Abstract
Uterine fibroids (leiomyomas) are one of the most common tumors of the female genital area. This disease is diagnosed in 20-27% of women of childbearing age. In recent decades, uterine myoma by the time of the implementation of the childbearing function is noted in an increasing number of cases, since due to social motives, women postpone the birth of children to a later period of reproductive age, which is confirmed by ultrasound . In this regard, it is quite logical that they increasingly have questions about the possibility of becoming pregnant in the presence of uterine fibroids or after its removal, about its impact on the course of pregnancy and childbirth. Uterine fibroids in and of themselves are not a cause that prevents pregnancy and leads to infertility, but it can be quite difficult for women with this disease to conceive a child. It all depends on the number, location and size of the myomatous node. Myoma can compress the fallopian tubes, deform them, thereby disrupting the process of free movement of spermatozoa and, as a result, fertilization. Also, a myomatous node, if it is in close proximity to the implantation site, can disrupt its proper course and, as a result, lead to spontaneous miscarriages. Small knots located in the muscular layer of the uterus practically do not affect the process of embryo implantation. As a rule, during such a pregnancy, complications do not occur.
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