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Leiomyomas in pregnancy
1Brooke Army Medical Center, Fort Sam Houston, Texas.
American Family Physician
|February 1, 1988
Summary
Uterine leiomyomas rarely grow during pregnancy, but can cause pain if they degenerate or twist. Most pregnancies with these tumors have good outcomes, with no increase in cesarean sections.
Area of Science:
- Reproductive Endocrinology
- Gynecology
- Obstetrics
Background:
- Uterine leiomyomas (fibroids) are common benign tumors influenced by estrogen.
- Pregnancy can affect leiomyoma growth, though this is infrequently observed.
Observation:
- While estrogen influences leiomyoma growth, accelerated growth during pregnancy is rare.
- Pedunculated leiomyomas carry a risk of degeneration or torsion, potentially causing pain.
Findings:
- Pregnancy outcomes in women with uterine leiomyomas are generally favorable.
- The presence of leiomyomas does not appear to increase the cesarean section rate.
Implications:
- Serial ultrasound monitoring is recommended for pregnant patients with leiomyomas to track tumor and fetal development.
- Understanding leiomyoma behavior during pregnancy aids in patient management and counseling.