Impact of Fibroadenomas on Pregnancy: What You Need to Know - Pulmonology

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What are the effects of having a fibroma in the breast during pregnancy?


What is the impact of having fibromas in the breast during pregnancy? There are no discomforts, but there are several tumors that have been present for more than four years.

Yu Wenxin, 20~29 year old female. Ask Date: 2003/03/11

Dr. Zhou Ziguang reply Pulmonology


In general, breast fibromas do not affect pregnancy unless they are large enough to impact lung function or exhibit variations that secrete hormone-like substances.
In such cases, only monitoring is required.
If the issue pertains to a breast fibroma, please consult a breast surgeon.

Reply Date: 2003/03/11

More Info


Fibroadenomas are benign breast tumors that are most commonly found in young women. They are typically round, firm, and movable, and they can vary in size. When it comes to pregnancy, the presence of fibroadenomas generally does not pose significant risks to either the mother or the fetus. However, there are several important considerations to keep in mind.


Impact on Pregnancy
1. Hormonal Changes: During pregnancy, the body undergoes significant hormonal changes, particularly increases in estrogen and progesterone. These hormones can cause fibroadenomas to grow or change in size. While this growth is usually benign, it may lead to increased discomfort or changes in the breast tissue that could require monitoring.

2. Breast Changes: As pregnancy progresses, the breasts undergo various changes in preparation for breastfeeding. This includes increased blood flow and glandular tissue development. Fibroadenomas may become more prominent or noticeable during this time, but they typically do not interfere with breastfeeding or the overall health of the mother.

3. Monitoring: Regular check-ups with a healthcare provider are essential during pregnancy. If a fibroadenoma is detected, it is crucial to monitor it through physical examinations and possibly imaging studies, such as ultrasound, to ensure it remains stable and does not exhibit any suspicious changes.

4. Surgical Considerations: In most cases, fibroadenomas do not require surgical intervention during pregnancy unless they become symptomatic or there is a concern about malignancy. If surgery is necessary, it is usually recommended to wait until after delivery, as anesthesia and surgical procedures can carry risks during pregnancy.

5. Breastfeeding: Fibroadenomas do not typically affect a woman's ability to breastfeed. However, if a surgical procedure is performed, it is essential to discuss with the healthcare provider how it may impact breastfeeding.


When to Seek Medical Attention
While fibroadenomas are benign, there are specific symptoms that should prompt a pregnant woman to seek medical attention:
- Changes in Size or Shape: If a fibroadenoma grows significantly or changes in shape, it should be evaluated by a healthcare provider.

- Pain or Discomfort: While fibroadenomas are usually painless, any new pain or discomfort in the breast should be assessed.

- Nipple Discharge: Any unusual discharge from the nipple, especially if it is bloody or clear, should be evaluated.


Conclusion
In summary, having fibroadenomas during pregnancy is generally not a cause for concern. They are benign and typically do not affect pregnancy outcomes or breastfeeding. However, it is essential for pregnant women with fibroadenomas to maintain regular check-ups with their healthcare provider to monitor any changes and ensure both maternal and fetal health. If there are any concerns or unusual symptoms, seeking medical advice is crucial. Overall, with appropriate monitoring and care, women with fibroadenomas can have healthy pregnancies and deliveries.

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