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22 weeks pregnancy
I am 21 weeks pregnant and would like to know if you can help me with my situation. I have a large anterior subserosal fibroid (about 15cm) and have had severe ongoing abdominal pain since a recent hospital admission for UTI. I was told the pain may be due to fibroid degeneration, but my CRP and neutrophils remain raised, so I am concerned about ongoing infection/inflammation. My Hb, RBC and haematocrit have also been progressively falling. I cannot see all my results, including urine culture and ferritin/iron studies. I have also had two attempts at my anomaly scan, but the baby’s face could not be visualised because of position. I would like an overall review of my situation, advice on what investigations/treatment I should discuss with my NHS maternity team, and whether further assessment of the fibroid, anaemia, infection or incomplete scan is needed. Could you please let me know if this is something you can advise on?
Answers (6)
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Fibroids with pregnancy with no complications may also lead to raised TLC with neutrophilia.
Please get your CRP repeated.
Your fibroid uterus is quite big but no surgery is indicated. These aches and pains will continue during pregnancy but they can be managed by medical treatment.
For more clarification and information please consult with me on Practo.
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Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
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Dr. Neha Vashisth
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14 yrs exp
Jaipur
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Dr. Shweta Lodhi Umate
Gynecologist
8 yrs exp
Nagpur
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Fibroid degeneration is a recognised cause of pain in pregnancy. It can come with a mild rise in inflammatory markers too. This combination needs ongoing monitoring, not just reassurance.
Next Steps
With your team, ask specifically about a repeat anomaly scan, your ferritin and iron studies, and a urine culture to rule out ongoing infection.
Health Tips
A falling haemoglobin alongside a large fibroid and possible infection is worth flagging as urgent, not something to leave until your next routine visit.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.