Can I have an abortion if I have uterine fibroids?

Women with uterine fibroids can generally have an abortion, but the risk needs to be comprehensively assessed based on the size, location and pregnancy status of the fibroids. There are two main abortion methods for uterine fibroids combined with pregnancy: medical abortion and surgical abortion, which need to be chosen by the doctor based on individual circumstances.

When uterine fibroids are small and do not affect the shape of the uterine cavity, either medical abortion or surgical abortion can be considered. Medical abortion is suitable for pregnancy within 49 days. Mifepristone tablets combined with misoprostol tablets are commonly used to terminate pregnancy, but you need to be alert that fibroids may increase the risk of bleeding. In surgical abortion, negative pressure aspiration is suitable for 10 weeks of pregnancy, and forceps and curettage is suitable for 10-14 weeks of pregnancy. The positional relationship between the fibroids and the gestational sac needs to be determined by ultrasound before the operation. If the fibroids are located in the lower segment of the uterus or the cervix, the surgery may be more difficult and must be performed by an experienced doctor.

When the diameter of fibroids exceeds 5 cm or significantly compresses the uterine cavity, the risk of miscarriage increases significantly. In this case, problems such as excessive intraoperative bleeding, poor uterine contraction, and difficulty in removing residual tissue may occur. Submucosal fibroids are particularly likely to cause incomplete abortion or massive bleeding. If necessary, myomectomy must be performed at the same time as the abortion. In special circumstances, such as red degeneration of fibroids combined with infection, the infection needs to be controlled first before considering an abortion plan.

It is recommended that women with uterine fibroids complete gynecological examination, ultrasound and coagulation function assessment before abortion, and strengthen follow-up after surgery. After abortion, you should pay attention to the amount of bleeding, abdominal pain and body temperature changes. Use oxytocin injection or tranexamic acid tablets according to the doctor's instructions to prevent bleeding. If necessary, take cefaclor capsules to prevent infection. Avoid strenuous exercise on a daily basis, prohibit sexual life within 1 month, and review changes in fibroids regularly.