Overview
Antai hospital uses a 3D hysteroscopy to diagnose and remove uterine fibroids on the middle and the outermost layer of the uterus wall to stop recurrent miscarriages. The middle layer is called the myometrium, and fibroids grown on it are intramural fibroids. The outermost layer is called the perimetrium, and fibroids grown on it are subserous fibroids.
Having intramural and subserous fibroids during pregnancy will lead to a threatened miscarriage because the fibroids impede uterine blood flow. They also compete for nutrients and space with the embryo. All these will lead to the underdevelopment of the embryo. Hence, the more and the closer the fibroids are to the uterine cavity, the higher the chance of miscarriage.
Symptoms
In the first trimester, the biggest tell-tale sign of intramural or subserous fibroids is slow-rising hCG levels, despite having normal progesterone levels. You will notice that your hCG level is not doubling every three days like it is supposed to.
Low hCG, vaginal bleeding, and abdominal pain are signs that you are having a threatened miscarriage, and an inevitable miscarriage will occur if treatment is unavailable. However, even if the woman does not miscarry, there is a good chance for the baby to have some form of deformity or health-related issues due to underdevelopment and undernutrition.
Our Treatment
For pregnant women, undergoing laparoscopic surgery for fibroid removal is only limited to singular, large subserous fibroids because it only competes for space but does not compete for nutrients and blood from the embryo.