is because the uterine tumor may be able to cause reduced blood flow to the tumor-free uterine wall. As a result, besides changing the shape of the uterus, this type of uterine tumor also interferes with the placement and implantation of the embryo in the uterine wall.
Although suffering from a uterine tumor, a woman’s chance to get pregnant is not closed at all. Surgery before pregnancy to remove the uterine tumor is also not necessary, unless it causes severe symptoms, such as severe pain during menstruation and menstrual blood volume that is very much.
Patients with uterine tumors and are pregnant, usually will have a little problem. The most common problems that occur in pregnant women with fibroids include premature babies, breech babies, cesarean delivery, stunted labor (opening of the vaginal door not progressing), and placental abruption, a condition in which the placenta is detached from the wall uterus before delivery so that the fetus does not get enough oxygen. These things increase the risk of giving birth by caesarean section.
But do not worry, it does not mean that every pregnancy with a uterine tumor will definitely experience problems. Many women with uterine tumors can undergo pregnancy normally. Therefore, it is important to carry out routine pregnancy checks. If you have a uterine tumor and have difficulty conceiving, consult your obstetrician for proper treatment.