Pregnancy and labor in patients with uterine fibroids

This review examines the etiology, pathogenesis, clinical manifestations, and impact of uterine fibroids on reproductive function. Particular attention is given to infertility, pregnancy, and labor in patients with fibroids. Uterine fibroids may be asymptomatic or present with various symptoms, including menstrual irregularities and pelvic pain. The review discusses the effect of fibroids on conception, fetal development, and the risk of pregnancy and labor complications. The influence of fibroids on pregnancy outcomes is determined by their location, size, and number. With the increasing maternal age of women planning pregnancy, the prevalence of uterine fibroids in this population is also rising. As a result, organ-preserving surgical approaches aimed at optimizing reproductive outcomes and reducing pregnancy complications have become a primary treatment strategy. However, the best management strategy that minimizes complications and alleviates symptoms remains undefined. Treatment decisions should be individualized, taking into account multiple factors and requiring thorough patient evaluation. The review underscores the importance of early detection and prevention of pregnancy-related complications in patients with uterine fibroids. Further research is essential to refine preventive measures and optimize treatment strategies for this condition.