
Livmormyomer er en av de vanligste reproduktive tilstandene som rammer kvinner i reproduktiv alder. Mange kvinner vil utvikle livmormyomer på et eller annet tidspunkt i livet, men et stort antall er ikke engang klar over at de har dem. For andre kan symptomene påvirke hverdagen betydelig og skape bekymringer knyttet til fertilitet og graviditet.
Hvis du prøver å bli gravid eller planlegger et svangerskap, kan det å forstå hva livmormyomer er og å gjenkjenne symptomene på livmormyomer tidlig hjelpe deg med å ta informerte beslutninger om din reproduktive helse.
Kort svar: Livmormyomer er godartede svulster som utvikler seg i livmorens muskelvegg. Mens mange kvinner ikke opplever noen symptomer, kan andre ha kraftig menstruasjonsblødning, bekkenplager eller problemer med fertiliteten, avhengig av livmormyomerens størrelse og plassering.
Livsstilen har betydning for fertiliteten. En studie i BMC Public Health viste at kvinner med 4–5 sunne vaner hadde 59 % lavere risiko for infertilitet.
Fyll ut spørreskjemaet og få et personlig, helhetlig og kunnskapsbasert program tilpasset deg.
Livmormyomer, også kjent som leiomyomer, er godartede svulster som dannes i livmorens muskelvev. De er ikke kreftformede og øker i de fleste tilfeller ikke risikoen for livmorkreft.
Selv om den eksakte årsaken til livmormyomer ikke er fullt ut forstått, er de sterkt knyttet til hormonell ubalanse, særlig østrogen-dominans. Genetiske og miljømessige faktorer kan også spille en rolle.
Fibromer kan variere sterkt i størrelse. Noen forblir svært små og kan ikke påvises uten bildediagnostikk, mens andre kan vokse seg store nok til å forvrenge livmorsformen.
Det er viktig å merke seg at mange kvinner med livmormyomer blir gravide på naturlig vis og gjennomfører sunne svangerskap. For noen kan imidlertid livmormyomer påvirke fertiliteten, avhengig av type og plassering.
Det finnes fire hovedtyper av livmormyomer. Deres plassering spiller en avgjørende rolle for om de forårsaker symptomer eller påvirker fertiliteten.
Intramurale livmormyomer vokser inne i livmorens muskelvegg. Dette er den vanligste typen. I mange tilfeller stikker de ikke nevneverdig ut i livmorhulen, noe som betyr at de ikke nødvendigvis forstyrrer implantasjonen direkte.
Større intramurale livmormyomer kan imidlertid endre livmorens struktur og potensielt påvirke fertiliteten.
Subserosale svulster utvikler seg på livmorens ytre overflate. Disse vokser vanligvis utover i stedet for inn i livmorhulen. På grunn av sin plassering er det mindre sannsynlig at de direkte forstyrrer implantasjonen, men de kan forårsake trykk eller ubehag i bekkenet.
Submukosale livmormyomer vokser inn i livmorhulen. Disse har ofte størst innvirkning på fertiliteten. Fordi de stikker inn i livmorslimhinnen, kan de forvrenge formen på livmorhulen, forstyrre implantasjonen og øke risikoen for spontanabort.
Hvis du er bekymret for akkurat denne typen, finner du nærmere informasjon om hvordan plasseringen spiller inn i kan livmormyomer påvirke fertiliteten.
Pedikulerte livmormyomer vokser på en stilk enten inne i eller utenfor livmoren. Hvilken innvirkning de har, avhenger av hvor de befinner seg. Noen kan ikke forårsake noen problemer i det hele tatt, mens andre kan skape komplikasjoner avhengig av størrelse og plassering.
En av utfordringene med livmormyomer er at mange kvinner ikke opplever noen symptomer. Når symptomer oppstår, kan de imidlertid påvirke livskvaliteten betydelig.
Innholdet er kun til opplysningsformål. Det er gjennomgått for vitenskapelig nøyaktighet, men utgjør ikke medisinsk rådgivning, diagnose eller behandling. Rådfør deg alltid med kvalifisert helsepersonell ved medisinske spørsmål eller beslutninger om fertilitetsbehandling.
Gjennomgått for vitenskapelig nøyaktighet av: Dr. Mona Bungum
Sist gjennomgått: februar 2026
Livsstilen har betydning for fertiliteten. En studie i BMC Public Health viste at kvinner med 4–5 sunne vaner hadde 59 % lavere risiko for infertilitet.
Fyll ut spørreskjemaet og få et personlig, helhetlig og kunnskapsbasert program tilpasset deg.
De vanligste symptomene på livmormyomer inkluderer:
Kraftig blødning er ofte det mest merkbare symptomet. Kvinner kan oppleve at de må skifte bind eller tamponger ofte, at klær eller sengetøy blir flekket, eller at de opplever bølger av blødning som avtar og kommer tilbake i løpet av samme syklus.
Hvis du opplever kraftig menstruasjonsblødning, er det viktig å oppsøke lege for en undersøkelse. En ultralydundersøkelse av bekkenet, enten abdominal eller transvaginal, kan vanligvis bekrefte om det foreligger myomer og fastslå deres størrelse og plassering.
Tidlig diagnose er spesielt viktig hvis du planlegger å bli gravid.
For å forstå hvordan livmormyomer påvirker fertiliteten må man se på flere mekanismer.
Store livmormyomer kan endre livmorens struktur. Når livmorhulen er forvrengt, kan implantasjonen bli vanskeligere. Et befruktet egg trenger et sunt, mottakelig slimhinne for å feste seg.
I visse tilfeller kan livmormyomer som ligger nær egglederne hindre at sædceller når egget eller forhindre at det befruktede egget beveger seg som det skal.
Fibromer trenger sin egen blodtilførsel. Større svulster kan trekke blod bort fra livmorslimhinnen, noe som potensielt reduserer muligheten for implantasjon.
Mange kvinner med myomer opplever også østrogendominans og progesteronmangel. Et balansert nivå av østrogen og progesteron er avgjørende for å opprettholde et sunt livmorslimhinne og støtte den tidlige graviditeten.
Hormonell ubalanse kan forverre utfordringene knyttet til fertiliteten, spesielt hvis myomer allerede påvirker livmorens struktur.
Mer detaljert veiledning om fertilitetsaspekter finnes i kan livmormyomer påvirke fertiliteten, der spesifikke risikoer knyttet til implantasjon og svangerskap blir nærmere belyst.
Selv om befruktning skjer, kan fibroider øke risikoen for komplikasjoner under svangerskapet.
Disse kan omfatte:
Noen kvinner med myomer er kanskje ikke egnet for vaginal fødsel, avhengig av størrelsen og plasseringen av myomene.
Det er imidlertid viktig å understreke at mange kvinner med livmormyomer har helt normale svangerskap og fødsler.
Hvis du mistenker myomer på grunn av symptomer som kraftig menstruasjonsblødning eller uregelmessige menstruasjonssykluser, anbefales det å få en tidlig undersøkelse.
Diagnosen innebærer vanligvis:
Tidlig påvisning gjør det mulig å vurdere:
Hvis du planlegger å bli gravid, vil det å ha denne informasjonen på forhånd hjelpe deg med å ta velinformerte beslutninger.
Behandlingen avhenger av symptomer, mål for fertilitet, samt fibroidens størrelse og plassering.
Gynekologer kan anbefale:
Medisinske og kirurgiske behandlingsalternativer bør alltid drøftes grundig med en spesialist.
Noen kvinner velger å utforske livsstils- og ernæringsmessige tilnærminger for å håndtere symptomer og støtte hormonbalansen.
Hormonregulering gjennom kosthold kan spille en rolle i å redusere østrogendominans. Du kan lese mer om detaljerte kostholdsstrategier i ernæring for behandling av livmormyomer, som beskriver ernæringsmessige hensyn for hormonbalansen.
Strategier for bruk av kosttilskudd blir også ofte vurdert. Enkelte kosttilskudd kan støtte hormonbalansen og redusere betennelse. En nærmere gjennomgang av denne tilnærmingen finner du i kosttilskudd for håndtering av livmormyomer, som forklarer evidensbaserte retningslinjer for kosttilskudd.
I tillegg understreker nyere forskning viktigheten av helsen i reproduksjonskanalen. Livmorens mikrobiom kan påvirke implantasjon og utfall knyttet til fertilitet. Du kan lære mer om denne sammenhengen i livmorens mikrobiom og fertilitet, som utforsker hvordan mikrobiell balanse kan støtte reproduktiv helse.
Det finnes ikke noe universelt svar på om medisinsk eller holistisk behandling er best. Hver kvinnes situasjon er forskjellig.
Faktorer som bør vurderes, inkluderer:
Noen kvinner opplever bedring av symptomene ved kostholdsendringer og målrettet kosttilskudd. Andre kan trenge kirurgisk inngrep for å beskytte fertiliteten.
Nøkkelen er å ta en informert beslutning.
Ja, mange kvinner med livmormyomer blir gravide på naturlig vis.
Det er imidlertid viktig å:
Med riktig støtte kan fertilitetsutfallet forbedres betydelig.
Hva er livmormyomer? Det er vanlige, godartede svulster som kan påvirke fertiliteten din eller ikke, avhengig av størrelse og plassering.
Å gjenkjenne symptomer på livmormyomer, som kraftig menstruasjonsblødning og uregelmessige sykluser, er avgjørende for tidlig inngrep. Selv om fibroider kan påvirke implantasjon, blodgjennomstrømning og graviditetsutfall, klarer mange kvinner å bli gravide og gjennomføre sunne svangerskap.
Å forstå kroppen din gir deg styrke. Tidlig diagnose, informerte behandlingsbeslutninger og balansert hormonell støtte kan forbedre både resultatene for fertiliteten og den generelle reproduktive helsen betydelig.
00:00:00 Hello everyone, thank you so much for joining me to watch this video. Today I'm going to be talking about uterine fibroids and how they can impact fertility. Now these are very common amongst women of reproductive age and understanding uterine fibroids and what they do within the body is really crucial for those who are trying to conceive. So what are uterine fibroids? So uterine fibroids or lyomeomas are non-cancerous growths that develop in the muscle tissue within lyomeomas are non-cancerous growths that develop in the muscle tissue within
00:00:32 the uterus. Like many reproductive conditions we actually don't know for certain what causes them but they're usually to do with hormonal imbalances and kind of genetic factors attached to them as well and possibly maybe some environmental factors also. Uterine fibroids are extremely common with some women never even knowing that they had them at all. A lot of women don't have any symptoms and might find out later that they have uterine fibroids and many symptoms and might find out later that they have uterine fibroids and many
00:01:00 women also conceive naturally and have safe healthy pregnancies while still having uterine fibroids. However I would recommend an early diagnosis if you do have any symptoms because sometimes they can cause complications while trying to conceive. So there are four different types of uterine fibroids. Some will have more of an impact on fertility and others might not cause any symptoms and won 't have such a strong impact on fertility but again early diagnosis is important.
00:01:26 have such a strong impact on fertility but again early diagnosis is important. So these four types are and the first one is intramural and as you can see I've written here and if you look at the diagram it's pointing to the fibroids you need to pay attention to so they tend to grow within the muscle wall. Again they don't cause major protrusions and don't necessarily interrupt the lining of the uterus not always anyway. Then you have sub-serosal and if you see them they
00:01:51 tend to develop on the outer surface of the uterus so not necessarily again within the cavity and then you have sub-mucosal. These again can cause perhaps within the cavity and then you have sub-mucosal. These again can cause perhaps more issues because they do protrude into the cavity changing the lining in the shape of the uterus and can cause blockages. So sometimes when you have sub-mucosal these can definitely cause issues while trying to conceive. And can maybe impact your pregnancy so again early diagnosis is really important. And then the last one you have pedunculated which tend to grow on a
00:02:25 stalk if you look at the diagram either inside or outside of the uterus. So stalk if you look at the diagram either inside or outside of the uterus. So again some may be not posing any major concern when it comes to conce- conception but some will. However if you do have any symptoms and I'll go through those in the next slide please do try and get checked out and see if five boys are an issue for you. So quickly just before I move on to symptoms to look out for so that you can get an early diagnosis just to quickly go
00:02:53 through the effects on fertility. So as I discussed in the last slide the size of the fibroid and where it's located in the uterus can alter the actual shape of the fibroid and where it's located in the uterus can alter the actual shape of a uterus and again in the second point it can cause blockages particularly if they block the fallopian tubes this of course will cause issues with conception. It
00:03:13 can also stop implantation from happening depending on where the fibroid is and also reduce the blood flow because obviously this is a growth and needs blood flow as well so it can actually be calling on the blood flow to the uterus. So this is where fibroids can cause issues. And lastly hormonal uterus. So this is where fibroids can cause issues. And lastly hormonal imbalances. Many women myself included who suffer from uterine fibroids content to have an estrogen dominance and can also suffer with progester and insufficiencies and these are really important hormones that need
00:03:45 to be at a good balanced state whilst trying to conceive. So moving on now to symptoms to look out for to get an early diagnosis because you do not want these things affecting your chances of conception. So symptoms and diagnosis the main thing you want to look out for is are you suffering from very heavy and main thing you want to look out for is are you suffering from very heavy and also irregular menstrual bleeding. So if you find that during your period you are going through you know maybe on day two and day three possibly day four.
00:04:12 Lots and lots of pads lots of tampons you're experiencing pain also. Quite thick blood clots that are coming out during these days during your period. You're staining your clothes because the pads not enough perhaps staining bedland as well at night and also at different stages during your period you might have well at night and also at different stages during your period you might have heavy days they tend to subside and then they come back again and also out of your sort of seven-day window when you normally have your period. If you're
00:04:42 finding on say day 14 and at random times you'll suddenly have a big heavy bleed or even sort of a bit of spotting that leads to proper red blood that is a definite sign that you could possibly have uterine fibroids. The best thing to do is to go and get checked out and that is usually via ultrasound. Can usually do is to go and get checked out and that is usually via ultrasound. Can usually be on the surface area or in the kind of stomach or around the pelvis or it can be a transvaginal pelvic ultrasound and they will be able to detect if you have
00:05:10 fibroids you might not but it's a good indication if you're having the heavy bleeding that is possible and they'll be able to say how many you have where they are within the uterus and how you can treat that. As I said before earlier many women never suffer with any symptoms because they have fibroids and they can go undetected but if you have any inkling and just want to be on the they can go undetected but if you have any inkling and just want to be on the safe side if you do want to invest in having an ultrasound and because you are planning to conceive and you just want to make sure there's nothing going
00:05:41 on inside that could cause you any issues it can be a good idea to just get a checked out because I say many women do not have any signs so do be on the lookout for symptoms. I'm just going to briefly touch on some of the treatments available. I have them listed on the slide so do take a look at what I've written and if you are suffering with uterine fibroids discuss these with written and if you are suffering with uterine fibroids discuss these with your gynecologist and what they would recommend. I mentioned earlier when I said myself included I am someone who suffers with uterine fibroids. I did have
00:06:14 a decision to make on whether or not I wanted to undergo surgery or have the marina coil or certain hormonal therapies. I chose to go down the well-being holistic supplement route that is not for everyone however it did seem to work holistic supplement route that is not for everyone however it did seem to work for me in terms of shrinking the fibroids and also having the symptoms subside substantially. So I will be doing more videos about this about my journey and what I went through but also nutritional considerations being a nutritionist that you could incorporate into your lifestyle to help you deal
00:06:53 with uterine fibroids and also supplements the ones that I use and can be used to help balance your hormones and naturally allow the fibroids to shrink and also help balance your hormones and naturally allow the fibroids to shrink and also increase chances of conception. But the therapies that I've listed beside me here I would rather you seek out the support of a gynecologist if that's the route you want to take but again look out for more videos I will be doing further information and insight into how you can holistically treat fibroids
00:07:25 and their symptoms. So I've already discussed uterine fibroids and how they can their symptoms. So I've already discussed uterine fibroids and how they can affect fertility and lower your chances of conception. However as I also said many women do concede naturally and have healthy pregnancies and while having uterine fibroids. However some women have uterine fibroids that go undetected wind up pregnant and they can cause complications. So it does
00:07:53 increase the risk of miscarriage and other complications during pregnancy if you have fibroids. So again early diagnosis and detection is important. Also even have fibroids. So again early diagnosis and detection is important. Also even if the fibroids don't cause miscarriage or other complications later on as the baby grows and the fibroids are still there it might be necessary when it comes to giving birth to actually have a cesarean section instead of having a
00:08:19 natural birth. Whether that's something obviously most women would rather have a natural birth but again cesarean is something that many women have to go through. I myself had to have a cesarean section my baby is still 11 years of through. I myself had to have a cesarean section my baby is still 11 years of allish and I don't have any more but very very healthy but yes it can mean having uterine fibroids means that a natural birth isn't possible when it comes to that. But as I said before and I'll say it again many women do
00:08:46 conceive naturally but just be aware that if you have uterine fibroids there might be other considerations when you are pregnant so you might want to think about how you're going to manage those before you actually get pregnant. So to about how you're going to manage those before you actually get pregnant. So to conclude your final thoughts for the day yes uterine fibroids can affect fertility and conception however said it already a few times but worth saying again you can still get pregnant even if you have uterine fibroids but there are
00:09:14 some considerations and I hope this video has helped to describe them and made you more aware what you need to be looking out from what you need to consider moving forward if you have uterine fibroids or if you think you have uterine fibroids and are wanting to get pregnant soon. Natural remedies versus uterine fibroids and are wanting to get pregnant soon. Natural remedies versus medication I've put this in almost as a two-week continued I do intend to make more videos and inform people about what I went through in order to manage my symptoms of uterine fibroids and actually manage to shrink them and lower
00:09:47 them so the protrusion wasn't as significant as it was before and the symptoms I had to experience not just on a physical level but also on a emotional level and so I do want to delve more into that so do look out for emotional level and so I do want to delve more into that so do look out for that if you're more interested in taking a holistic side if you just want to go through more medical side please see a gynecologist and that's fine if that's your chosen route and but those who are looking for supplements nutrition or the remedies please stay tuned and I will have more information on that coming
00:10:21 soon and then early diagnosis set up before I'll say it again the earlier you know what you have to contend with and on your fertility journey the better so know what you have to contend with and on your fertility journey the better so please be on the lookout for symptoms that you feel shouldn't be happening regularly during your menstrual cycle go to a doctor and see how you can you know rectify these things either naturally or with medication and just be clear on what's going on inside your body and what might be affecting your fertility so thank you so much for listening and I look forward to being
00:10:56 in touch again