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Category: Fibroids and Pregnancy

When it Comes to Pregnancy, Does My Fibroid Location Matter?

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When you learn that you have fibroids, it means that you have a non-cancerous tumor in your uterus. And, since your uterus is a large, layered organ, we classify and name fibroids based on where in your uterus they develop.

In case you need a review: your uterus has three layers: the outer serosa; the middle, muscular myometrium; and the inner lining—the endometrium. This endometrium is what you shed each month during your period.

Now that you’ve got the anatomy down, we’ll get to classifying fibroids. Uterine fibroids that develop beneath the outside covering of the womb are called sub-serosal. If they form in your uterine muscle, they are intramural. And if they pop up in your uterine cavity, inside the endometrium, they are submucosal.

Many women find it difficult to become pregnant while they have untreated fibroids. But, if you do become pregnant, the location of your fibroids can make a major difference in your ability to carry your child to term.

Sub Mucosal Fibroids and Pregnancy

Fibroids that develop with your womb can have the greatest impact on your pregnancy. If the fibroid is large enough to change the shape of your womb, you may experience pregnancy complications, including:

·         Spotting

·         Pain

·         Limited fetal growth

·         Miscarriage

·         Pre-mature delivery

·         Placental abruption (when your placenta detaches from your uterus)

In some cases, your fibroid may require you to have a C-section. That’s because its growth can alter your baby’s position, or block off your delivery pathway.

So, that’s what you need to watch out for when you’re pregnant and have a sub-mucosal fibroid. But here’s some good news for you. Most fibroids don’t grow during pregnancy. In fact, with your changing hormone levels, some fibroids may even shrink during pregnancy.  Still, given the potential risks to you and your growing baby, you should talk to your healthcare provider about your fibroids if you want to become or already are pregnant.

Sources: Monitot.Co.Uk

Can I Still Have a Baby with Fibroids?

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If you have fibroids—non-cancerous tumors that grow in your uterus—you may be worried about your fertility. Will you be able to get pregnant? Or, if you get pregnant, will the fibroids affect your baby’s growth and birth? Unfortunately, fibroids can impact your ability to become pregnant or deliver a healthy baby. But that doesn’t mean your dreams of having a family will never come true. Let’s take a closer look.

Will fibroids affect my fertility? UAE treatment for Adenomyosis

Depending on the size and location of your fibroids, the tumors can block sperm from reaching and fertilizing one of your eggs. Fibroids can also make it more difficult for a fertilized embryo to implant in your uterus. And, if you do become pregnant, fibroids may impact fetal development if they are located in a spot where your baby should be growing. For these reasons, you may want to treat fibroids before becoming pregnant. But your doctor can better advise you regarding fibroids and your fertility options.

What fibroid treatments should I choose to help my fertility?

Thankfully, you have many treatment options when it comes to fibroid tumors. It’s important to talk to a fibroid specialist about your family goals so you can choose the one that’s best for you.

In our Houston fibroid practice, we offer a treatment known as Uterine Fibroid Embolization (UFE). It is a minimally-invasive, non-surgical option that shrinks and kills fibroids by cutting off their blood supply. The procedure is performed through a catheter inserted through your arm. Particles are injected to the catheter to block the artery feeding your fibroids. Many women who undergo UFE go on to have healthy pregnancies.

Some women who still want to get pregnant may prefer a myomectomy—the surgical removal of your fibroid. If that’s the treatment option you select, you’ll need to give your uterus three to six months of healing time before trying to get pregnant.

One final word of warning, to help you manage your expectations: if you’ve had six or more fibroids removed surgically, research shows that you have a lower chance of getting pregnant than women with fewer fibroids. It’s also important to note that myomectomy may weaken your uterus, so it may be safer to deliver your baby via C-section following this fibroid treatment option.

While this information may seem frightening, it’s important to remember: pregnancy is possible, with and after fibroids. Stay positive, and be sure to discuss all your treatment options with your healthcare provider.

Sources: Clevelandclinic.org, Journal of Minimally Invasive Gynecology

#WCW: Kandi Burruss Opens Up About Surrogacy

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For a while now on this blog, we’ve followed Real Housewives of Atlanta star Kandi Burrus as she openly struggled with fertility and fibroids. Fibroids (which disproportionately affect African American women like Burruss) are non-cancerous tumors. But they can still make it difficult for women to become pregnant or carry a baby to term. And because Kandi has stayed honest and open about her family’s journey, helping other fibroid sufferers feel heard, she is—once again—our Woman Crush Wednesday honoree.

Real Housewife Expands Her Family Via Surrogate

Kandi and her husband, Todd Tucker, share a three-year-old son, Ace, who they welcomed through IVF. While Kandi was able to carry and deliver Ace, her pregnancy was high-risk because of her fibroids. She spent much of her pregnancy facing serious medical complications.

Still, the couple wanted to use the embryos they still had from that IVF cycle to further expand their family.  But given Kandi’s health struggles, they realized it would be too risky for her to try and make it through another pregnancy. That’s when they decided to explore surrogacy—when another woman carries your fertilized embryo—with the help of OBGYN Dr. Jackie Walters, who stars on Bravo TV’s Married to Medicine.

In a recent interview with The Daily Dish, Dr. Walters said, “I am so excited that Kandi wants to keep expanding her family because she is my patient, whether it’s with her or a surrogate. So, keep having babies. I love it. Have more babies!”

Struggling with an Alternative Pregnancy Journey

Even with the joy of anticipating her new baby’s arrival, Kandi’s surrogacy experience wasn’t easy. In fact, Kandi recently revealed that her surrogate was initially carrying twins, but lost one of her embryos. 

“We actually was supposed to be having twins, and then one of them didn’t continue,” she said, continuing, “I was sad at first, but then I just had to be grateful that the one made it.”

And even with her gratitude, Kandi acknowledged that it was difficult for her to allow another woman to carry her child. “I just feel like this whole situation is strange,” she said. “[You] don’t get to be excited about the first kick… [or] about, ‘Oh now my baby bump is showing…’ You have this guilt [and] sadness,” she said, concluding, “So it’s a joyous, yet interesting experience.” Kandi’s baby is due this month.

Fertility and Fibroids: a Joyous Yet Interesting Experience

As Houston fibroid specialists, we think that Kandi described it perfectly. When you have fibroids, starting or expanding your family will still be joyous. And yes, it will almost always still be possible.

What you have to keep in mind is that your journey to reaching your family goals may be, well, a bit more interesting than other people’s. And that’s ok. Just follow Kandi’s example, and look for the joy wherever you can. Thanks, #WCW, Kandi: you’re an inspiration to any woman struggling with fertility and fibroids!

 

#WCW: Tanika Gray Valburn

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It’s #WomanCrushWednesday! Today, we honor Tamika Gray Valburn, founder of The White Dress Project. For years, Tanika suffered from fibroids .  She saw her mom lose two sets of twins due to her own fibroids, but didn’t make the connection to her own diagnosis right away! 

In fact, Valburn didn’t officially get a fibroid diagnosis until her late teens, even though she experienced painful symptoms. “You just think it will skip a generation,” she recently revealed in an interview. “When you’re young, you’re not thinking it will be your story as well.” But, like so many women, Valburn discovered that fibroids do tend to run in families. 

And, because her fibroids caused such heavy periods, Valburn said, ““I’ve had to learn how to pad myself [to keep from leaking through clothes.] I know the whole formula—what kind of underwear to wear, what kind of tights, what kind of Spanx. I’ve tried and tested everything. It’s become a way of life.”

Eventually, Tanika surgically removed 27 fibroids from her uterus. After her recovery, she wanted to help other women. In 2014, Tanika convinced a Georgia state representative to officially declare July as Fibroid Awareness Month, helping women get the crucial health information they need.

But she didn’t stop there. Tanika realized that she’d never bought white clothing. She said, “It’s a simple thing. Like, who cares, why not just wear black? But I love clothes, and the fact that I had to sacrifice wearing white for these benign tumors—I wasn’t feeling it.”

The White Dress Project


That same year, Tanika founded the White Dress Project, a nonprofit organization dedicated to promoting fibroids awareness, supporting research, and bringing together a community of women who work to empower one another.  The white dress became their symbol, as it signified a milestone in Tanika’s recovery – the moment she could rock a white dress without any fear. Now, the white dress has become a symbol of strength and power to other women dealing with fibroids, becoming one step in the fight to take control of their menstrual health issues.

As doctors involved in the daily battle against fibroids, we salute Tanika, our forever #WCW. We invite all women who are dealing with fibroids to slip on their white dresses and take control of their health by learning more about UFE, a minimally invasive treatment for fibroids!

How Do I Know if I Have Uterine Fibroids?

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Uterine FibroidsUterine fibroids are far more common than you might think. According to the National Institutes of Health, 80 to 90 percent of African American women and 70 percent of Caucasian women will develop fibroids before the age of 50. 

Since uterine fibroids are prevalent, can cause severe symptoms and can even lead to trouble getting or staying pregnant, it is important to know the warning signs of fibroid development.

Who is At-Risk?

African American women are three times more likely than caucasian women to develop fibroids; they are also more likely to develop several fibroids at a time. Other factors that could increase a woman’s risk of developing fibroids include:

  • Being over 40 years of age
  • Obesity
  • Having a family history of fibroids
  • Having never been pregnant
  • Having high blood pressure

Can I Lower My Fibroid Risk?

While many factors can increase your fibroid risk, there are steps you can take to lower your risk of developing these non-cancerous uterine tumors. Some measures include:

  • Becoming pregnant
  • Balancing your hormones
  • Long-term use of birth control pills or shots
  • Following a fibroid friendly diet (see more here) 

 

What are the Symptoms of Uterine Fibroids?

Every case is different and some women may never experience symptoms, but a majority of women with fibroids experience at least one of these three common symptoms. 

Excessive Menstrual Bleeding

The most common symptom for women with fibroid tumors is excessive bleeding while menstruating. Often times, the bleeding is prolonged, causing periods to last longer than normal. This can lead to soiling of clothing and may interfere with everyday activities.

Pelvic Pain & Pressure

Women with fibroids may feel pain in their lower abdomen. As fibroids grow larger, depending on their size and location, they may cause pain by putting pressure on organs. In addition, it could cause swelling that is often mistaken as weight gain or pregnancy. 

Loss of Bladder Control

Fibroids can press against the bladder causing frequent urination and even loss of bladder control. Not only can this cause a great deal of pain, it can disrupt your everyday activities. In addition, fibroid growth can place pressure on the bowel, causing constipation and bloating.

How are Uterine Fibroids Diagnosed?

If you are experiencing any of the symptoms listed above, schedule an appointment with our fibroid specialists. Fibroids can usually be found during a simple abdominal or pelvic exam. If your doctor feels that you may have fibroids, an ultrasound or MRI may be used to confirm the diagnosis and proceed with treatment. 

 

 

#WCW: Gabrielle Union’s Journey to Surrogacy

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At our Houston-area fibroid clinic, we celebrate the journeys of strong women. And we’ve dedicated Woman Crush Wednesday as the perfect time to share their stories in the hopes of helping others. This week, we want to highlight Gabrielle Union, whose diagnosis of adenomyosis ultimately led her fertility plans to surrogacy.

Adenomyosis and Pregnancy 

Last year, Union revealed that she has adenomyosis, a unique condition of the uterus that causes a woman’s endometrial tissue to grow into the muscles of her uterus. Symptoms include severe cramping and chronic pelvic pain, and the condition often leads to an enlarged uterus, as well as especially painful menstrual cycles and/or pain during sex. While there is no known cause for adenomyosis, many medical professionals believe that the condition may be related to a variety of other health conditions, including advanced age and previous uterine surgeries. 

For Union, her adenomyosis meant years of failed IVF treatments, miscarriages and, ultimately, the decision to carry her baby via surrogate. Now that she’s welcomed daughter Kaavia with hubby Dwayne Wayde, she’s opening up about what she looked for in a surrogate. 

In a recent interview with Women’s Health magazine, Union said: “Some people care about the race, religion, or food habits of their surrogate. I was like, ‘I want a reader.’” In that same interview, she admitted the fear involved in her fertility journey, saying,“There’s nothing more that I wanted than to cook my own baby. The idea of [a surrogate] felt like surrendering to failure. People want to see the bump, hear that you got hemorrhoids — they want to know you’re like them. I was like ‘This is going to seem like the most Hollywood shit ever. Will I be embraced as a mom?’ It’s terrifying.”

Still, now that er daughter has arrived, Union is able to look on the bright side of her long path to motherhood. She says, “Any earlier and the FOMO would have greatly influenced how I parented,” she admitted. “I’ve seen it. I’ve done it. I’ve done it well. I’ve gotten all the T-shirts. Now I’m in the right mindset and mental space, and I’m open to being the best mom I can be.” Her strength and grace is an inspiration for all women, which is why she’s this weeks #WCW.

Treating Adenomyosis 

While the only cure for Adenomyosis is a hysterectomy, or removal of the uterus, patients who are not ready to embrace that extreme treatment can still find relief.

Anti-inflammatory medications like ibuprofen can help with the pain and reduce the blood flow. Taking birth control pills and other hormones is another treatment frequently used. Endometrial Ablation is a minimally invasive procedure that destroys the uterine lining, but its success depends on how deeply the tissue has penetrated into the wall of the uterus. 

UAE for Adenomyosis

When treating adenomyosis with UAE, particles are injected into the uterine artery to block the blood flow to the specific problem area. The goal is to deprive the tissue of both blood and oxygen so it the condition will abate. The procedure involves an overnight stay in the hospital.

If like Gabrielle Union, you are struggling with adenomyosis, it’s time to start exploring your treatment options. To speak with one of our Houston area interventional radiologists, call us anytime at 713-575-3686.

 

Surprise: Fibroid Surgery Doesn’t Help Fertility

Posted on by Houston Fibroids in

Fibroid tumors are non-cancerous growths that develop in and on a woman’s uterus. While not a life threatening condition, because of their location, they can cause many negative symptoms, including problems with fertility, menstruation, and your bowel and bladder function. Hysterectomy procedure

Women who have fibroids but still want to have children are often told surgery is their only option. The surgical removal of a fibroid tumor (myomectomy) was thought to be a woman’s best option if she wanted to get pregnant. Now, new research is changing everything. 

Myomectomies Don’t Improve Fertility

A new review in the Cochrane journal says: “one study…that examined the effect of myomectomy on fertility and it found no significant benefit.” In other words, even if you have surgery to remove your fibroid tumors, your chances of getting or staying pregnant may not improve. 

Of course, this is just one stud; more research is needed to really prove the effect of fibroid surgery on fertility. It does, however, mean that women should carefully consider all their treatment options before rushing into surgery just to preserve their fertility dreams. 

UFE and Pregnancy

Patients with fibroids  who hope to get pregnant may also consider uterine fibroid embolization, a minimally invasive procedure that effectively kills fibroids by cutting off their blood supply. Many patients wishing to avoid myomectomy want to know if they can become pregnant after uterine fibroid embolization. There have been reports of many successful pregnancies in patients after UFE. Many studies show that fertility rates and miscarriage rates in UFE patients are no different than patients of the same age with fibroids who have had no treatment. That being said, patients may be better off having a myomectomy if they are a good candidate and are willing to undergo surgery.

Although the findings are not clear cut, a few studies have shown that pregnancy complications may be slightly more common after UFE compared with myomectomy. These pregnancy complications can include pre-term labor and pregnancy induced hypertension, also known as pre eclampsia. UFE might still be an option in patients who are not good candidates for myomectomy or who do not want to have surgery. All this will be especially true if it turns out that myomectomy really can’t improve your fertility. 

How Fibroids Can Affect Your Fertility

Posted on by Houston Fibroids in , ,

Those non-cancerous tumors made up of cells and muscle known as fibroids can be a quirky lot. Many women with uterine fibroids have no symptoms whatsoever, and some never even know they have them. Others have painful and heavy periods and struggle with discomfort. With all these disparate situations you may be wondering if and how fibroids can affect your fertility.

Continue reading “How Fibroids Can Affect Your Fertility” →

#WCW: Bravo Star Talks Fibroids and C-Sections

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If the name Kenya Moore, star of Bravo’s Real Housewives of Atlanta, is becoming familiar to you, that’s because she’s been our Woman Crush Wednesday a few times already: she’s been incredible about sharing her difficulties in becoming and staying pregnant due to her fibroids. Well now, once again, she’s earning a #WCW spot of honor as she publicly addresses another potential fibroid obstacle: delivering your baby while you still have uterine fibroids. 

Back in October, pregnant Moore was hospitalized. Shortly afterwards, she reveled that she’d need to deliver her daughter, Brooklyn, early because she had preeclampsia, a condition that causes pregnant women to develop extremely high blood pressure. While that diagnosis was challenging enough, Moore revealed is now revealing that her delivery was also difficult.

In a new interview with People magazine, Moore explained that she had to have a three-hour emergency cesarean section and, because she had uterine fibroids, she couldn’t get away with a discreet incision: instead, doctors had to create both horizontal and vertical incisions

“They couldn’t get the baby out,” she shared. “There were all these complications and they knew if they cut into a fibroid, I could potentially bleed out and die. So they ended up cutting me vertically, too, to just get the baby out and make sure I survived the surgery. They were so scared they were going to lose me.”

Even worse? Moore revealed that her epidural ran out at one point, so she needed to go under general anesthesia to avoid excruciating pain. “When it was all over, my doctor said, ‘This was one for the books,’” Moore said. Thankfully, despite being delivered six weeks ahead of schedule, Brooklyn is healthy, and Moore has recovered enough to tell her story. 

Pregnancy and Delivery with Fibroids

Unfortunately, pregnancy and delivery complications are not uncommon in women with fibroids.

These benign, muscular growths develop in and on your uterus, causing many potential side effects (including pain, heavy periods, vaginal bleeding when you’re not on your period, painful sex, and problems conceiving or carrying a child to term.) 

While some women experience completely typical pregnancies, women with fibroids are more likely to need a C-section, to have a breech baby , to have non-progressive labor, to have their placentas break away from the wall of the uterus before delivery (placental abruption), or to deliver their babies prematurely.

Women with fibroids that block their cervix will almost always have to deliver babies via c-section–their fibroids block the fetus’ only other exit strategy. And, as Moore demonstrates so vividly, fibroids can make c-sections a little more complicated. 

C-Sections with Fibroids

Fibroids often get bigger while you’re pregnant, and large fibroids can make it difficult for doctors to enter the uterus to deliver your baby. Also, because fibroids have a significant blood supply that feeds them, cutting a fibroid during surgery can make a women lose even more blood, which can become a life-threatening condition during delivery. 

Fortunately, if you’re aware of your fibroids–and the potential complications they may cause during delivery–you should still be able to deliver a healthy baby, just like Kenya Moore. The important thing is to discuss your options, and potential outcomes, with your physicians so you can come up with the safest possible delivery plan for you and your child.