Does Subserosal Myoma Harm Baby During Pregnancy?

Posted on Wed, 1 Oct 2014

Question: Uterus is enlarged (100.1mm*50.2mm*63.5mm) & anteverted. Subserosal myoma (31.9mm*28.8mm) noted at right cornu of uterus. A gestational sac with regularmargins & adequate surronding chorio-decidual reaction is seen in the upper uterine segment. Single viable foetal node with visible cardiac pulsation seen within the sac. (FHR-170 beats/min).
LMP-15.07.2014
Gestational age (from LMP) - 8 weeks 4 days.
CRL- 17.7 mm - 8 weeks 2 days.

Will subserosal myoma harm my baby?? Pls help how to handle this problem? I use to journey 70 kms / day via train for my job. Is it permissible like 2 days in a week?

Answered by Dr. Sameer Kumar (10 minutes later)

Brief Answer:
myoma is harmless and travel safely

Detailed Answer:
Hello,
Thanks for consulting HCM.

First of all would like to tell you that your pregnancy is proceeding absolutely fine with the growth and decidualisation being adequate as per scan.

As far as the myoma is concerned , the very fact it is subserosal makes it safe for pregnancy. with increasing gestation this fibroid shall flatten and accommodate the pregnancy. under no circumstances would it deter the growth of the fetus.

As far as travelling by train is concerned, you can travel but make sure no bumps or jerks . if that can be taken care of , then its fine . ideally we advise travelling long distances only in the second trimester.

Hope, I have answered your query.
Regards,
Dr XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sameer Kumar (16 hours later)

My doctor prescribed Susten 200 which is an eastrogen medicine. What I know is eastrogen will also stimulate the growth of subserosal myoma. So I am in doubt whether any medicine needs to be taken to stop the growth of myoma cells though my doctor has not prescribed any medicine for that as of now. If you have any suggestion then provide me and I can consult with my doctor regarding that. Also she has told that I need to go for another USG for pregnancy with MR scan in next month. Pls suggest..

Answered by Dr. Sameer Kumar (36 minutes later)

Brief Answer:
susten is progesterone and not estrogen

Detailed Answer:
hello XXXX
thanks for the follow up .

First of all Susten 200 is not an estrogen tab, infact its a progesterone tab which has been advised to you to support the pregnancy further and can be continued till 14 weeks period of gestation.
this is a practice among some practitioners to use susten emperically or in cases who have precious pregnancy or other risk factors as in your case ---the myoma.

for subserosal myoma , you have to understand that it is not inside the uterine cavity but on the outside surface of the uterus and it is not going to interfere pregnancy in any way.

also, there are no medications to be given during pregnancy to reduce the size of myoma like GnRH analogues. any such medication is contraindicated.the myoma shall thin out once the uterus starts growing.

you must deem it as a normal pregnancy. the ultrasound which your physician has asked is a follow up ultrasound to see the growth of the foetus and to my opinion MRI would be an exaggeration to the situation which would just let you know the size nad position of myoma( mapping of fibroid). anyways no myomectomy will be done during pregnancy , so MRI is not required.

just take folvite and duvadilan and susten till 14 weeks and then you can convert to iron and calcium tabs after that.

thanks , regards,
DR.Sameer Kumar

In case you want to ask a direct query , you may contact at:
http://doctor.healthcaremagic.com/doctors/dr-sameer-kumar/68814

else you may close the query , if satisfied with the treatment and plan.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sameer Kumar (57 minutes later)

Thanks for advices.. I am satisfied with your opinions.. MRI was a typo.. She advised USG of pregnancy for NT scan.. I will contact you directly next time when required.. Thanks again..

Answered by Dr. Sameer Kumar (4 minutes later)

Brief Answer:
thanks and close the query please

Detailed Answer:
Thanks for contacting XXXX

i hope you are satisfied with consultation.
in that case you may close the query please and write a review if you wish to.

nextly i would be happy to assist you in future.

regards.
dr XXXXXXX XXXXXXX

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj