Fibrome et grossesse

Abstract

Discovering myomas in a woman who wants to become pregnant or in a pregnant woman is likely to raise questions and worries. The role played by these myomas on spontaneous fertility or their impact in case of Assisted Reproductive Technology (ART), depends on their size, their localisation and their number. Any doctor who have to cope with this situation has to choose and suggest either an expectative or an interventionist behaviour. Consequences must be clearly explained to the patient whatever the position chosen. Pregnancy after embolisation for myomas is still a fairly rare case and what may come of it will have to be considered on the long run. The management of uterine myomas in a pregnant woman should be as little invasive as possible even if these myomas generate abdominal pain, premature ripping of membranes, delivery haemorrhage, and fœtal misposition. An uterus with myomas is compatible with pregnancy, and it is essential to avoid producing iatrogenicity.