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Is an intramural fibroid risky in early pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am seven weeks pregnant. I have an intramural fibroid on the posterior wall, which is 1.54 inches X 0.87 inches. Will it cause complications for my pregnancy?

Please suggest.

Hello,

Welcome to icliniq.com.

I understand your concern regarding fibroids in pregnancy.

An intramural fibroid, located within the muscular wall of the uterus, is relatively common during pregnancy. The size of your fibroid (3.9 cm x 2.2 cm) is considered small to moderate. Many women with fibroids have successful pregnancies, but some potential complications can arise depending on the size, location, and growth of the fibroid. Here are a few:

1. Pain: As your pregnancy progresses, the fibroid may grow due to increased blood flow to the uterus, which could cause discomfort or pain.

2. Preterm labor: In some cases, fibroids can increase the risk of preterm labor, especially if they grow larger and occupy more space in the uterus.

3. Placental issues: Depending on the location of the fibroid, there may be an increased risk of placental abruption (when the placenta separates from the uterine wall prematurely), although this is not common with smaller fibroids.

4. Delivery complications: Fibroids can sometimes interfere with the baby's position in the uterus, potentially increasing the likelihood of a C-section (cesarean section).

5. Growth restriction: Rarely, if the fibroid is very large, it may limit the space for the baby to grow, potentially leading to growth restriction.

Given the size and location of your fibroid, it is important to monitor it throughout your pregnancy. Your doctor will likely perform routine ultrasounds to check the growth of the fibroid and its impact on your pregnancy.

Most women with fibroids go on to have healthy pregnancies, and any concerns will be closely managed by your healthcare team. Be sure to report any unusual pain, bleeding, or other symptoms to your doctor.

I hope this helps.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 27, 2025
Reviewed AtMay 27, 2025

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