Could I Be Pregnant? Risks with Fibroids and Ovulation

Can I get pregnant?

I had sexual intercourse with my boyfriend the day after my period ended on April 25, and he ejaculated inside me.
After that, during my ovulation period on May 5, I had sexual intercourse again on May 6, 7, and 8 without protection, and there was one instance where it seemed like he ejaculated inside a little.
On May 14 and 15, there was also ejaculation inside, but it was during my safe period.
I have uterine fibroids, and my doctor has recommended surgery; there is a fibroid about 7 cm on my right ovary, and it has been confirmed that it is not an endometrioma.
What is the likelihood of me becoming pregnant? If I do become pregnant, will the fibroids affect the fetus? My period is due on May 19, and I currently have no signs of it coming.
I usually experience abdominal pain before my period starts.

Emily, 20~29 year old female. Ask Date: 2016/05/18

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, a pregnancy test is usually accurate after 12 days post-conception.
Most fibroids do not affect the fetus, but a small number may cause preterm labor or miscarriage.
If your period is more than a week late, it is advisable to see a gynecologist.
Wishing you good health.

Reply Date: 2016/05/18

More Info

Based on your situation, it seems you have several concerns regarding the possibility of pregnancy, especially considering your history of uterine fibroids and your recent sexual activity. Let's break down your questions and provide some clarity.

Could You Be Pregnant?
Given the timeline you've provided, it is indeed possible that you could be pregnant. You had unprotected intercourse during your ovulation window, which is typically when you are most fertile. Sperm can survive in the female reproductive tract for up to five days, so intercourse on May 5th, followed by additional encounters on May 6th, 7th, and 8th, could potentially lead to conception. If your menstrual cycle is regular and you expect your period around May 19th, you may want to take a home pregnancy test if your period does not arrive as expected.

Risks Associated with Fibroids
Regarding your concern about uterine fibroids, they can indeed affect pregnancy, but the impact varies depending on their size, location, and number. Fibroids can potentially lead to complications such as:
1. Miscarriage: Some studies suggest that women with fibroids may have a higher risk of miscarriage, particularly if the fibroids are located within the uterine cavity.

2. Preterm Birth: Larger fibroids may increase the risk of preterm labor.

3. Placental Abruption: This is a condition where the placenta detaches from the uterus prematurely, which can lead to bleeding and other complications.

4. Fetal Growth Restriction: In some cases, fibroids can restrict the space available for the fetus to grow, potentially leading to growth issues.

5. Labor Complications: Depending on the size and location of the fibroids, they may obstruct the birth canal, leading to complications during delivery.

Should You Be Concerned?
While fibroids can pose risks, many women with fibroids have successful pregnancies and healthy babies. The key is to have regular prenatal care and to discuss your fibroid situation with your obstetrician. They may recommend monitoring the fibroids through ultrasound during your pregnancy to assess any changes.

Next Steps
1. Pregnancy Test: If your period does not arrive by the expected date, take a home pregnancy test for confirmation.

2. Consult Your Doctor: Regardless of whether you are pregnant, it is crucial to consult with your healthcare provider about your fibroids. They can provide personalized advice based on the size and location of your fibroids and your overall health.

3. Monitor Symptoms: Pay attention to any unusual symptoms, such as severe abdominal pain, heavy bleeding, or other concerning signs, and seek medical attention if they occur.

4. Plan for Prenatal Care: If you are pregnant, early and regular prenatal care is essential. Your doctor will likely want to monitor your fibroids closely throughout your pregnancy.

Conclusion
In summary, while there is a possibility of pregnancy given your recent sexual activity, the presence of fibroids adds a layer of complexity that should be managed with the guidance of your healthcare provider. Regular monitoring and communication with your doctor will be key to ensuring a healthy pregnancy. If you have further questions or concerns, do not hesitate to reach out to your healthcare provider for personalized advice.

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