Uterine Fibroid & Recurrent Late Miscarriage – Antai Hospital

Uterine Fibroids and Recurrent Late Miscarriages

Overview

Uterine fibroids are benign growths of smooth muscles in the uterus, which is considered one of the factors causing recurrent late miscarriages. They account for 2 factors that cause miscarriages to happen:

• Blood-Insufficiency / Competition of Nutrients (Early miscarriage)
• Pressure Induced (Late Miscarriage)

Although they are benign, depending on their size and numbers, these fibroids will absorb nutrients and blood-flow in the uterus for its own growth. During early pregnancy, this is especially dangerous as it competes growth space, nutrients, and blood flow with the fetus. For massive cysts that are found during the late stages of pregnancy, they exert significant pressure on the pelvic and uterine cavity, in addition to the pressure of the already expanded and enlarge uterus that is hosting the fetus. All of this combined equates to an immense pressure build-up, and if not alleviated, can cause preterm birth and late miscarriages.

Fibroids can come in many different sizes, and they can appear as one large fibroid or multiple fibroids. Many women may have uterine fibroids and not know it because they often have no symptoms.

There are three types of uterine fibroids:  

1. Intramural fibroids (grows within the uterine walls)
2. Submucosal fibroids (grows and protrudes into the uterine cavity)
3. Subserosal fibroids (grows and protrudes towards outside of the cavity, i.e., abdominal cavity)

Note: During a pregnancy, if the mother is diagnosed with uterine fibroid/s and it is determined to be endangering the pregnancy, Antai Hospital provides a removal surgery that can be conducted during pregnancy to save the fetus, provided that the fibroid is a subserosal fibroids (growing on the outer layer of the uterus). Other types of uterine fibroids cannot be removed via surgery and can only be done post-pregnancy.

Symptoms

Cysts usually are asymptomatic and sometimes even go away on their own. However, if you have a large ovarian cyst, you may experience:

• Pain and swelling in the pelvic and lower back region
• Bloating in the abdomen region

If you experience any pain in these regions, especially during a pregnancy, you should immediately seek medical attention.

Diagnosis

Most patients who have this complex disease are asymptomatic. A small portion experiences heavy menses with an extended menstrual period. To accurately diagnose the condition of fibroid-immunocomplex recurrent miscarriage, the patient must have had a history of early or late recurrent miscarriages. 

In general, these are the signs we look out for:

1. Have a history of early and late recurrent miscarriage
2. Experience heavy menses
3. Abnormally long mense period
4. Unable to get pregnant

The doctors will do an ultrasonography to determine the presence of fibroids in your uterus and to observe your uterine shape and size, followed by testing of your Estrogen levels and the presence of anti-embryonic antibodies in your bloodstream.

Treatment

1. Before Pregnancy:

Our treatment is to firstly remove the fibroids from the uterus via Hysteroscopy and then administer our immunotherapy. Due to the benign nature of the fibroids, Antai Hospital will not recommend removing the uterus, as it is entirely unnecessary and very damaging to the patient in the long run, both mentally and physically.

Here at Antai, we uphold a strict “414 policy” when concerned with fibroid related diseases for the purpose of protecting your organs.

• We can treat all fibroid related conditions regardless of these four criteria : 

1. Size of the fibroids
2. Number of fibroids
3. Growth location of fibroids
4. Age of patient

• Our one effective treatment:

1. We use state-of-the-art 3D-hysteroscopy surgery to remove the uterine fibroids. Removal of the uterus is not required.

• And finally, our four guarantees for our patients :

1. No abdominal surgery.
2. No removal of the uterus
3. No blood transfusion
4. No future recurrence of miscarriages

2. During Pregnancy:

As mentioned, Antai Hospital can only conduct this emergency surgical removal for subserosal uterine fibroids that is found during a pregnancy for the purpose of preventing a late miscarriage and to save the fetus. 

Once you undergo our treatment and fibroids are removed, your pregnancy will stabilize because this technique can:

• Relief the immense pressure on the uterus and the growing fetus.
• Increased space for optimal growth and development of the fetus.

It is important to note that Antai Hospital only conducts this type of emergency treatment for conditions that adhere to the below criteria:

1. The uterine fibroid is found during a pregnancy.
2. The uterine fibroid is sufficiently massive that it threatens the pregnancy, which may cause either a potential late miscarriage or preterm birth. (competing of nutrients and bloodflow)
3. The fibroid occupies a sufficiently large space in the abdominal and uterine cavity, exerting immense pressure on the uterus and the growing fetus. 
4. The location of the uterine fibroid: embedded in perimetrium towards the pelvic cavity. Surgery must be conducted as soon as possible to prevent         pre-term birth or late miscarriage.

*Your doctor will provide consultation on the surgery based on your diagnosis, position of fibroid and stages of the pregnancy.

  

Treatment Method:

1. Antai Hospital makes a precise incision on the abdomen of the patient and use our specialized 3D- Laparoscopy to surgically cut out the uterine fibroid.
2. The abdomen cavity will not be filled with CO2 gas due to the already immense pressure in the cavity.
3. To assist with exposure and retraction, Antai Hospital will suspend the patient’s abdominal pannus with a surgical retractor.
4. The surgery will then proceed by removing the fibroids and after that, repair the incision opening.
5. Due to the uterus currently carrying the growing fetus, the surgery needs to be done carefully and precisely.
6. Surgery will incorporate our Antai Autologous Blood Recovery System which reuses patients’ blood; However, our surgery will need to have external blood on standby in case of excessive bleeding during the fibroid removal.

Antai Hospital’s Commitment

Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.

Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.

Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.