Submucosal Fibroid: Symptoms, Pregnancy, Treatment
There are four main types of fibroids: intramural fibroids, subserosal fibroids, submucosal fibroids, and pedunculated fibroids . It’s important to understand that most women with uterine fibroids have more than one type of fibroid, which in turn can affect symptoms and treatment options.
Submucosal fibroids grow just underneath the uterine lining and can crowd into the uterine cavity, leading to heavy bleeding and other more serious complications. In this brief review, the fibroid specialists at ProFibroidMD explain submucosal fibroid symptoms, how submucosal fibroids can affect pregnancy, and what treatment options are available to women with submucosal fibroids. Read on to learn more.
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Submucosal Fibroid Anatomy
A submucosal fibroid is a type of intramural fibroid where part of the fibroid projects into the uterine cavity and another part resides in the smooth muscle of the myometrium. According to the International Federation of Gynecology and Obstetrics (FIGO) classification system, there are two types of submucosal fibroids which are differentiated by how much of the fibroid extends into the uterine cavity vs. how much of it is intramural .
Submucosal Fibroid Symptoms
Larger fibroids can sometimes exert pressure on surrounding organs and nerves, which can lead to more severe and noticeable symptoms, but larger fibroids aren’t always associated with more severe symptoms .
Submucosal Fibroids and Pregnancy
Many women with uterine fibroids are able to become pregnant and deliver their baby without a problem, but complications such as miscarriage, c-section, preterm labor and postpartum hemorrhage occur in approximately 10 to 40% of pregnancies when fibroids are present [5,6].
Submucosal Fibroid Treatment
Uterine Fibroid Embolization
Myolysis does impact future fertility and pregnancies. As fibroid tissue is destroyed with myolysis, scar tissue can form in the endometrium. While some women may achieve successful pregnancies, there could be potential complications. Myolysis is not always a definitive treatment. Surgical intervention may be required down the line .
Pregnancy is not recommended after endometrial ablation. A single endometrial ablation procedure may require follow-up intervention in the future. A recent study compared the re-intervention rates for women after they underwent endometrial ablation, myomectomy, or uterine artery embolization to treat fibroids. One year after the initial procedure, the need for a second procedure was 12.4% for endometrial ablation, 4.2% for myomectomy, and 7.0% for uterine artery embolization [12,13].
Myomectomy isn’t without its shortcomings, and isn’t always ideal for women with multiple large fibroids. Failure rates range from 14.5% to 30% at 3 to 4 years’ follow-up . Between 10 and 25 percent of women will require a second fibroid surgery . Still, many women choose myomectomy in order to preserve their uterus for future pregnancies. Most women who have myomectomy are able to have children afterwards.
Hysterectomy is the most definitive treatment available for uterine fibroids, particularly for women who have no desire to conceive . It can be very effective for patients with extremely large fibroids or a large quantity of fibroids. However, after hysterectomy, once the uterus or parts of it are removed, pregnancy is no longer possible.
Submucosal Fibroid Removal
Surgical vs. Non-Surgical Fibroid Treatments: Which Is Best?
When it comes to fibroid treatment, we believe that less is more. A less invasive procedure means less trauma, less risk, and shorter recovery time. Learn more about why we opt for UFE, the least invasive treatment for uterine fibroids.
Uterine Artery Embolization
Fibroid Specialist in Los Angeles
Learn more about Los Angeles Fibroid Specialist Dr. Michael Lalezarian.
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