Large uterine fibroid: planning for pregnancy, carrying a pregnancy, and delivery

Abstract

L.V. Gutikova, Yu.V. Kukharchik Grodno State Medical University, Grodno, Republic of Belarus Uterine fibroids are one of the most common benign tumours of the female reproductive system with a high prevalence worldwide. Recent upward trend in uterine fibroids in younger women has resulted in their more common occurrence in pregnancy. The paper addresses case history of successful pregnancy and childbirth in a woman who experienced a surgery for large uterine fibroid (18×16×18 cm by ultrasound) a year before this pregnancy. Immediate histological examination of the excised uterine fibroid has demonstrated its benign nature (leiomyoma) resulting in uterus preservation. Postoperatively, gonadotropin-releasing hormone antagonists for 3 menstrual cycles with treatment switching to combined oral contraceptive pills for 3 menstrual cycles were prescribed to reduce the risk of recurrence. Leiomyoma treatment in women with unrealized fertility requires personalized approach implying surgical intervention before pregnancy planning as well as pre- and postoperative treatment to maintain and boost fertility. Keywords: uterine fibroid, pregnancy, delivery, myomectomy, caesarean section, fertility. For citation: Gutikova L.V., Kukharchik Yu.V. Large uterine fibroid: planning for pregnancy, carrying a pregnancy, and delivery. Russian Journal of Woman and Child Health. 2020;3(2):83–87. DOI: 10.32364/2618-8430-2020-3-2-83-87.